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

项目总结/摘要 这项探索性/发展性研究补助金（R21）将扩大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， 将其与施虐者干预计划（BIP）进行比较。F4 C旨在满足重大未满足的干预措施 有家庭暴力史但得不到现有施虐者帮助的父亲的需要 干预计划（BIPs）。目前在全国范围内可用的BIP显示出有限的疗效， 暴力的重复率。F4 C是一种单独治疗，解决了两个重要的共同发生的问题： 亲密伴侣暴力（IPV）和虐待儿童（CM）是严重的公共卫生问题， 对受害人和儿童证人的健康和功能产生巨大影响。干预使用男性的 作为父亲的角色，让他们参与反思功能和情绪调节工作， 行为。该项目将提供所需的数据，以进一步开发F4 C，并通过以下方式进入II期疗效试验： 1)修订BIP组干预手册，以个体治疗形式提供， 与F4 C比较; 2）开发F4 C和BIP的保真度测量; 3）进行阶段1b随机 试验（与干预开发的阶段模型一致），以显示可行性、可接受性和 向目标人群发出干预信号。60名有IPV病史的父亲， 由儿童保护服务机构转介的儿童将被随机分配到F4 C或单独交付的类似人员。 BIP剂量。反思功能和情绪调节将被视为 父亲的变化减少IPV和CM风险行为。这些数据和完成的材料将支持 一项F4 C与BIP相比的更大规模的随机疗效试验，结果是基于证据的干预， 治疗耐药的IPV和CM，可以在全国门诊提供。

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.