ADVANCE integrated group intervention to address both substance use and intimate partner abuse perpetration by men in substance use treatment: a feasibility randomised controlled trial

BMC Public Health

Sandi Dheensa¹  Gemma Halliwell¹  Gene Feder¹  Sabine Landau²  Laura Potts²  Jinshuo Li³  Steve Parrott³  Mary McMurran⁴  Gail Gilchrist⁵  Polly Radcliffe⁵  Beverly Love⁵  Juliet Henderson⁵  Danielle Stephens-Lewis⁶  Sara Kirkpatrick⁷  Caroline Easton⁸  Cassandra Berbary⁸  Elizabeth Gilchrist⁹  Amy Johnson⁹ 

[1] Centre for Academic Primary Care, Bristol Medical School, University of Bristol;Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology & Neuroscience, King’s College London;Department of Health Sciences, University of York;Independent Consulting Psychologist;National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College London;Psychological Sciences, University of Gloucestershire;RESPECT;Rochester Institute of Technology;School of Health in Social Science, University of Edinburgh;

关键词: Feasibility trial;    Acceptability;    Substance abuse treatment;    Intimate partner abuse;    Group intervention;    Formative evaluation;   

DOI  :  10.1186/s12889-021-11012-3

来源: DOAJ

【 摘 要 】

Abstract Background Substance use is a risk factor for intimate partner abuse (IPA) perpetration. Delivering perpetrator interventions concurrently with substance use treatment shows promise. Methods The feasibility of conducting an efficacy and cost-effectiveness trial of the ADVANCE 16-week intervention to reduce IPA by men in substance use treatment was explored. A multicentre, parallel group individually randomised controlled feasibility trial and formative evaluation was conducted. Over three temporal cycles, 104 men who had perpetrated IPA towards a female (ex) partner in the past year were randomly allocated to receive the ADVANCE intervention + substance use treatment as usual (TAU) (n = 54) or TAU only (n = 50) and assessed 16-weeks post-randomisation. Participants’ (ex) partners were offered support and 27 provided outcome data. Thirty-one staff and 12 men who attended the intervention participated in focus groups or interviews that were analysed using the framework approach. Pre-specified criteria assessed the feasibility of progression to a definitive trial: 1) ≥ 60% of eligible male participants recruited; 2) intervention acceptable to staff and male participants; 3) ≥ 70% of participants followed-up and 4) levels of substance use and 5) IPA perpetrated by men in the intervention arm did not increase from average baseline level at 16-weeks post-randomisation. Results 70.7% (104/147) of eligible men were recruited. The formative evaluation confirmed the intervention’s acceptability. Therapeutic alliance and session satisfaction were rated highly. The overall median rate of intervention session attendance (of 14 compulsory sessions) was 28.6% (range 14.3–64.3% by the third cycle). 49.0% (51/104) of men and 63.0% (17/27) of their (ex) partners were followed-up 16-weeks post-randomisation. This increased to 100% of men and women by cycle three. At follow-up, neither substance use nor IPA perpetration had worsened for men in the intervention arm. Conclusions It was feasible to deliver the ADVANCE intervention in substance use treatment services, although it proved difficult to collect data from female (ex)partners. While some progression criteria were met, others were not, although improvements were demonstrated by the third cycle. Lessons learned will be implemented into the study design for a definitive trial of the ADVANCE intervention. Trial registration ISRCTN79435190 prospectively registered 22nd May 2018.

【 授权许可】

Unknown