Testing the effectiveness of a transdiagnostic treatment approach in reducing violence and alcohol abuse among families in Zambia: study protocol of the Violence and Alcohol Treatment (VATU) trial
Testing the effectiveness of a transdiagnostic treatment approach in reducing violence and alcohol abuse among families in Zambia: study protocol of the Violence and Alcohol Treatment (VATU) trial
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DOI：
10.1017/gmh.2017.10
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发表时间：
2017-10-02
影响因子：
3.9
通讯作者：
Murray, L. K.
中科院分区：
文献类型：
--
作者：
Kane, J. C.;Van Wyk, S. Skavenski;Murray, L. K.
背景。针对妇女和女童的暴力行为 (VAWG) 是一个紧迫的全球健康问题。暴力侵害妇女行为的根本原因包括个人和家庭层面的酗酒、心理健康问题、暴力暴露和相关不良经历等因素。低收入和中等收入国家 (LMIC) 很少有研究评估心理干预对于减少暴力侵害妇女行为的有效性。这项随机对照试验是“如何有效预防针对妇女和女童的暴力”联盟的一部分，旨在检验共同要素治疗方法 (CETA) 对于减少赞比亚家庭中的暴力侵害妇女行为和共病酗酒的有效性。方法/设计。研究参与者是由三人组成的家庭：一名成年女性、她的男性丈夫或伴侣，以及她的一个 8-17 岁的孩子（如果有）。资格标准包括女性遭受过中度至重度亲密伴侣暴力以及男性伴侣危险性饮酒的经历。家庭单位被随机分配接受 CETA 或照常治疗。主要结局是通过暴力侵害妇女行为严重程度量表衡量的 VAWG，并在基线后 24 个月与次要结局一起进行评估。中期评估也在 4-5 个月（CETA 完成后）和基线后 12 个月进行。结论。这项正在进行的试验是撒哈拉以南非洲地区首批评估基于证据的共同要素方法的使用情况的试验之一，该方法通过针对一系列个人和家庭层面的因素（包括酗酒）来减少暴力侵害妇女行为。该试验的结果将为政策提供信息，说明哪些干预措施可以有效预防中低收入国家的暴力侵害妇女行为，并结合当地的观点扩大和更广泛地实施。
Background. Violence against women and girls (VAWG) is an urgent global health problem. Root causes for VAWG include the individual- and family-level factors of alcohol abuse, mental health problems, violence exposure, and related adverse experiences. Few studies in low- and middle-income countries (LMIC) have assessed the effectiveness of psychological interventions for reducing VAWG. This randomized controlled trial, part of the What Works to Prevent Violence Against Women and Girls consortium, examines the effectiveness of a common elements treatment approach (CETA) for reducing VAWG and comorbid alcohol abuse among families in Zambia.Methods/design. Study participants are families consisting of three persons: an adult woman, her male husband or partner, and one of her children aged 8-17 (if available). Eligibility criteria include experience of moderate-to-severe intimate partner violence by the woman and hazardous alcohol use by her male partner. Family units are randomized to receive CETA or treatment as usual. The primary outcome is VAWG as measured by the Severity of Violence Against Women Scale, assessed along with secondary outcomes at 24 months post-baseline. Interim assessments are also conducted at 4-5 months (following CETA completion) and 12 months post-baseline.Conclusions. This ongoing trial is one of the first in sub-Saharan Africa to evaluate the use of an evidence-based common elements approach for reducing VAWG by targeting a range of individual- and family-level factors, including alcohol abuse. Results of this trial will inform policy on what interventions work to prevent VAWG in LMIC with local perspectives on scale up and wider implementation.