An Integrated Relapse Prevention and Relationship Safety Intervention for Women on Methadone: Testing Short-Term Effects on Intimate Partner Violence and Substance Use

Gilbert, Louisa; El‐Bassel, Nabila; Manuel, Jennifer K.; Wu, Elwin; Go, Hyun; Golder, Seana; Seewald, Randy; Sanders, Glorice

doi:10.1891/0886-6708.21.5.657

Cited by 62 publications

(81 citation statements)

References 31 publications

(39 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Specifi cally, study sample size (Gilbert et al, 2006;Kelly et al, 2000) and strength of comparison (Conrod et al, 2000) may be additional factors contributing to a positive association between proportion of female participants and CBT effect size.…”

Section: Discussionmentioning

confidence: 99%

Cognitive-Behavioral Treatment With Adult Alcohol and Illicit Drug Users: A Meta-Analysis of Randomized Controlled Trials

Magill

Ray

2009

J. Stud. Alcohol Drugs

586

337

View full text Add to dashboard Cite

ABSTRACT. Objective:This meta-analysis examined 53 controlled trials of cognitive-behavioral treatment (CBT) for adults diagnosed with alcohol-or illicit-drug-use disorders. The aims were to provide an overall picture of CBT treatment effi cacy and to identify client or treatment factors predictive of CBT effect magnitude. Method: The inverse variance weighted effect size (Hedges' g) was calculated for each study and pooled using fi xed and random effects methods. Potential study-level moderators were assessed in subgroup analyses by primary drug, type of CBT, and type of comparison condition. In addition, seven client and treatment variables were examined in meta-regression analyses. Results: Across studies, CBT produced a small but statistically signifi cant treatment effect (g = 0.154, p < .005). The pooled effect was somewhat lower at 6-9 months (g = 0.115, p < .005) and continued to diminish at 12-month follow-up (g = 0.096, p < .05). The effect of CBT was largest in marijuana studies (g = 0.513, p < .005) and in studies with a no-treatment control as the comparison condition (g = 0.796, p < .005). Metaregression analyses indicated that the percentage of female participants was positively associated and the number of treatment sessions was negatively associated with effect size. Conclusions: The fi ndings demonstrate the utility of CBT across a large and diverse sample of studies and under rigorous conditions for establishing effi cacy. CBT effects were strongest with marijuana users, when CBT was compared with no treatment, and may be larger with women than with men and when delivered in a brief format. (J. Stud. Alcohol Drugs 70: 516-527, 2009) C OGNITIVE-BEHAVIORAL TREATMENT (CBT) models are among the most extensively evaluated interventions for alcohol-or illicit-drug-use disorders. Based primarily on Marlatt and Gordon's (1985; Marlatt and Donovan, 2005) model of relapse prevention, these treatments target cognitive, affective, and situational triggers for substance use and provide skills training specifi c to coping alternatives. CBT treatment for alcohol or illicit drug use often includes the following strategies: (1) identifying intrapersonal and interpersonal triggers for relapse, (2) coping-skills training, (3) drug-refusal skills training, (4) functional analysis of substance use, and (5) increasing nonuse-related activities. These models have been manualized (e.g., Kadden et al., 1992;Monti et al., 1989) and adapted for implementation in a variety of clinical capacities. Further, CBT interventions have been tested in Stage III research to examine their utility in the "real-world" context, possible adaptations, and costeffectiveness (National Institute on Drug Abuse, 1992; cited from Carroll and Onkin, 2005). As argued by Carroll and Rounsaville (2007), the addictions fi eld would benefi t from greater and continued attention devoted to the dissemination of research-based substance-use treatments. Review data to guide such efforts, however, are needed.CBT interventions for substance-use disorde...

show abstract

Section: Discussionmentioning

confidence: 99%

Cognitive-Behavioral Treatment With Adult Alcohol and Illicit Drug Users: A Meta-Analysis of Randomized Controlled Trials

Magill

Ray

2009

J. Stud. Alcohol Drugs

586

337

View full text Add to dashboard Cite

show abstract

“…39 All interventions were conducted with substance abuse treatment populations. Only two of the intervention studies found significant effects for reducing IPV; 40,41 however, one of these had a small sample size (n = 34) 40 and one lacked a control group. 41 Nine of the 11 studies tested trauma informed group-based intervention models (i.e., Seeking Safety, Trauma Recovery Empowerment Model [TREM] and the Triad Group model).…”

Section: Advancing Evidence-based Differential Integrated Interventionsmentioning

confidence: 99%

Identifying and Intervening with Substance-Using Women Exposed to Intimate Partner Violence: Phenomenology, Comorbidities, and Integrated Approaches Within Primary Care and Other Agency Settings

Weaver

Gilbert²,

El‐Bassel³

et al. 2015

Journal of Women's Health

Self Cite

View full text Add to dashboard Cite

Substance use and/or disorders (SUDs) have been identified as a significant correlate of intimate partner violence (IPV) exposure and present complex issues that intersect with the topography of IPV, attendant mental health, and physical co-morbidities and may pose barriers to primary care-and other agency-based screening and intervention efforts. Despite substantial research indicating significantly higher rates of all types and severity of IPV victimization among women with SUDs and bidirectional associations between partner or selfuse of drugs or alcohol and IPV victimization, effective screening, brief interventions, coordinated systems of care, and treatment approaches to address these co-occurring problems remain very limited. We integrated select research examining the intersection of IPV victimization and SUDs and several comorbidities that have significant public health impact and provided recommendations for scaling up targeted interventions to redress these co-occurring problems among women in primary, emergency, and other care settings.

show abstract

“…Studies published since our previous review Gilbert and colleagues 150 conducted a pilot study using a randomised controlled trial design to test the feasibility, safety and short-term preliminary effects of a relapse prevention and relationship safety (RPRS) intervention in reducing drug use and partner violence among women in methadone maintenance treatment programmes (MMTPs); the geographical region was not reported. The RPRS intervention consisted of eleven 2-hour group sessions and one individual session.…”

Section: Group Psychological Interventionsmentioning

confidence: 99%

“…[142][143][144][145][146]160,161 The better-quality studies had smaller effect sizes. [162][163][164][165][166] Five studies (four RCTs) measured the effects of the intervention on depression, 126,[142][143][144][145][146]150,157 with the betterquality studies showing smaller effect sizes. Four studies (two RCTs) 138,140,[143][144][145][146]152,153,157 measured the effects of the intervention on self-esteem.…”

Section: Sensitivity Analysismentioning

confidence: 99%

How far does screening women for domestic (partner) violence in different health-care settings meet the UK National Screening Committee criteria for a screening programme? Systematic reviews of nine UK National Screening Committee criteria

Feder

Ramsay²,

Dunne³

et al. 2009

Health Technol Assess

283

265

View full text Add to dashboard Cite

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment ProgrammeT he Health Technology Assessment (HTA) Programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA Programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA Programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in the NHS, from the public and consumer groups and from professional bodies such as royal colleges and NHS trusts. Th...

show abstract

An Integrated Relapse Prevention and Relationship Safety Intervention for Women on Methadone: Testing Short-Term Effects on Intimate Partner Violence and Substance Use

Cited by 62 publications

References 31 publications

Cognitive-Behavioral Treatment With Adult Alcohol and Illicit Drug Users: A Meta-Analysis of Randomized Controlled Trials

Cognitive-Behavioral Treatment With Adult Alcohol and Illicit Drug Users: A Meta-Analysis of Randomized Controlled Trials

Identifying and Intervening with Substance-Using Women Exposed to Intimate Partner Violence: Phenomenology, Comorbidities, and Integrated Approaches Within Primary Care and Other Agency Settings

How far does screening women for domestic (partner) violence in different health-care settings meet the UK National Screening Committee criteria for a screening programme? Systematic reviews of nine UK National Screening Committee criteria

Contact Info

Product

Resources

About