Adjunctive Motivational Alcohol Intervention to Prevent Intimate Partner Violence

暴露于创伤的退伍军人遭受亲密伴侣暴力的风险更高 (IPV)以及酒精相关问题的发展。尽管通常发现 酒精滥用和IPV之间的关联，我们知道没有以前的研究在退伍军人 研究酒精干预对接受IPV干预的人的影响。 我们建议提供急需的实验数据的疗效，短暂的酒精 动机增强疗法（MET）对退伍军人接受组的预组干预 IPV犯罪的治疗。更具体地说，我们建议研究这些 分配接受此MET干预，相对于那些接受4次酒精治疗的人， 教育（AE）干预或常规标准治疗（TAU）电话监测 干预，表明酒精使用问题和IPV犯罪的减少更大， 酒精使用问题的求助行为增加。参与者将为{300}男性 退伍军人从三个地点的家庭IPV干预计划中抽取： 明尼阿波利斯退伍军人医疗中心、凤凰城退伍军人医疗保健系统和退伍军人安阿伯 医疗保健系统}。参与者将被随机分配到他们的前组条件，然后 分配到IPV的家庭强度组，并将接受物质使用的转介 在VA系统或社区治疗。有临床相关酒精使用的受试者 根据基线筛选措施确定的问题，将完成对 基线时、IPV后的酒精使用、改变意愿、IPV和求助行为 干预组（完成4次酒精干预后3个月），以及4次 治疗后评估后单独进行3个月随访。担保伙伴将 通过电话访谈评估参与所有IPV措施， 男性参与者的评估时间表。主要条件之间的差异 结果变量包括饮酒、IPV、求助和治疗参与， 使用意向治疗方法，用随机效应回归模型进行检查。研究 研究结果可能有助于提高IPV干预对退伍军人群体的有效性， 帮助确保退伍军人，他们的关系伙伴和他们的家人的安全和福祉。

Veterans exposed to trauma are at elevated risk for perpetration of intimate partner violence (IPV) and for the development of alcohol-related problems. Despite commonly found associations between alcohol misuse and IPV, we are aware of no prior research in Veterans examining the impact of adjunctive alcohol interventions for those receiving IPV intervention. We propose to provide much-needed experimental data on the efficacy of a brief alcohol Motivational Enhancement Therapy (MET) pre-group intervention for Veterans receiving group treatment for IPV perpetration. More specifically, we propose to examine whether those assigned to receive this MET intervention, relative to those receiving a 4-session Alcohol Education (AE) intervention or a standard treatment as usual (TAU) telephone monitoring intervention, evidence greater reductions in alcohol use problems and IPV perpetration, and increased help-seeking behavior for alcohol use problems. Participants will be {300} male Veterans drawn from the Strength at Home IPV intervention program at three locations: the Minneapolis VA Medical Center, the Phoenix VA Healthcare System, {and VA Ann Arbor Healthcare System}. Participants will be randomized to their pre-group conditions and then assigned to Strength at Home groups for IPV, and will receive referrals for substance use treatment in the VA system or the community. Participants with clinically relevant alcohol use problems, as determined by baseline screening measures, will complete assessments of alcohol use, readiness to change, IPV and help-seeking behavior at baseline, post IPV intervention group (3 months after completion of 4-session alcohol intervention), and four separate 3-month follow-ups after the post-treatment assessment. Collateral partners will participate via phone interview assessments for all of the IPV measures corresponding with the assessment schedule for the male participants. Differences between conditions on the major outcome variables involving alcohol use, IPV, help-seeking, and treatment engagement will be examined with random-effects regression models using an intent-to-treat approach. Study findings may assist in enhancing the efficacy of IPV interventions for the Veteran population to help ensure the safety and well-being of Veterans, their relationship partners, and their families.