Gilbar Ohad, Cohen Liron, Smethurst Madeline, Creech Suzannah, Azaria-Mizrachi Ziv, Ben-Gal Naomi, Taft Casey
The Hebrew University of Jerusalem, School of Social Work, Jerusalem, Israel.
National Center for PTSD, VA Boston Healthcare System, Boston, MA, United States.
Contemp Clin Trials. 2025 Feb;149:107775. doi: 10.1016/j.cct.2024.107775. Epub 2024 Dec 11.
The social information processing (SIP) model of trauma and intimate partner violence (IPV), which emphasizes the impact of trauma on one's ability to accurately process social information and subsequent failure to generate and enact nonaggressive responses, has gained attention in the United States. Recent clinical trial evidence suggests that the Strength at Home (SAH) intervention, a 12-session program that is based on this model, is efficacious in reducing and ending abusive behavior among U.S. veterans. However, such a clinical trial has yet to be conducted among a civilian population nor in a different cultural context (e.g., Israel). This paper describes the methods of a randomized controlled trial to test the efficacy of SAH compared to a treatment as usual comparison condition in Israel.
300 men referred (court-, clinically-, and self-referred) to IPV intervention from adult outpatient clinics at Social Affairs and Social Services offices in Israel will be randomly assigned to the SAH intervention or a treatment-as-usual comparison group. Outcomes are measured at six timepoints (baseline, post-treatment, and four 3-month follow-ups). The primary outcome is use of IPV; however, we will also examine reductions in SIP deficits. Secondary outcomes include symptoms of posttraumatic stress disorder (PTSD), depression, and anxiety, and changes in emotion regulation strategies.
Study findings will determine the efficacy of SAH in a civilian population and in a different cultural context. Additionally, findings will determine whether SIP is a mechanism of change for such intervention.
创伤与亲密伴侣暴力（IPV）的社会信息处理（SIP）模型强调创伤对个体准确处理社会信息能力的影响，以及随后无法产生和实施非攻击性反应的情况，该模型在美国已受到关注。最近的临床试验证据表明，基于该模型的为期12节课程的“在家中获得力量”（SAH）干预措施，在减少和终止美国退伍军人的虐待行为方面是有效的。然而，这样的临床试验尚未在平民群体中进行，也未在不同文化背景下（如以色列）开展。本文描述了一项随机对照试验的方法，以测试在以色列将SAH与常规治疗比较组相比的疗效。
从以色列社会事务和社会服务办公室的成人门诊诊所转介（由法院、临床和自我转介）接受IPV干预的300名男性将被随机分配到SAH干预组或常规治疗比较组。在六个时间点（基线、治疗后以及四个3个月的随访）进行结果测量。主要结果是IPV的使用情况；然而，我们还将研究SIP缺陷的减少情况。次要结果包括创伤后应激障碍（PTSD）、抑郁和焦虑症状，以及情绪调节策略的变化。
研究结果将确定SAH在平民群体和不同文化背景下的疗效。此外，研究结果将确定SIP是否是这种干预措施的一种改变机制。
