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“顿悟时刻”:利用计划行为理论探索澳大利亚男性在人际关系中使用暴力的早期参与所面临的挑战和机遇。

"A Lightbulb Moment": Using the Theory of Planned Behavior to Explore the Challenges and Opportunities for Early Engagement of Australian Men Who Use Violence in Their Relationships.

机构信息

La Trobe University, Bundoora, Victoria, Australia.

The University of Melbourne, Carlton, Victoria, Australia.

出版信息

J Interpers Violence. 2021 Apr;36(7-8):NP3889-NP3913. doi: 10.1177/0886260518780778. Epub 2018 Jun 20.

DOI:10.1177/0886260518780778
PMID:29923778
Abstract

Intimate partner violence (IPV) is a common complex social and public health problem. Interventions for IPV male perpetrators are an essential component of an early and effective response. Yet little is known about how to engage men in interventions for help-seeking. Using the theory of planned behavior (TPB), we explored men's perceptions of seeking help for an unhealthy relationship and how they could be supported to recognize their behavior and undertake change at an early stage. We recruited 23 men who were currently attending a men's behavior change program in Australia to take part in focus groups. These were recorded, transcribed, and thematically analyzed. The TPB concepts of behavioral beliefs, perceived control, and subjective norms were found throughout the data. Behavioral beliefs covered four subthemes: self-awareness, self-reflection and agency, the influence of others to change, and needing the right message in the right place. Perceived control was connected to these men's understandings of what it means to be a man. Subjective norms were rarely raised, but there was some indication that men's perceptions of societal norms about men as violent influenced a perceived lack of agency to change behavior. Our findings highlight the complexity of, and challenges in, engaging men who may use violence before they reach crisis point and justice intervenes. Despite this, participating men could find acceptable an appropriately developed and easy-to-access intervention that enhances recognition of behaviors and provides links to supports. Health professionals or researchers developing early interventions targeting these men need to take the engagement challenges into account.

摘要

亲密伴侣暴力(IPV)是一个常见的复杂社会和公共卫生问题。针对 IPV 男性施害者的干预措施是早期和有效应对的重要组成部分。然而,对于如何让男性参与寻求帮助的干预措施,人们知之甚少。我们使用计划行为理论(TPB),探讨了男性对寻求不健康关系帮助的看法,以及如何支持他们在早期阶段认识到自己的行为并进行改变。我们招募了 23 名目前正在澳大利亚参加男性行为改变计划的男性参加焦点小组。这些小组被记录、转录,并进行了主题分析。TPB 的行为信念、感知控制和主观规范这三个概念贯穿整个数据。行为信念涵盖了四个子主题:自我意识、自我反思和能动性、他人改变的影响以及在正确的地点获得正确的信息。感知控制与这些男性对男性意味着什么的理解有关。主观规范很少被提及,但有一些迹象表明,男性对社会规范中男性暴力的看法影响了他们改变行为的能动性感知。我们的研究结果强调了在危机点和司法干预之前,让可能使用暴力的男性参与的复杂性和挑战。尽管如此,参与的男性可能会发现适当开发且易于访问的干预措施是可以接受的,这种干预措施可以增强对行为的认识,并提供与支持的联系。针对这些男性的早期干预措施的健康专业人员或研究人员需要考虑到参与的挑战。

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