Brief Intervention to reduce drinking and intimate partner violence in women

描述(申请人提供)：亲密伴侣暴力(IPV)导致灾难性后果。有越来越多的研究探讨了女性饮酒与她们实施和受害IPV之间的联系。研究表明，实施IPV或成为IPV受害者的女性比对照组更有可能出现酒精问题。最近的研究还表明，与不喝酒的日子相比，女性在饮酒的日子里成为IPV受害者的可能性要高出3-7倍。此外，一半以上因暴力行为而被捕的妇女--指的是施暴者干预团体--危险饮酒；与不危险饮酒的暴力妇女相比，这些妇女经历的暴力行为和受害程度更高。到目前为止，尚未探索减少因IPV被捕的妇女饮酒的方法，目前尚不清楚危险饮酒治疗将在多大程度上改善随后的IPV行为和受害情况。我们建议进行一项随机临床试验，其中160名危险饮酒暴力女性将被分配到：(A)简短的、专注于动机的酒精干预加上 标准打击者干预(B1)或(B)标准打击者单独干预(ST)。将在基线、3个月、6个月和12个月的随访中评估暴力女性及其关系伴侣的酒精使用、酒精相关问题和IPV。 双方都将提供对方酗酒和暴力的确凿报告。将获得逮捕记录，作为暴力累犯的进一步指标。我们假设，与单独的标准施暴者干预相比，在所有后续评估中，在标准施暴者干预中加入短暂的酒精治疗将导致更少的酒精使用和更少的IPV实施和受害。如果有效，这种低成本、有研究支持的短暂酒精治疗可以很容易地输出到美国各地与公共健康相关的社区暴力干预计划中：拟议的研究将审查在针对女性的标准暴力干预计划中增加短暂酒精治疗是否会减少饮酒，减少伴侣暴力行为，并减少伴侣暴力受害者。如果有效，这种短暂的酒精治疗可以传播到全国各地的暴力项目中，以改善酒精使用和暴力结果。

DESCRIPTION (provided by applicant): Intimate partner violence (IPV) results in devastating consequences. There is a growing body of research examining the link between women's alcohol use and their perpetration and victimization of IPV. Research has shown that women who perpetrate IPV or are victims of IPV are more likely than control groups to have alcohol problems. Recent research also demonstrates that women are 3-7 times more likely to be victims of IPV on days in which they consume alcohol relative to days that they do not drink. Furthermore, over onehalf of the women arrested for IPV and court-referred to batterer intervention groups drink hazardously; these women experience higher levels of violence perpetration and victimization relative to violent women who do not drink hazardously. To date, methods for reducing alcohol use in women arrested for IPV have not been explored, and the extent to which treatment for hazardous alcohol use will ameliorate subsequent IPV perpetration and victimization is currently unknown. We propose to conduct a randomized clinical trial in which 160 hazardous drinking violent women will be assigned to: (a) a brief, motivationally focused alcohol intervention plus standard batterer intervention (Bl) or (b) standard batterer intervention alone (ST). Alcohol use, alcoholrelated problems, and IPV will be assessed at baseline, 3-, 6-, and 12-month follow-up in violent women and their relationship partners. Both partners will provide corroborating reports of the other's alcohol use and violence. Arrest records will be obtained as further indices of violence recidivism. We hypothesize that adding a brief alcohol treatment to standard batterer intervention will result in less alcohol use and less IPV perpetration and victimization at all follow-up assessments, relative to standard batterer intervention alone. If it is efficacious, this low cost, research supported brief alcohol treatment can be easily exported to community violence intervention programs across the United States Relevance to public health: The proposed study will examine whether adding a brief alcohol treatment to standard violence intervention programs for women will result in reduced drinking, reduced partner violence perpetration, and reduced partner violence victimization. If it is effective, the brief alcohol treatment can be disseminated to violence programs across the country to improve alcohol use and violence outcomes.