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

Gilchrist, Gail; Potts, Laura; Radcliffe, Polly; Halliwell, Gemma; Dheensa, Sandi; Henderson, J. Frank; Johnson, Amy; Love, Beverly; Gilchrist, Elizabeth; Feder, Gene; Parrott, Steve; Li, Jinshuo; McMurran, Mary; Kirkpatrick, Sara; Stephens-Lewis, Danielle; Easton, Caroline J.; Berbary, Cassandra; Landau, Sabine

doi:10.1186/s12889-021-11012-3

Cited by 15 publications

(24 citation statements)

References 75 publications

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“…A feasibility randomised controlled study of the ADVANCE group intervention plus substance use treatment as usual (TAU) compared to substance use TAU only was conducted with 104 men in substance use treatment in England [ 28 ] and outcomes assessed 16-weeks post-randomisation. Findings highlighted that it was feasible to deliver the face-to-face ADVANCE group intervention and that the intervention was safe and resulted in positive behaviour change [ 29 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

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The feasibility of delivering the ADVANCE digital intervention to reduce intimate partner abuse by men receiving substance use treatment: protocol for a non-randomised multi-centre feasibility study and embedded process evaluation

Gilchrist

Landau

Dheensa

et al. 2022

Pilot Feasibility Stud

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Background Compared to men in the general population, men in substance use treatment are more likely to perpetrate intimate partner abuse (IPA). The ADVANCE group intervention for men in substance use treatment is tailored to address substance use and IPA in an integrated way. In a feasibility trial pre-COVID, men who received the ADVANCE intervention via face-to-face group delivery showed reductions in IPA perpetration. Due to COVID-19, ADVANCE was adapted for remote digital delivery. Methods/design This mixed-methods non-randomised feasibility study, with a nested process evaluation, will explore the feasibility and acceptability of delivering the ADVANCE digital intervention to men in substance use treatment who have perpetrated IPA towards a female partner in the past year. Sixty men will be recruited from seven substance use treatment services in Great Britain. The ADVANCE digital intervention comprises a preparatory one-to-one session with a facilitator to set goals, develop a personal safety plan, and increase motivation and a preparatory online group to prepare men for taking part in the intervention. The core intervention comprises six fortnightly online group sessions and 12 weekly self-directed website sessions to recap and practise skills learned in the online group sessions. Each website session is followed by a one-to-one video/phone coaching session with a facilitator. Men will also receive their usual substance use treatment. Men’s female (ex) partners will be invited to provide outcome data and offered support from integrated safety services (ISS). Outcome measures for men and women will be sought post intervention (approximately 4 months post male baseline interview). Feasibility parameters to be estimated include eligibility, suitability, consent, recruitment, attendance, retention and follow-up rates. In-depth interviews or focus groups will explore the intervention’s acceptability to participants, facilitators and ISS workers. A secondary focus of the study will estimate pre-post-differences in outcome measures covering substance use, IPA, mental health, self-management, health and social care service use, criminal justice contacts and quality of life. Discussion Findings will inform the design of a multicentre randomised controlled trial evaluating the efficacy and cost-effectiveness of the ADVANCE digital intervention for reducing IPA. Trial registration The feasibility study was prospectively registered: ISRCTN66619273.

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Section: Introductionmentioning

confidence: 99%

“…The previous eligibility rate (7%) of men approached in waiting rooms by researchers was low [ 29 ]. Therefore, men will now be identified and screened by substance use treatment staff.…”

Section: Introductionmentioning

confidence: 99%

The feasibility of delivering the ADVANCE digital intervention to reduce intimate partner abuse by men receiving substance use treatment: protocol for a non-randomised multi-centre feasibility study and embedded process evaluation

Gilchrist

Landau

Dheensa

et al. 2022

Pilot Feasibility Stud

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“…These findings highlight the need for integrated interventions and underline the importance of the current ADVANCE programme. ADVANCE targets low-medium risk perpetrators, working with those argued to fall into the entrenched substance use pathway and some in the relationship insecurity pathway (Dheensa et al, 2021;Gilchrist et al, 2021b). The programme draws on elements of cognitive behavioural therapy, dialectical behavioural therapy and behavioural approaches to address behaviour, cognition and emotion elements of substance use related IPA (Gilchrist et al, 2021a, b).…”

Section: Future Steps and Practical Implicationsmentioning

confidence: 99%

Substance Use and Intimate Partner Abuse (IPA): A Descriptive Model of the Pathways Between Substance Use and IPA Perpetration for Men

et al. 2022

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Intimate partner abuse (IPA) is a pervasive public health and human rights issue disproportionately affecting women. There is a complex link between IPA and substance use; substance use can increase both the frequency and severity of IPA. Pathway models have been applied to explore heterogeneous trajectories into other behaviours and to identify areas for intervention. This approach has not previously been applied in the area of substance use and IPA. Inductive thematic analysis of 37 interviews with heterosexual men aged 28–52 who had reported previous IPA perpetration was conducted. Men were recruited from alcohol and drug services across two areas of England. Three groupings of pathways into substance use-related IPA were generated: 1) Rule Breaking Pathway (n = 11); 2) Entrenched Substance Use Pathway (n = 13); and 3) Relationship Insecurity Pathway (n = 13). Across the three groupings of pathways, the men’s childhood and early experiences led to different journeys into SU-related IPA (abuse that was associated with intoxication, withdrawal, acquisition and substance use lifestyle). Each pathway presented differently with varying core features, for example core features of generalised violence, mental health or jealousy, and different predisposing background factors, including types and timing of childhood abuse and trauma. Adopting a pathways approach drawing on principles of equifinality and multifinality can improve understanding of heterogeneity in men who perpetrate IPA and use substances and propose treatment/intervention targets.

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“…This intervention development led onto a feasibility randomised controlled trial (RCT) among 104 male perpetrators attending substance use treatment in England. The full details are reported elsewhere [ 14 , 24 ], but in brief this study identified that it was possible for trained substance use staff to deliver the ADVANCE intervention in substance use treatment services and that men who attended and staff who delivered the intervention evaluated it highly. Following this, a full-scale, multi-site randomised controlled trial to compare the effectiveness of the ADVANCE intervention plus substance use treatment as usual (TAU) to substance use TAU only, and a nested process evaluation will explore the ‘what works and how and for whom’ was planned.…”

Section: Discussionmentioning

confidence: 99%

Using the Behaviour Change Wheel to design an intervention for partner abusive men in drug and alcohol treatment

Gilchrist

Johnson

McMurran

et al. 2021

Pilot Feasibility Stud

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Background We aimed to establish what core elements were required in a group therapy programme for men who disclose perpetrating intimate partner abuse in a substance use setting and develop, and test the feasibility of delivering an intervention in this setting. Methods We describe the theoretical development and feasibility testing of an integrated substance use and intimate partner abuse intervention (‘ADVANCE’) for delivery in substance use services. We employed a comprehensive eight-stage process to guide this development applying the ‘COM-B’ (‘capability’, ‘opportunity’, ‘motivation’ and ‘behaviour’) model for intervention design which specifies the following: (1) define the problem, (2) select the target behaviour, (3) specify the target behaviour, (4) identify what needs to change, (5) identify intervention functions, (6) identify policy categories, (7) select behaviour change techniques, and (8) design a mode of delivery. The development was informed by primary research conducted by the authors, consulting with organisation steering groups and by those with personal experiences. The identified targets for intervention and mode and method of delivery were then refined over 4 intervention development meetings, using the nominal group technique with the ADVANCE experts, then further refined following consultation with service user groups and wider expert groups via a learning alliance meetings. Results Our final intervention, the ADVANCE intervention consisted of a group intervention comprising of up to four pre-group individual interviews, followed by 12 × 2-h group sessions supported by integrated safety work for victim/survivors, and risk and safety support and integrity support for the professionals. The main targets for change were personal goal planning, self-regulation, and attitudes and beliefs supporting intimate partner abuse. The intervention was regarded as very acceptable to both staff and clients in substance use services, with group attendees reported positive behaviour changes and development of new skills. Conclusion We have demonstrated the ability to employ a structured eight-step process to develop an integrated intervention to address substance use-related intimate partner abuse that is acceptable to staff and clients in substance use services. This led to a feasibility study (ISRCTN 79435190) involving 104 men and 30 staff at three different locations across the UK was conducted to assess the feasibility and acceptability of the intervention and to refine the content and approach to delivery (BMC Public Health, 21: 980, 2021).

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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

Cited by 15 publications

References 75 publications

The feasibility of delivering the ADVANCE digital intervention to reduce intimate partner abuse by men receiving substance use treatment: protocol for a non-randomised multi-centre feasibility study and embedded process evaluation

The feasibility of delivering the ADVANCE digital intervention to reduce intimate partner abuse by men receiving substance use treatment: protocol for a non-randomised multi-centre feasibility study and embedded process evaluation

Substance Use and Intimate Partner Abuse (IPA): A Descriptive Model of the Pathways Between Substance Use and IPA Perpetration for Men

Using the Behaviour Change Wheel to design an intervention for partner abusive men in drug and alcohol treatment

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