Comparing a Fatherhood Focused Individual Intervention to Batterer Intervention to Reduce IPV and Child Maltreatment

比较以父亲为中心的个人干预与施虐者干预以减少 IPV 和儿童虐待

• 批准号: 9975413
• 负责人: CARLA S STOVER
• 金额: $ 25.13万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-01 至 2022-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9975413
• 关键词: Address; Ambulatory Care; Ambulatory Care Facilities; Behavior; Behavioral; Child; Child Abuse and Neglect; Child Custody; Code; Communities; Data; Development; Dose; Emotions; Evidence based intervention; Exposure to; Family; Family Violence; Family history of; Fathers; Future; Health; Individual; Intervention; Learning; Length; Manuals; Measures; Mediating; Men' s Role; Mental Health; Modality; Modeling; Mothers; Outcome; Personal Satisfaction; Population; Prevalence; Psyche structure; Public Health; Randomized; Recording of previous events; Reporting; Research Project Grants; Resistance; Risk Behaviors; Role; Signal Transduction; Surveys; System; Target Populations; Testing; United States; Violence; Work; alternative treatment; child protection; child protective service; comparison intervention; cost; court; design; effective intervention; efficacy trial; emotion dysregulation; emotion regulation; experience; fatherhood; group intervention; high risk; high risk population; improved; intervention program; intimate partner violence; men; mental state; novel; outpatient facility; physical conditioning; post intervention; post-traumatic symptoms; programs; randomized trial; recidivism; satisfaction; skills; therapy development; treatment as usual; treatment comparison; treatment group; treatment program; violence exposure

PROJECT SUMMARY / ABSTRACT This Exploratory/Developmental Research Grant (R21) will expand our promising data on Fathers for Change (F4C), a novel intervention for fathers with histories of perpetrating intimate partner violence (IPV), by comparing it to a Batterer Intervention Program (BIP). F4C is designed to meet a significant unmet intervention need for fathers who have a history of family violence who are not helped by currently available batterer intervention programs (BIPs). BIPs that are currently available nationally have shown limited efficacy with high rates of repeat violence. F4C is an individual treatment that addresses two significant co-occurring issues: Intimate partner violence (IPV) and child maltreatment (CM), which are significant public health concerns with tremendous impact on the health and functioning of victims and child witnesses. The intervention uses men's roles as fathers to engage them in reflective functioning and emotion regulation work to change their behaviors. This project will provide needed data to further develop F4C and move to a Stage II efficacy trial by: 1) revising the BIP group intervention manual to be delivered in an individual treatment format to allow comparison with F4C; 2) develop a fidelity measure for F4C and the BIP; 3) conduct a stage 1b randomized trial (consistent with the stage model of intervention development) to show feasibility, acceptability and intervention signal with the targeted population. Sixty fathers with a history of IPV who are involved with and referred by child protective services will be randomly assigned to F4C or an individually delivered comparable dose of BIP. Reflective functioning and emotion regulation will be examined as the mechanisms through which Fathers for Change reduces IPV and CM risk behaviors. These data and completed materials will then support a larger randomized efficacy trial of F4C compared to BIP resulting in an evidenced based intervention for treatment resistant IPV and CM that can be delivered in outpatient clinics nationally.

项目摘要/摘要 这项探索性/发展性研究拨款(R21)将扩展我们关于父亲变革的有希望的数据 (F4C)，一种针对有亲密伴侣暴力(IPV)历史的父亲的新型干预措施，由 将其与击球手干预计划(BIP)进行比较。F4C旨在满足重大未满足的干预需求 对有家庭暴力史的父亲的需求，这些父亲没有得到现有施暴者的帮助 干预计划(BIP)。目前在全国范围内可用的BIPS显示出有限的疗效， 再次发生暴力事件的比率。F4C是一种单独的治疗方法，解决了两个重要的共生问题： 亲密伴侣暴力(IPV)和虐待儿童(CM)，这是对 对受害者和儿童证人的健康和功能产生巨大影响。这项干预使用了男性的 作为父亲的角色，让他们参与反思功能和情绪调节工作，以改变他们的 行为。该项目将通过以下方式提供进一步开发F4C和进入第二阶段疗效试验所需的数据： 1)修订BIP团体干预手册，以个别治疗的形式提供，以允许 与F4C比较；2)开发F4C和BIP的保真度测量；3)进行阶段1b随机 试验(与干预发展的阶段模式一致)显示可行性、可接受性和 向目标人群发出干预信号。60位有IPV病史的父亲参与了 由儿童保护服务机构转介的将被随机分配到F4C或单独交付可比 BIP剂量。反思功能和情绪调节将被视为 寻求改变的父亲减少IPV和CM的危险行为。这些数据和完成的材料将支持 与BIP相比，F4C的更大规模随机疗效试验导致了一项基于证据的干预 治疗耐药的IPV和CM可以在全国门诊提供。