Designing a Pilot Study Protocol to Test a Male Alcohol Use and Intimate Partner Violence Reduction Intervention in India: Beautiful Home

Hartmann, Miriam; Datta, Saugato; Banay, Rachel F.; Caetano, Vivien; Floreak, Rosii; Appaiah, Prarthana; Sreevasthsa, Anuradha; Thomas, Shirley; Selvam, Sumithra; Barnette, Quinn; Srinivasan, Krishnamachari

doi:10.3389/fpubh.2018.00218

Cited by 10 publications

(6 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We employed Datta and Mullainathan’s [ 6 ] behavioral design approach to systematically design the interventions. This approach has been used to address a wide range of public health challenges in low- and middle-income countries including gender-based violence, reproductive health, and neglected tropical diseases [ 7 – 9 ]. First, we defined the problem and then conducted qualitative, formative research to identify the behavioral barriers inhibiting the provision of RMC.…”

Section: Methodsmentioning

confidence: 99%

Promoting respectful maternity care using a behavioral design approach in Zambia: results from a mixed-methods evaluation

et al. 2022

View full text Add to dashboard Cite

Background Respectful maternity care (RMC) has been elevated in the global discourse, however, instances of disrespect and abuse remain prevalent. While several studies have highlighted promising approaches to promote RMC, this body of literature is still limited and few approaches have been scaled outside the initial study sites. Building on formative research conducted through a behavioral science lens, we sought to develop and test evidence-based, low-cost solutions to promote RMC which would be well-positioned for scale-up. Our study highlights the effectiveness of the solution package on provider provision of respectful care and client satisfaction, as well as intermediary outcomes and behavioral mechanisms. Methods A quasi-experimental evaluation, informed by the behavioral design approach, was completed to test the effectiveness of a 5-component solution package in Chipata, Zambia. Quantitative surveys were collected from health facility providers and postpartum clients at baseline and endline in intervention and comparison facilities. Additional qualitative interviews were conducted with health facility providers and postpartum clients at endline. We also conducted interviews with health facility in-charges and observed labor and delivery practices at intervention facilities over the course of implementation. Results Evidence suggested that at endline, clients at implementation facilities were less likely to experience disrespect and abuse compared to clients at comparison facilities (ß = − 0.15 p = 0.01). Clients at intervention facilities were more likely to request pain management compared to clients at comparison facilities (ß = 0.33, p = 0.003). The solutions were simple for providers to implement and were easily integrated into existing services by providers during labor and delivery. Providers at intervention facilities also described the pain management toolkit as helpful in expanding the types of pain management techniques used during labor. Conclusions The results of this small-scale study act as a proof of concept, demonstrating that the behavioral design approach can lead to solutions that show potential for impact. In other settings where providers face similar barriers to providing RMC, an adaptation of this solution package might lead to similarly positive results. Given the global scale of disrespectful care, these low-cost solutions hold promise for improving the quality of care women receive during labor and delivery.

show abstract

Section: Methodsmentioning

confidence: 99%

Promoting respectful maternity care using a behavioral design approach in Zambia: results from a mixed-methods evaluation

et al. 2022

View full text Add to dashboard Cite

show abstract

“…We employed Datta & Mullainathan's (6) behavioral design approach to systematically design the interventions. This approach has been used to address a wide range of public health challenges in low-and middle-income countries including gender-based violence, reproductive health, and neglected tropical diseases (7)(8)(9). First, we de ned the problem and then conducted qualitative, formative research to identify the behavioral barriers inhibiting the provision of RMC.…”

Section: Intervention and Evaluation Designmentioning

confidence: 99%

Promoting Respectful Maternity Care using a Behavioral Design Approach in Zambia: Results from a Mixed-Methods Evaluation

Smith

Schachter

Banay

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Respectful maternity care (RMC) has been elevated in the global discourse, however, instances of disrespect and abuse remain prevalent. While several studies have highlighted promising approaches to promote RMC, this body of literature is still limited and few approaches have been scaled outside the initial study sites. Building on formative research conducted through a behavioral science lens, we sought to develop and test evidence-based, low-cost solutions to promote RMC which would be well-positioned for scale-up. Our study highlights the effectiveness of the solution package on provider provision of better care and client satisfaction, as well as intermediary outcomes and behavioral mechanisms. Methods: A quasi-experimental evaluation, informed by the behavioral design approach, was completed to test the effectiveness of a 5-component solution package in Chipata, Zambia. Quantitative surveys were collected from health facility providers and postpartum clients at baseline and endline in intervention and comparison facilities. Additional qualitative interviews were conducted with health facility providers and postpartum clients at endline. We also conducted interviews with health facility in-charges and observed labor and delivery practices at intervention facilities over the course of implementation. Results: Evidence suggested that at endline, clients at implementation facilities were less likely to experience disrespect and abuse compared to clients at comparison facilities (ß= -0.15 p=.01). Clients at intervention facilities were more likely to request pain management compared to clients at comparison facilities (ß=.33, p=.003). The solutions were simple for providers to implement and were easily integrated into existing services by providers during labor and delivery. Providers at intervention facilities also described the pain management toolkit as helpful in expanding the types of pain management techniques used during labor.Conclusions: The results of this small-scale study act as a proof of concept, demonstrating that the behavioral design approach can lead to solutions that show potential for impact. In other settings where providers face similar barriers to providing RMC, an adaptation of this solution package might lead to similarly positive results. Given the global scale of disrespectful care, these low-cost solutions hold promise for improving the quality of care women receive during labor and delivery.

show abstract

“…O'Farrell et al (2004) and Schumm et al (2018) more recently demonstrated the effectiveness of individually based therapy and behavioral couple therapy for IPV in a substance-using population. Hartmann et al (2018Hartmann et al ( , 2020 in a pilot study demonstrated the effectiveness of an integrated intervention combining elements of CBT, behavioral economics, and contingency management in couples with heavy alcohol use and IPV in India.…”

Section: Evidence Basementioning

confidence: 99%

“…Among other approaches, metacognitive interpersonal therapy (MIT) with a focus on maladaptive schemas is a useful treatment for IPV (Pasetto et al, 2021). Marital and family therapy are also indicated for patients with Alcohol Dependence Syndrome and IPV (Hartmann et al, 2018(Hartmann et al, ,2020McCrady et al, 2016;O'Farrell et al, 2004;Schumm et al, 2018). However, it calls for a careful assessment of violence to ensure that it does not escalate during the course of therapy.…”

Section: Clinical Practices and Summarymentioning

confidence: 99%

Integrated cognitive‐behavioral intervention reduced alcohol use and perpetration of intimate partner violence in a man with alcohol dependence syndrome: A case study

Satyanarayana

Srinivasan

2021

J Clin Psychol

View full text Add to dashboard Cite

Heavy alcohol use poses an increased risk for intimate partner violence. We present here a novel therapeutic treatment, integrated cognitive‐behavioral intervention (ICBI), a treatment approach for men with alcohol dependence who also perpetrate intimate partner violence (IPV). ICBI includes a meaningful integration of cognitive‐behavioral and interpersonal therapy techniques. In this case study of an adult married male with alcohol dependence, who also self‐reported perpetration of IPV, we found that ICBI was an effective treatment approach not only in reducing alcohol consumption and perpetration of IPV but also in improving symptoms of depression, anxiety, and stress in his wife. Important limitations, however, were the short duration of follow‐up and concurrent pharmacological treatment. Salient aspects of psychotherapy process and outcome, indications for, and utility of integrated approaches to treatment are discussed.

show abstract

Designing a Pilot Study Protocol to Test a Male Alcohol Use and Intimate Partner Violence Reduction Intervention in India: Beautiful Home

Cited by 10 publications

References 33 publications

Promoting respectful maternity care using a behavioral design approach in Zambia: results from a mixed-methods evaluation

Promoting respectful maternity care using a behavioral design approach in Zambia: results from a mixed-methods evaluation

Promoting Respectful Maternity Care using a Behavioral Design Approach in Zambia: Results from a Mixed-Methods Evaluation

Integrated cognitive‐behavioral intervention reduced alcohol use and perpetration of intimate partner violence in a man with alcohol dependence syndrome: A case study

Contact Info

Product

Resources

About