Adapting the ADVANCE group program for digitally-supported delivery to reduce intimate partner violence by men in substance use treatment: a feasibility study
IntroductionCOVID-19 restrictions created barriers to “business as usual” in healthcare but also opened the door to innovation driven by necessity. This manuscript (1) describes how ADVANCE, an in-person group perpetrator program to reduce intimate partner violence (IPV) against female (ex)partners...
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| Language: | English |
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1253126/full |
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| author | Gail Gilchrist Sandi Dheensa Amy Johnson Juliet Henderson Polly Radcliffe Georges Dwyer Richard Turner Kate Thomson Cat Papastavrou Brooks Beverly Love Zohra Zenasni Cassandra Berbary Ben Carter Steve Parrott Jinshuo Li Caroline Easton Ciara Bergman Gene Feder Elizabeth Gilchrist |
| author_facet | Gail Gilchrist Sandi Dheensa Amy Johnson Juliet Henderson Polly Radcliffe Georges Dwyer Richard Turner Kate Thomson Cat Papastavrou Brooks Beverly Love Zohra Zenasni Cassandra Berbary Ben Carter Steve Parrott Jinshuo Li Caroline Easton Ciara Bergman Gene Feder Elizabeth Gilchrist |
| author_sort | Gail Gilchrist |
| collection | DOAJ |
| description | IntroductionCOVID-19 restrictions created barriers to “business as usual” in healthcare but also opened the door to innovation driven by necessity. This manuscript (1) describes how ADVANCE, an in-person group perpetrator program to reduce intimate partner violence (IPV) against female (ex)partners by men in substance use treatment, was adapted for digitally-supported delivery (ADVANCE-D), and (2) explores the feasibility and acceptability of delivering ADVANCE-D to men receiving substance use treatment.MethodsFirstly, the person-based approach and mHealth development framework were used to iteratively adapt ADVANCE for digitally-supported delivery including conceptualization, formative research, and pre-testing. Then, a non-randomized feasibility study was conducted to assess male participants’ eligibility, recruitment, and attendance rates and uptake of support offered to their (ex)partners. Exploratory analyses on reductions in IPV perpetration (assessed using the Abusive Behavior Inventory; ABI) and victimization (using the revised ABI; ABI-R) at the end of the program were performed. Longitudinal qualitative interviews with participants, their (ex)partners, and staff provided an understanding of the program’s implementation, acceptability, and outcomes.ResultsThe adapted ADVANCE-D program includes one goal-setting session, seven online groups, 12 self-directed website sessions, and 12 coaching calls. ADVANCE-D includes enhanced risk management and support for (ex)partners. Forty-five participants who had perpetrated IPV in the past 12 months were recruited, forty of whom were offered ADVANCE-D, attending 11.4 (SD 9.1) sessions on average. Twenty-one (ex)partners were recruited, 13 of whom accepted specialist support. Reductions in some IPV perpetration and victimization outcome measures were reported by the 25 participants and 11 (ex)partners interviewed pre and post-program, respectively. Twenty-two participants, 11 (ex)partners, 12 facilitators, and 7 integrated support service workers were interviewed at least once about their experiences of participation. Overall, the program content was well-received. Some participants and facilitators believed digital sessions offered increased accessibility.ConclusionThe digitally-supported delivery of ADVANCE-D was feasible and acceptable. Remote delivery has applicability post-pandemic, providing greater flexibility and access. Given the small sample size and study design, we do not know if reductions in IPV were due to ADVANCE-D, time, participant factors, or chance. More research is needed before conclusions can be made about the efficacy of ADVANCE-D. |
| first_indexed | 2024-03-08T11:55:57Z |
| format | Article |
| id | doaj.art-f7dca6e479074f1badfb0ae518c33fb9 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-08T11:55:57Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-f7dca6e479074f1badfb0ae518c33fb92024-01-24T04:41:52ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-01-011410.3389/fpsyt.2023.12531261253126Adapting the ADVANCE group program for digitally-supported delivery to reduce intimate partner violence by men in substance use treatment: a feasibility studyGail Gilchrist0Sandi Dheensa1Amy Johnson2Juliet Henderson3Polly Radcliffe4Georges Dwyer5Richard Turner6Kate Thomson7Cat Papastavrou Brooks8Beverly Love9Zohra Zenasni10Cassandra Berbary11Ben Carter12Steve Parrott13Jinshuo Li14Caroline Easton15Ciara Bergman16Gene Feder17Elizabeth Gilchrist18National Addiction Center, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United KingdomSchool of Health in Social Science, Department of Clinical Psychology, Center for Psychological Therapies, University of Edinburgh, Edinburgh, United KingdomNational Addiction Center, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomNational Addiction Center, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomNational Addiction Center, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomNational Addiction Center, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomSchool of Health in Social Science, Department of Clinical Psychology, Center for Psychological Therapies, University of Edinburgh, Edinburgh, United KingdomPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United KingdomNational Addiction Center, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomDepartment of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomCollege of Health Sciences and Technology, Rochester Institute of Technology, Rochester, NY, United StatesNational Addiction Center, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United KingdomDepartment of Health Sciences, University of York, York, United KingdomDepartment of Health Sciences, University of York, York, United KingdomCollege of Health Sciences and Technology, Rochester Institute of Technology, Rochester, NY, United StatesRespect, London, United KingdomPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United KingdomSchool of Health in Social Science, Department of Clinical Psychology, Center for Psychological Therapies, University of Edinburgh, Edinburgh, United KingdomIntroductionCOVID-19 restrictions created barriers to “business as usual” in healthcare but also opened the door to innovation driven by necessity. This manuscript (1) describes how ADVANCE, an in-person group perpetrator program to reduce intimate partner violence (IPV) against female (ex)partners by men in substance use treatment, was adapted for digitally-supported delivery (ADVANCE-D), and (2) explores the feasibility and acceptability of delivering ADVANCE-D to men receiving substance use treatment.MethodsFirstly, the person-based approach and mHealth development framework were used to iteratively adapt ADVANCE for digitally-supported delivery including conceptualization, formative research, and pre-testing. Then, a non-randomized feasibility study was conducted to assess male participants’ eligibility, recruitment, and attendance rates and uptake of support offered to their (ex)partners. Exploratory analyses on reductions in IPV perpetration (assessed using the Abusive Behavior Inventory; ABI) and victimization (using the revised ABI; ABI-R) at the end of the program were performed. Longitudinal qualitative interviews with participants, their (ex)partners, and staff provided an understanding of the program’s implementation, acceptability, and outcomes.ResultsThe adapted ADVANCE-D program includes one goal-setting session, seven online groups, 12 self-directed website sessions, and 12 coaching calls. ADVANCE-D includes enhanced risk management and support for (ex)partners. Forty-five participants who had perpetrated IPV in the past 12 months were recruited, forty of whom were offered ADVANCE-D, attending 11.4 (SD 9.1) sessions on average. Twenty-one (ex)partners were recruited, 13 of whom accepted specialist support. Reductions in some IPV perpetration and victimization outcome measures were reported by the 25 participants and 11 (ex)partners interviewed pre and post-program, respectively. Twenty-two participants, 11 (ex)partners, 12 facilitators, and 7 integrated support service workers were interviewed at least once about their experiences of participation. Overall, the program content was well-received. Some participants and facilitators believed digital sessions offered increased accessibility.ConclusionThe digitally-supported delivery of ADVANCE-D was feasible and acceptable. Remote delivery has applicability post-pandemic, providing greater flexibility and access. Given the small sample size and study design, we do not know if reductions in IPV were due to ADVANCE-D, time, participant factors, or chance. More research is needed before conclusions can be made about the efficacy of ADVANCE-D.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1253126/fullintimate partner violencesubstance use treatmentperpetratorremote deliveryintegrated interventionblended interventions |
| spellingShingle | Gail Gilchrist Sandi Dheensa Amy Johnson Juliet Henderson Polly Radcliffe Georges Dwyer Richard Turner Kate Thomson Cat Papastavrou Brooks Beverly Love Zohra Zenasni Cassandra Berbary Ben Carter Steve Parrott Jinshuo Li Caroline Easton Ciara Bergman Gene Feder Elizabeth Gilchrist Adapting the ADVANCE group program for digitally-supported delivery to reduce intimate partner violence by men in substance use treatment: a feasibility study Frontiers in Psychiatry intimate partner violence substance use treatment perpetrator remote delivery integrated intervention blended interventions |
| title | Adapting the ADVANCE group program for digitally-supported delivery to reduce intimate partner violence by men in substance use treatment: a feasibility study |
| title_full | Adapting the ADVANCE group program for digitally-supported delivery to reduce intimate partner violence by men in substance use treatment: a feasibility study |
| title_fullStr | Adapting the ADVANCE group program for digitally-supported delivery to reduce intimate partner violence by men in substance use treatment: a feasibility study |
| title_full_unstemmed | Adapting the ADVANCE group program for digitally-supported delivery to reduce intimate partner violence by men in substance use treatment: a feasibility study |
| title_short | Adapting the ADVANCE group program for digitally-supported delivery to reduce intimate partner violence by men in substance use treatment: a feasibility study |
| title_sort | adapting the advance group program for digitally supported delivery to reduce intimate partner violence by men in substance use treatment a feasibility study |
| topic | intimate partner violence substance use treatment perpetrator remote delivery integrated intervention blended interventions |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1253126/full |
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