Motivating Substance Abusing Batterers to Seek Treatment

描述(由申请人提供)： 这项研究将为滥用药物的成年人开发和试行一种简短的电话增强动机干预措施，这些成年人也是亲密伴侣暴力的实施者，既没有接受治疗，也没有受到审判。这项干预旨在促进自愿自我转介到咨询机构。作为NIDA行为疗法发展计划下的一个为期3年的Ib阶段项目，第一年的目标是：(1)使动机增强干预措施具体化；(2)使参与者招募机制具体化；(3)制定与实验干预的假设效果有关的摄入量、前处理、过程和结果措施；(4)制定咨询师培训方案；(5)制定咨询师能力的衡量标准；(6)制定干预保真度的衡量标准；(7)制定研究招募、评估和干预组成部分的参与者评估措施；以及(8)与单独的“模拟”客户端合作，以细化注册、评估和干预方案的每个组件。在第二年和第三年，将在随机对照试验中对实验干预和对照干预进行试点测试。参与者将被随机分配到一次电话传递的MET会议或邮寄的关于亲密伴侣暴力和药物滥用的教育材料。在这两次干预之前，都将进行电话管理的评估。在这两个条件下的参与者随后将有机会参加由项目工作人员以1对1的形式讲授的可选的面对面“了解和考虑社区中的咨询选择”会议。在这项关于干预措施的可行性和可能的效力的早期工作的背景下，出席本届会议将是取得成功结果的一个主要指标。电话管理的1周和30天的随访评估将评估干预后相关态度、意图和行为的变化。

DESCRIPTION (provided by applicant): This study will develop and pilot-test a brief telephone-delivered motivational enhancement intervention for substance abusing adults who are also perpetrators of intimate partner violence and are neither in treatment nor being adjudicated. The intervention is designed to promote voluntary self-referral to counseling. Submitted as a 3-year Stage Ib project under NIDA's Behavioral Therapies Development Program, the first year's aims will be to: (1) manualize the motivational enhancement intervention; (2) manualize participant recruitment mechanisms; (3) develop and pre-test intake, pre-treatment, process, and outcome measures concerning the hypothesized effects of the experimental intervention; (4) develop counselor training protocols; (5) develop measures of counselor competence; (6) develop measures of intervention fidelity; (7) develop measures of participant evaluation of the study's recruitment, assessment, and intervention components; and (8) work with individual "mock" clients to refine each component of the enrollment, assessment, and intervention protocols. In the second and third years, pilot testing of the experimental and comparison interventions will be conducted in a randomized controlled trial. Participants will be randomly assigned to receive either a single telephone-delivered MET session or mailed educational materials concerning intimate partner violence and substance abuse. Both interventions will be preceded by a telephone-administered assessment. Participants in both conditions subsequently will be offered the opportunity to attend an optional in-person "Learning About and Considering Counseling Options in the Community" session to be delivered by project staff in a 1-to-1 session. Attendance at this session will be one primary indicator of a successful outcome in the context of this early work on the intervention's feasibility and likely efficacy. Telephone-administered follow-up assessments at 1-week and 30 days will assess post-intervention change in pertinent attitudes, intentions, and behavior.