Child Study Center, Yale University School of Medicine Child Study Center, New Haven, CT, USA.
Department of Population Health & Leadership, University of New Haven, West Haven, CT, USA.
Clin Psychol Psychother. 2024 Jul-Aug;31(4):e3034. doi: 10.1002/cpp.3034.
There is increasing evidence that therapy and intervention services delivered by telehealth are effective at reducing a variety of mental health symptoms. Limited studies have indicated online services can reduce intimate partner violence (IPV), but none have tested in-person compared to telehealth-delivered interventions for men who have used IPV. Clinical outcome data from 311 parents (192 fathers and 119 linked coparent mothers) engaged in the Fathers for Change (F4C) intervention following referral by child protective services for IPV were examined to determine if in-person delivery of the intervention differed in terms of client treatment engagement and retention or outcomes. Parents who enrolled during a 1-year period prior to the COVID pandemic received their F4C therapy in person, while those who enrolled during the pandemic received their intake and most of their sessions via telehealth delivery. Parents reported significantly greater symptoms of depression, anxiety, and stress prior to treatment if they enrolled prior to COVID than if they enrolled during the pandemic. There were few differences in completion rates or outcomes based on in-person compared to telehealth delivery. Fathers were slightly more likely to complete treatment and attended a significantly higher percentage of their sessions when it was delivered by telehealth during COVID. Fathers reported significantly lower stress scores posttreatment when they received COVID telehealth delivery compared to prior to COVID in-person delivery of F4C. These findings suggest that telehealth may be an appropriate and viable option for the delivery of IPV interventions for families.
越来越多的证据表明，远程医疗提供的治疗和干预服务在减少各种心理健康症状方面是有效的。有限的研究表明，在线服务可以减少亲密伴侣暴力（IPV），但没有一项研究测试过面对面服务与远程医疗干预相比，对曾经使用过 IPV 的男性的效果。为了确定面对面服务与远程医疗服务在客户治疗参与度、保留率或结果方面是否存在差异，对儿童保护服务因 IPV 而转介的 311 名父母（192 名父亲和 119 名相关的共同养育母亲）参与“改变父亲”（F4C）干预的临床结果数据进行了检查。在 COVID 大流行之前的 1 年期间注册的父母接受了面对面的 F4C 治疗，而在大流行期间注册的父母则通过远程医疗提供了他们的入组和大部分课程。如果父母在 COVID 之前注册，他们在治疗前报告的抑郁、焦虑和压力症状明显更严重，如果他们在大流行期间注册，则报告的症状明显更轻。基于面对面与远程医疗服务，完成率或结果几乎没有差异。在 COVID 期间，通过远程医疗提供治疗时，父亲更有可能完成治疗，并且参加了更高比例的治疗课程。与 COVID 之前的面对面 F4C 治疗相比，接受 COVID 远程医疗治疗的父亲在治疗后报告的压力评分明显更低。这些发现表明，远程医疗可能是为家庭提供 IPV 干预的一种合适且可行的选择。
