Two-year treatment effects of the common elements treatment approach (CETA) for reducing intimate partner violence and unhealthy alcohol use in Zambia.
Two-year treatment effects of the common elements treatment approach (CETA) for reducing intimate partner violence and unhealthy alcohol use in Zambia.
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共同元素治疗方法（CETA）的两年治疗效果减少赞比亚的亲密伴侣暴力和不健康的饮酒。
DOI：
10.1017/gmh.2021.2
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Murray LK
中科院分区：
文献类型：
--
作者：
Kane JC;Glass N;Bolton PA;Mayeya J;Paul R;Mwenge M;Murray LK
在低收入和中等收入国家，亲密伴侣暴力（IPV）和不健康的酒精使用是常见但往往未得到解决的公共卫生问题。在一项随机试验中，我们发现，共同元素治疗方法（CETA），一种多问题，灵活，跨诊断干预，在12个月的基线后评估中，有效地减少了赞比亚夫妇的IPV和不健康的酒精使用。在这项随访研究中，我们调查了基线后24个月CETA参与者的治疗效果是否持续。参与者是赞比亚的异性恋夫妇，其中妇女报告了男性伴侣实施的IPV，其中男性有危险的酒精使用。夫妇被随机分为CETA组或常规治疗加安全性检查组。衡量标准是暴力侵害妇女行为严重程度量表（SVAWS）和酒精使用障碍识别测试（AUDIT）。由于12个月评估后CETA的有效性，根据试验DSMB的建议提前停止试验。对照组参与者退出研究，并提供CETA。本简要报告提供了在24个月访视时对原始CETA参与者进行的额外随访评估的数据。在12个月和24个月之间，SVAWS或AUDIT评分没有有意义的变化。SVAWS从基线至24个月的组内治疗效应为d = 1.37（p < 0.0001），AUDIT为d = 0.85（p < 0.0001）。在基线后12个月和24个月的时间点之间，IPV和不健康的酒精使用水平没有变化，这表明接受CETA的参与者从干预开始至少两年的治疗收益是持续的。
Intimate partner violence (IPV) and unhealthy alcohol use are common yet often unaddressed public health problems in low- and middle-income countries. In a randomized trial, we found that the common elements treatment approach (CETA), a multi-problem, flexible, transdiagnostic intervention, was effective in reducing IPV and unhealthy alcohol use among couples in Zambia at a 12-month post-baseline assessment. In this follow-up study, we investigated whether treatment effects were sustained among CETA participants at 24-months post-baseline. Participants were heterosexual couples in Zambia in which the woman reported IPV perpetrated by the male partner and in which the male had hazardous alcohol use. Couples were randomized to CETA or treatment as usual plus safety checks. Measures were the Severity of Violence Against Women Scale (SVAWS) and the Alcohol Use Disorders Identification Test (AUDIT). The trial was stopped early upon recommendation by the trial's DSMB due to CETA's effectiveness following the 12-month assessment. Control participants exited the study and were offered CETA. This brief report presents data from an additional follow-up assessment conducted among original CETA participants at a 24-month visit. There were no meaningful changes in SVAWS or AUDIT scores between 12- and 24-months. The within-group treatment effect for SVAWS from baseline to 24-months was d = 1.37 (p < 0.0001) and AUDIT was d = 0.85 (p < 0.0001). The lack of change in levels of IPV and unhealthy alcohol use between the 12- and 24-month post-baseline timepoints suggests that treatment gains were sustained among participants who received CETA for at least two years from intervention commencement.
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影响因子：
3.9
作者：
Kane, J. C.;Van Wyk, S. Skavenski;Murray, L. K.
通讯作者：
Murray, L. K.
影响因子：
3.1
作者：
Azur, Melissa J.;Stuart, Elizabeth A.;Frangakis, Constantine;Leaf, Philip J.
通讯作者：
Leaf, Philip J.
影响因子：
4.5
作者：
Bourey C;Williams W;Bernstein EE;Stephenson R
通讯作者：
Stephenson R
影响因子：
15.8
作者：
Murray, Laura K.;Kane, Jeremy C.;Bolton, Paul
通讯作者：
Bolton, Paul
影响因子：
6
作者：
SAUNDERS, JB;AASLAND, OG;GRANT, M
通讯作者：
GRANT, M