Motivational Strategies in Interventions for Intimate Partner Violence Offenders: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Santirso, Faraj A.; Gilchrist, Gail; Lila, Marisol; Gracia, Enrique

doi:10.5093/pi2020a13

Cited by 51 publications

(63 citation statements)

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“…Other studies tend to implement motivational strategies only at pre-intervention stage. However, as our results showed, a more extensive implementation of motivational strategies can lead to more long-lasting gains (Crane & Eckhardt, 2013;Musser et al, 2008;Santirso et al, 2020;Stuart et al, 2013). This idea is also supported by research on other behavior change interventions.…”

Section: Discussionsupporting

confidence: 82%

“…Motivational strategies are one of the approaches to overcome these limitations and, consequently, to improve the effectiveness of BIPs (Babcock et al, 2016;Feder & Wilson, 2005;Santirso et al, 2020). Among the motivational strategies included in BIPs are, for example, interventions based on the 'stage of change' approach (Alexander et al, 2010), retention techniques (Mbilinyi et al, 2011;Musser et al, 2008;Taft et al, 2001), or motivational interviewing (Alexander et al, 2010;Crane & Eckhardt, 2013;Kistenmacher & Weiss, 2008;Lila et al, 2018;Mbilinyi et al, 2011;Murphy et al, 2017;Musser et al, 2008;Scott et al, 2011;Woodin & O'Leary, 2010).…”

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confidence: 99%

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Motivational Strategies, Working Alliance, and Protherapeutic Behaviors in Batterer Intervention Programs: A Randomized Controlled Trial

Santirso

Lila

Gracia

2020

The European Journal of Psychology Applied to Legal Context

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Motivational strategies are among the most promising approaches to improve the effectiveness of batterer intervention programs (BIPs). An individualized motivational plan (IMP) is one of these motivational strategies. The present study aimed to explore whether adding an IMP to a standard BIP improved the participant-facilitator working alliance and participants' protherapeutic behaviors. To this end a randomized controlled trial was conducted. One hundred fifty-three men convicted of intimate partner violence were randomly assigned to either a standard BIP (control condition, n = 79) or a standard BIP plus IMP (experimental condition, n = 74). Working alliance (i.e., general working alliance, agreement, and bond) was assessed with the Working Alliance Inventory-Observer, short version. Protherapeutic behaviors (i.e., assumption of responsibility, participant role behavior, and group value) were assessed with the Observational Coding of Protherapeutic Group Behavior. Both working alliance and protherapeutic behaviors were assessed by an external observer early and late in intervention. Our results showed that both general working alliance and agreement and bond, were significantly higher in the standard BIP plus IMP intervention condition, both early and late in intervention. All protherapeutic behaviors were significantly higher in the standard BIP plus IMP early in intervention, and also late in intervention for assumption of responsibility and group value. Our findings have important practical implications as our results clearly showed that a motivational strategy tool such as the IMP improves key intervention processes (i.e., working alliance and protherapeutic behaviors) in BIPs, therefore increasing their effectiveness. Palabras clave: Programas de intervención con maltratadores Estrategias motivacionales Alianza de trabajo Conductas proterapéuticas Ensayo clínico aleatorizado

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Section: Discussionsupporting

confidence: 82%

mentioning

confidence: 99%

Motivational Strategies, Working Alliance, and Protherapeutic Behaviors in Batterer Intervention Programs: A Randomized Controlled Trial

Santirso

Lila

Gracia

2020

The European Journal of Psychology Applied to Legal Context

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“…Both sources of bias pollute the results in the proximal outcomes to some extent. Finally, the effect size in most analyses ranged from low to moderate, which is consistent with systematic reviews and meta-analyses in this field, where the effectiveness of intervention programmes has been assessed (Arce et al, 2020;Babcock et al, 2004;Feder & Wilson, 2005;Santirso, Gilchrist, Lila, & Gracia, 2020).…”

Section: Discussionsupporting

confidence: 74%

Differences between Latin American and Spanish men in a batterer intervention programme: proximal and final outcomes

et al. 2020

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El objetivo de este estudio es comprobar si existen diferencias en la efectividad de un programa de intervención para hombres condenados por violencia de género, en función del lugar de procedencia de los participantes (i.e., españoles e inmigrantes latinoamericanos). Se utilizó una muestra de 425 hombres penados por violencia de género que participaban en un programa estándar de intervención en España. Se consideraron como variables finales la reincidencia oficial y el riesgo de reincidencia y como variables proximales la intención de cambio, la asunción de responsabilidad, la adherencia al tratamiento y el compromiso con la intervención. No se encontraron diferencias entre participantes españoles y latinoamericanos en las variables riesgo de reincidencia, intención de cambio, asunción de responsabilidad al sistema legal y a la víctima. Únicamente se encontraron diferencias significativas entre estos dos grupos en la variable compromiso con la intervención. Los resultados sugieren que, al menos para los inmigrantes latinoamericanos que se encuentran participando en programas de intervención con hombres condenados por violencia de género en España, no parece necesario ajustar la intervención en función de las diferencias culturales, siendo suficiente el uso de estrategias motivacionales para promover el cambio. The aim of this study was to test whether there are differences in the effectiveness of a Batterer Intervention Programme (BIP) for Intimate Partner Violence (IPV) perpetrators depending on the participants’ countries of origin (i.e., Spanish or Latin American immigrants). The sample included 425 male offenders who participated in a court-mandated standard BIP in Spain. Official recidivism and risk of recidivism were considered the final outcomes. Intention to change, responsibility attribution, adherence to treatment and treatment compliance were taken as the proximal outcomes. No differences were found in risk of recidivism, intention to change, responsibility attribution to the legal system and to the victim between the Spanish and Latin American participants. Significant differences between both groups were found for the variable treatment compliance. The results suggest that, at least for the Latin American immigrants participating in BIPs in Spain, it is apparently not necessary to adjust BIPs to cultural differences as adopting motivational strategies to promote change suffices.

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“…Attendance and retention in IPA interventions that include motivational strategies are greater than in interventions that do not [ 18 ]. Preparation, attendance reminders, and case management have found to be effective engagement strategies in psychotherapy [ 75 ].…”

Section: Discussionmentioning

confidence: 99%

“…Meta-analyses of the effectiveness of different court-mandated and voluntary perpetrator programmes in reducing IPA, found significant reductions in IPA for treated men, with perpetrator programmes that address substance use and trauma being potentially more effective in reducing IPA [ 17 ]. In addition, perpetrator interventions that include motivational strategies increase attendance and reduce drop-out [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

ADVANCE integrated group intervention to address both substance use and intimate partner abuse perpetration by men in substance use treatment: a feasibility randomised controlled trial

et al. 2021

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Background Substance use is a risk factor for intimate partner abuse (IPA) perpetration. Delivering perpetrator interventions concurrently with substance use treatment shows promise. Methods The feasibility of conducting an efficacy and cost-effectiveness trial of the ADVANCE 16-week intervention to reduce IPA by men in substance use treatment was explored. A multicentre, parallel group individually randomised controlled feasibility trial and formative evaluation was conducted. Over three temporal cycles, 104 men who had perpetrated IPA towards a female (ex) partner in the past year were randomly allocated to receive the ADVANCE intervention + substance use treatment as usual (TAU) (n = 54) or TAU only (n = 50) and assessed 16-weeks post-randomisation. Participants’ (ex) partners were offered support and 27 provided outcome data. Thirty-one staff and 12 men who attended the intervention participated in focus groups or interviews that were analysed using the framework approach. Pre-specified criteria assessed the feasibility of progression to a definitive trial: 1) ≥ 60% of eligible male participants recruited; 2) intervention acceptable to staff and male participants; 3) ≥ 70% of participants followed-up and 4) levels of substance use and 5) IPA perpetrated by men in the intervention arm did not increase from average baseline level at 16-weeks post-randomisation. Results 70.7% (104/147) of eligible men were recruited. The formative evaluation confirmed the intervention’s acceptability. Therapeutic alliance and session satisfaction were rated highly. The overall median rate of intervention session attendance (of 14 compulsory sessions) was 28.6% (range 14.3–64.3% by the third cycle). 49.0% (51/104) of men and 63.0% (17/27) of their (ex) partners were followed-up 16-weeks post-randomisation. This increased to 100% of men and women by cycle three. At follow-up, neither substance use nor IPA perpetration had worsened for men in the intervention arm. Conclusions It was feasible to deliver the ADVANCE intervention in substance use treatment services, although it proved difficult to collect data from female (ex)partners. While some progression criteria were met, others were not, although improvements were demonstrated by the third cycle. Lessons learned will be implemented into the study design for a definitive trial of the ADVANCE intervention. Trial registration ISRCTN79435190 prospectively registered 22nd May 2018.

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Motivational Strategies in Interventions for Intimate Partner Violence Offenders: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Cited by 51 publications

References 100 publications

Motivational Strategies, Working Alliance, and Protherapeutic Behaviors in Batterer Intervention Programs: A Randomized Controlled Trial

Motivational Strategies, Working Alliance, and Protherapeutic Behaviors in Batterer Intervention Programs: A Randomized Controlled Trial

Differences between Latin American and Spanish men in a batterer intervention programme: proximal and final outcomes

ADVANCE integrated group intervention to address both substance use and intimate partner abuse perpetration by men in substance use treatment: a feasibility randomised controlled trial

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