A feasibility test of a brief motivational interview intervention to reduce dating abuse perpetration in a hospital setting.

Abstract

Objective To describe the intervention development process and feasibility testing of a hospital-based brief intervention to reduce the perpetration of adolescent dating abuse (ADA). To our knowledge, this intervention is the first to focus exclusively on ADA perpetration reduction via a motivational interview-type intervention in this setting. Method The rationale for and the six Intervention Mapping steps used to generate the intervention are described. Feasibility is conceptualized as intervention acceptability, demand, implementation, practicality, integration, and limited-efficacy. Results The Real Talk intervention was integrated smoothly into the emergency department setting. Participants did not experience any negative impact, and the vast majority (86%) reported that they felt helped. Quantitative assessments suggest that the intervention reduced the number of participants in the pre-contemplation stage of change regarding their use of relationship violence, and may have moved them forward into the action stage. Real Talk participants were more likely than those in the control group to tell friends to help them stay calm around their partner after drinking alcohol, and to talk with their doctor to get help for their problems. Conclusions Real Talk was developed to meet an unmet need for tertiary ADA interventions in non-school settings. It was developed in accordance with a recommended framework, informed by theory, and subsequently tested for feasibility. Feasibility assessment results suggest that Real Talk can be implemented in health care settings and may influence attitudinal and behavioral outcomes in the desired directions.

The Role of the Physician When a Patient Discloses Intimate Partner Violence Perpetration: A Literature Review

“…For those men ready to accept a referral to BIPs, research has shown that brief motivational interviewing improved attendance and treatment compliance among men enrolled in BIPs. 63,64 Although brief motivational interviewing to address adolescent dating abuse has been explored in the emergency department setting, 65,66 to our knowledge, brief motivational interviewing to address perpetration of IPV in primary care settings has yet to be explored.…”

Physicians' Experiences with Male Patients Who Perpetrate Intimate Partner Violence

“…Potential interventions that could be provided by physicians, if appropriately trained, include making referrals to certified intimate partner abuser education programs (ie, batterer intervention), diagnosing and treating underlying illnesses contributing to violent behaviors, assessing for safety, and, potentially, providing counseling and motivational interviewing. 21 When training is not provided, physicians may underuse existing resources such as batterer intervention programs and could potentially provide ineffective or even dangerous interventions, such as providing or referring to couples therapy without appropriate training in IPV. 22,23 Proven interventions to address IPV perpetration are needed.…”

“…24 -26 Motivational interviewing, as discussed by physicians in our sample, has been explored as a possible intervention for IPV perpetrators. 21,[27][28][29] To our knowledge, brief motivational interviewing interventions focused on IPV perpetration in primary care settings have yet to be explored. Additional research should explore the negative impact of IPV perpetration on the abuser, 30,31 as this may be beneficial for the development of effective interventions.…”

Developing interventions to improve health: a systematic mapping review of international practice between 2015 and 2016

“…Developers documented why a new intervention was needed through reference to the research literature [29], healthcare policy [10], their own expertise in research [30] or practice [31], previous research findings [32], consultation with community members [33], or a combination of these [34]. The rationale for this was to justify the development of a new intervention by identifying an unmet health need.…”

“…In some cases, the setting was a critical factor in identifying potential interventions. For example, Rothman and Wang [31] set out to develop an intervention to reduce dating abuse perpetration to be delivered in a hospital setting. They identified a brief, motivational interview-style intervention shown to be effective in reducing youth alcohol and marijuana use in a hospital setting and decided to adapt this to reduce adolescent dating abuse in the same setting.…”