为接受药物使用治疗的男性提供ADVANCE数字干预以减少亲密伴侣虐待行为的可行性：一项非随机多中心可行性研究及嵌入式过程评估方案

The feasibility of delivering the ADVANCE digital intervention to reduce intimate partner abuse by men receiving substance use treatment: protocol for a non-randomised multi-centre feasibility study and embedded process evaluation.

作者信息

Gilchrist Gail, Landau Sabine, Dheensa Sandi, Henderson Juliet, Johnson Amy, Love Beverly, Potts Laura, Radcliffe Polly, Zenasni Zohra, Parrott Steve, Li Jinshuo, Thomson Kate, Dwyer Georges-Jacques, Turner Richard, Halliwell Gemma, Berbary Cassandra, Bergman Ciara, Feder Gene, Easton Caroline, Brooks Cat Papastavrou, Gilchrist Elizabeth

机构信息

National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 4 Windsor Walk, London, SE5 8BB, UK.

Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology & Neuroscience, King's College London, De Crespigny Park, London, SE5 8AF, UK.

出版信息

Pilot Feasibility Stud. 2022 Jul 30;8(1):163. doi: 10.1186/s40814-022-01116-x.

DOI:10.1186/s40814-022-01116-x

PMID:35907900

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9338654/

Abstract

BACKGROUND

Compared to men in the general population, men in substance use treatment are more likely to perpetrate intimate partner abuse (IPA). The ADVANCE group intervention for men in substance use treatment is tailored to address substance use and IPA in an integrated way. In a feasibility trial pre-COVID, men who received the ADVANCE intervention via face-to-face group delivery showed reductions in IPA perpetration. Due to COVID-19, ADVANCE was adapted for remote digital delivery.

METHODS/DESIGN: This mixed-methods non-randomised feasibility study, with a nested process evaluation, will explore the feasibility and acceptability of delivering the ADVANCE digital intervention to men in substance use treatment who have perpetrated IPA towards a female partner in the past year. Sixty men will be recruited from seven substance use treatment services in Great Britain. The ADVANCE digital intervention comprises a preparatory one-to-one session with a facilitator to set goals, develop a personal safety plan, and increase motivation and a preparatory online group to prepare men for taking part in the intervention. The core intervention comprises six fortnightly online group sessions and 12 weekly self-directed website sessions to recap and practise skills learned in the online group sessions. Each website session is followed by a one-to-one video/phone coaching session with a facilitator. Men will also receive their usual substance use treatment. Men's female (ex) partners will be invited to provide outcome data and offered support from integrated safety services (ISS). Outcome measures for men and women will be sought post intervention (approximately 4 months post male baseline interview). Feasibility parameters to be estimated include eligibility, suitability, consent, recruitment, attendance, retention and follow-up rates. In-depth interviews or focus groups will explore the intervention's acceptability to participants, facilitators and ISS workers. A secondary focus of the study will estimate pre-post-differences in outcome measures covering substance use, IPA, mental health, self-management, health and social care service use, criminal justice contacts and quality of life.

DISCUSSION

Findings will inform the design of a multicentre randomised controlled trial evaluating the efficacy and cost-effectiveness of the ADVANCE digital intervention for reducing IPA.

TRIAL REGISTRATION

The feasibility study was prospectively registered: ISRCTN66619273 .

摘要

背景

与普通人群中的男性相比，接受药物使用治疗的男性实施亲密伴侣虐待（IPA）的可能性更高。针对接受药物使用治疗的男性的ADVANCE小组干预措施经过专门设计，以综合方式解决药物使用和IPA问题。在新冠疫情之前的一项可行性试验中，通过面对面小组授课接受ADVANCE干预的男性实施IPA的情况有所减少。由于新冠疫情，ADVANCE被调整为远程数字授课形式。

方法/设计：这项混合方法的非随机可行性研究，带有嵌套式过程评估，将探讨向在过去一年中对女性伴侣实施过IPA的接受药物使用治疗的男性提供ADVANCE数字干预措施的可行性和可接受性。将从英国的七个药物使用治疗服务机构招募60名男性。ADVANCE数字干预包括与一名协调员进行的一对一准备会议，以设定目标、制定个人安全计划并增强动力，以及一个准备性在线小组，让男性为参与干预做好准备。核心干预包括每两周一次的六次在线小组会议和每周一次的12次自主网站会议，以回顾和练习在在线小组会议中学到的技能。每次网站会议之后都有与一名协调员进行的一对一视频/电话辅导会议。男性还将接受他们常规的药物使用治疗。将邀请男性的女性（前）伴侣提供结果数据，并为她们提供综合安全服务（ISS）的支持。将在干预后（大约在男性基线访谈后4个月）获取男性和女性的结果指标。要估计的可行性参数包括资格、适用性、同意率、招募率、出勤率、留存率和随访率。将通过深入访谈或焦点小组来探讨参与者、协调员和ISS工作人员对干预措施的可接受性。该研究的第二个重点将是估计在涵盖药物使用、IPA、心理健康、自我管理、健康和社会护理服务使用、刑事司法接触及生活质量的结果指标上的前后差异。