University of Valencia Faculty of Psychology and Speech Therapy Department of Social Psychology Spain Department of Social Psychology, Faculty of Psychology and Speech Therapy, University of Valencia, Spain.
King's College London National Addiction Centre, Institute of Psychiatry, Psychology & Neuroscience UK National Addiction Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.
Psychosoc Interv. 2024 Sep 2;33(3):187-200. doi: 10.5093/pi2024a13. eCollection 2024 Sep.
Intimate partner violence (IPV) perpetrators with alcohol and/or other drug use problems (ADUPs) have been identified as one of the main high-risk and highly resistant groups of perpetrators requiring special attention in intervention programs for IPV perpetrators. This randomized controlled trial (RCT) aimed to evaluate whether an individualized motivational plan adjusted to ADUPs (IMP-ADUPs) was superior to standard motivational strategies (IMP) in reducing ADUPs, and IPV and increasing treatment adherence in IPV perpetrators. Data from a full sample of IPV perpetrators ( = 140) and a subsample of participants with ADUPs ( = 55) were collected at pre- and post-intervention and 12-month follow-up. Final outcomes included alcohol, cocaine, and cannabis use, self-reported IPV, risk of recidivism assessed by facilitators, and official IPV recidivism. Proximal outcomes included treatment adherence (stage of change, intervention dose, active participation, and dropout). Both intent-to-treat (ITT) and per-protocol (PP) analyses were conducted. The IMP-ADUPs condition was superior to the IMP in reducing alcohol use at post-intervention in both the full sample and ADUPs subsample. The full sample of participants in the IMP-ADUPs condition were in a more advanced stage of change post-intervention and showed increased active participation during the intervention process than IMP participants. All participants were in a more advanced stage of change at post-intervention and reduced their alcohol use and their risk of recidivism at post-intervention and 12-month follow-up. These results underscore the need to develop individualized treatment approaches to address participants' risks and needs and promote their motivation to change.
亲密伴侣暴力（IPV）行为者中存在酗酒和/或其他药物使用问题（ADUP）的人群，已被确定为需要在干预 IPV 行为者项目中特别关注的主要高危和高抗拒人群之一。本随机对照试验（RCT）旨在评估针对 ADUP 调整的个体化动机计划（IMP-ADUPs）是否优于标准动机策略（IMP），以减少 ADUP、IPV 行为，并提高 IPV 行为者的治疗依从性。在干预前、干预后和 12 个月随访时，收集了完整的 IPV 行为者样本（n=140）和有 ADUP 参与者的子样本（n=55）的数据。最终结果包括酒精、可卡因和大麻使用、自我报告的 IPV、促进者评估的累犯风险以及官方的 IPV 累犯。近端结果包括治疗依从性（改变阶段、干预剂量、积极参与和辍学）。进行了意向治疗（ITT）和方案意向（PP）分析。在完整样本和 ADUP 子样本中，与 IMP 相比，IMP-ADUPs 条件在干预后减少了酒精使用。在 IMP-ADUPs 条件下的所有参与者在干预后都处于更高级的改变阶段，并且在干预过程中表现出更高的积极参与。所有参与者在干预后都处于更高级的改变阶段，并且在干预后和 12 个月随访时减少了酒精使用和累犯风险。这些结果强调需要制定个体化的治疗方法来解决参与者的风险和需求，并促进他们改变的动机。
