Randomized clinical trial examining the incremental efficacy of a 90-minute motivational alcohol intervention as an adjunct to standard batterer intervention for men.
Randomized clinical trial examining the incremental efficacy of a 90-minute motivational alcohol intervention as an adjunct to standard batterer intervention for men.
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随机临床试验检验了 90 分钟激励性酒精干预作为男性标准施暴者干预的辅助手段的增量功效。
DOI：
10.1111/add.12142
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发表时间：
2013
期刊：
影响因子：
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通讯作者：
Monti,PeterM
中科院分区：
文献类型：
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作者：
Stuart,GregoryL;Shorey,RyanC;Moore,ToddM;Ramsey,SusanE;Kahler,ChristopherW;O'Farrell,TimothyJ;Strong,DavidR;Temple,JeffR;Monti,PeterM
殴打者干预计划，以减少亲密伴侣暴力（IPV）的有效性是值得怀疑的，与酒精问题的个人特别是不太可能受益。我们检查了相对于单独的殴打者干预，在殴打者干预中添加辅助酒精干预是否会降低物质使用和暴力的可能性。设计随机临床试验。设置美国罗得岛的殴打者干预计划。参与者殴打者干预计划中共有252名危险饮酒男性。参与者随机接受40小时的标准殴打者计划（SBP）或SBP加90分钟的酒精干预（SBP + BAI）。没有人因不良反应而退出。在基线、3个月、6个月和12个月随访时收集数据，随访率分别为95%、89%和82%。暴力行为是用一份经过验证的问卷来衡量的。获得了所有参与者的逮捕记录。主要的物质使用结果是每饮酒日的饮酒量（DPDD），主要的暴力结果是任何身体IPV的频率。结果相对于单独的SBP，接受SBP + BAI的男性在3个月随访时报告消耗较少的DPDD [B = −1.36，95%置信区间（CI）：−2.65，− 0.04，P = 0.04]，但不是6个月或12个月随访。在次要分析中，接受SBP + BAI的男性在3个月（B = 0.09，95% CI：0.03，0.14，P = 0.002）和6个月（B = 0.06，95% CI：0.01，0.11，P = 0.01）随访时报告的禁欲率显著更高，但12个月随访时未报告。接受SBP的男性和接受SBP + BAI的男性之间的物理IPV无显著差异。在次要分析中，接受SBP + BAI的男性在3个月时报告的身体攻击严重程度较低（IRR = 0.18，95% CI：0.05，0.65，P = 0.009），但在6个月或12个月随访时并非如此。接受SBP + BAI的男性报告的心理攻击不太严重（B = −1.24，95% CI：−2.47，− 0.02，P = 0.04），3个月和6个月随访时伴侣受伤较少（IRR = 0.33，95% CI：0.12，0.92，P = 0.03），12个月后，差异逐渐消失。结论：有亲密伴侣暴力史和危险饮酒史的男性接受了殴打者干预和酒精干预，最初，酒精和暴力的结果有所改善，但改善在12个月后消失。
AimsThe efficacy of batterer intervention programs to reduce intimate partner violence (IPV) is questionable, with individuals with alcohol problems particularly unlikely to benefit. We examined whether adding adjunctive alcohol intervention to batterer intervention reduced the likelihood of substance use and violence relative to batterer intervention alone.DesignRandomized clinical trial.SettingBatterer intervention programs in Rhode Island, USA.ParticipantsA total of 252 hazardous drinking men in batterer intervention programs. Participants were randomized to receive 40 hours of standard batterer program (SBP) or the SBP plus a 90‐minute alcohol intervention (SBP + BAI). None withdrew due to adverse effects. Data were collected at baseline, 3‐, 6‐ and 12‐month follow‐up, with follow‐up rates of 95, 89 and 82%, respectively.MeasurementsSubstance use was measured with a well‐validated calendar‐assisted interview. Violence was measured with a validated questionnaire. Arrest records were obtained for all participants. The primary substance use outcome was drinks per drinking day (DPDD) and the primary violence outcome was frequency of any physical IPV.FindingsRelative to SBP alone, men receiving SBP + BAI reported consuming fewer DPDD at 3‐month follow‐up [B = −1.36, 95% confidence interval (CI): −2.65, −0.04,P= 0.04] but not 6‐ or 12‐month follow‐up. In secondary analyses, men receiving SBP + BAI reported significantly greater abstinence at 3‐ (B = 0.09, 95% CI: 0.03, 0.14,P= 0.002) and 6‐month (B = 0.06, 95% CI: 0.01, 0.11,P= 0.01) follow‐up but not 12‐month follow‐up. There were no significant differences in physical IPV between men receiving SBP and men receiving SBP + BAI. In secondary analyses, men receiving SBP + BAI reported less severe physical aggression at 3‐month (IRR = 0.18, 95% CI: 0.05, 0.65,P= 0.009) but not 6‐ or 12‐month follow‐up. Men receiving SBP + BAI reported less severe psychological aggression (B = −1.24, 95% CI: −2.47, −0.02,P= 0.04) and fewer injuries to partners at 3‐ and 6‐month follow‐up (IRR = 0.33, 95% CI: 0.12, 0.92,P= 0.03), with differences fading by 12 months.ConclusionsMen with a history of intimate partner violence and hazardous drinking who received a batterer intervention plus an alcohol intervention showed improved alcohol and violence outcomes initially, but improvements faded by 12 months.