Gilchrist Elizabeth, Johnson Amy, McMurran Mary, Stephens-Lewis Danielle, Kirkpatrick Sara, Gardner Benjamin, Easton Caroline, Gilchrist Gail
University of Edinburgh, Edinburgh, UK.
, Lancaster, UK.
Pilot Feasibility Stud. 2021 Oct 28;7(1):191. doi: 10.1186/s40814-021-00911-2.
We aimed to establish what core elements were required in a group therapy programme for men who disclose perpetrating intimate partner abuse in a substance use setting and develop, and test the feasibility of delivering an intervention in this setting.
We describe the theoretical development and feasibility testing of an integrated substance use and intimate partner abuse intervention ('ADVANCE') for delivery in substance use services. We employed a comprehensive eight-stage process to guide this development applying the 'COM-B' ('capability', 'opportunity', 'motivation' and 'behaviour') model for intervention design which specifies the following: (1) define the problem, (2) select the target behaviour, (3) specify the target behaviour, (4) identify what needs to change, (5) identify intervention functions, (6) identify policy categories, (7) select behaviour change techniques, and (8) design a mode of delivery. The development was informed by primary research conducted by the authors, consulting with organisation steering groups and by those with personal experiences. The identified targets for intervention and mode and method of delivery were then refined over 4 intervention development meetings, using the nominal group technique with the ADVANCE experts, then further refined following consultation with service user groups and wider expert groups via a learning alliance meetings.
Our final intervention, the ADVANCE intervention consisted of a group intervention comprising of up to four pre-group individual interviews, followed by 12 × 2-h group sessions supported by integrated safety work for victim/survivors, and risk and safety support and integrity support for the professionals. The main targets for change were personal goal planning, self-regulation, and attitudes and beliefs supporting intimate partner abuse. The intervention was regarded as very acceptable to both staff and clients in substance use services, with group attendees reported positive behaviour changes and development of new skills.
We have demonstrated the ability to employ a structured eight-step process to develop an integrated intervention to address substance use-related intimate partner abuse that is acceptable to staff and clients in substance use services. This led to a feasibility study (ISRCTN 79435190) involving 104 men and 30 staff at three different locations across the UK was conducted to assess the feasibility and acceptability of the intervention and to refine the content and approach to delivery (BMC Public Health, 21: 980, 2021).
我们旨在确定针对在物质使用环境中披露实施亲密伴侣虐待行为的男性的团体治疗计划所需的核心要素，并开发并测试在该环境中提供干预措施的可行性。
我们描述了一种综合物质使用和亲密伴侣虐待干预措施（“ADVANCE”）在物质使用服务中实施的理论发展和可行性测试。我们采用了一个全面的八阶段过程来指导这一发展，应用“COM-B”（“能力”“机会”“动机”和“行为”）模型进行干预设计，该模型具体规定如下：（1）定义问题，（2）选择目标行为，（3）明确目标行为，（4）确定需要改变的内容，（5）确定干预功能，（6）确定政策类别，（7）选择行为改变技术，以及（8）设计一种实施方式。该发展过程参考了作者进行的初步研究、与组织指导小组以及有个人经历者的咨询意见。然后，在4次干预措施开发会议上，使用名义群体技术与ADVANCE专家一起对确定的干预目标以及实施方式和方法进行了完善，随后通过学习联盟会议与服务使用者群体和更广泛的专家群体进行磋商后进一步完善。
我们最终的干预措施，即ADVANCE干预措施，包括一个团体干预，该干预包括多达4次团体前的个人访谈，随后是12次每次2小时的团体会议，并为受害者/幸存者提供综合安全工作支持，为专业人员提供风险与安全支持以及诚信支持。主要的改变目标是个人目标规划、自我调节以及支持亲密伴侣虐待行为的态度和信念。该干预措施在物质使用服务中的工作人员和客户中都被认为非常可接受，团体参与者报告了积极的行为改变和新技能的发展。
我们已经证明有能力采用一个结构化的八步骤过程来开发一种综合干预措施，以解决与物质使用相关的亲密伴侣虐待问题，该干预措施在物质使用服务中的工作人员和客户中是可接受的。这导致了一项可行性研究（ISRCTN 79435190），涉及英国三个不同地点的104名男性和30名工作人员，以评估该干预措施的可行性和可接受性，并完善实施的内容和方法（《BMC公共卫生》，21：980，2021）。
