https://epitoanyag.org.hu/wp-content/uploads/2020/12/10.14382_epitoanyag-jsbcm.2020.32.pdf

Vörös, Tamás; Takács, Krisztina; Réger, Péter

doi:10.14382/epitoanyag-jsbcm.2020.33

Cited by 7 publications

(2 citation statements)

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“…Despite “considerable concern about the use of ‘online’, ‘virtual’, or ‘digital’ programs delivered remotely” ( 32 ), we found it was possible to adapt face-to-face content from our ADVANCE group program for digitally-supported delivery (consisting of online groups, self-completed website sessions and coaching calls) and feasible to deliver it remotely to participants receiving substance use treatment. To our knowledge this is the first evaluation of a digitally-supported perpetrator program (for men who use substances) ( 70 , 93 ).…”

Section: Discussionmentioning

confidence: 99%

“…Concerns around delivering perpetrator programs online included lack of face-to-face cues, difficulty in managing complex group dynamics and limitations in modeling of gender equality via co-facilitation ( 70 ). Our consultations with key stakeholders and guidance available at the time ( 33 , 34 , 70 ), emphasized the importance of a group agreement, including rules on not misusing technology (e.g., for illegal or abusive purposes), keeping cameras on to allow facilitators to gauge potential intoxication and substance use, personal identifying items (e.g., photos of children) to be out of range, and not attending/completing sessions intoxicated. Participants were asked to complete and join sessions in a private room where they could not be overheard and to use the headphones provided if necessary.…”

Section: Methodsmentioning

confidence: 99%

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Adapting the ADVANCE group program for digitally-supported delivery to reduce intimate partner violence by men in substance use treatment: a feasibility study

Gilchrist,

Dheensa,

Johnson

et al. 2024

Front. Psychiatry

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%