scholarly journals A qualitative exploration of mechanisms of intimate partner violence reduction for Zambian couples receiving the Common Elements Treatment Approach (CETA) intervention

2021 ◽  
Vol 268 ◽  
pp. 113458
Author(s):  
Sarah M. Murray ◽  
Stephanie Skavenski Van Wyk ◽  
Kristina Metz ◽  
Saphira Munthali Mulemba ◽  
Mwamba M. Mwenge ◽  
...  
2021 ◽  
Vol 8 ◽  
Author(s):  
Jeremy C. Kane ◽  
Nancy Glass ◽  
Paul A. Bolton ◽  
John Mayeya ◽  
Ravi Paul ◽  
...  

Abstract Background Intimate partner violence (IPV) and unhealthy alcohol use are common yet often unaddressed public health problems in low- and middle-income countries. In a randomized trial, we found that the common elements treatment approach (CETA), a multi-problem, flexible, transdiagnostic intervention, was effective in reducing IPV and unhealthy alcohol use among couples in Zambia at a 12-month post-baseline assessment. In this follow-up study, we investigated whether treatment effects were sustained among CETA participants at 24-months post-baseline. Methods Participants were heterosexual couples in Zambia in which the woman reported IPV perpetrated by the male partner and in which the male had hazardous alcohol use. Couples were randomized to CETA or treatment as usual plus safety checks. Measures were the Severity of Violence Against Women Scale (SVAWS) and the Alcohol Use Disorders Identification Test (AUDIT). The trial was stopped early upon recommendation by the trial's DSMB due to CETA's effectiveness following the 12-month assessment. Control participants exited the study and were offered CETA. This brief report presents data from an additional follow-up assessment conducted among original CETA participants at a 24-month visit. Results There were no meaningful changes in SVAWS or AUDIT scores between 12- and 24-months. The within-group treatment effect for SVAWS from baseline to 24-months was d = 1.37 (p < 0.0001) and AUDIT was d = 0.85 (p < 0.0001). Conclusions The lack of change in levels of IPV and unhealthy alcohol use between the 12- and 24-month post-baseline timepoints suggests that treatment gains were sustained among participants who received CETA for at least two years from intervention commencement.


2017 ◽  
Vol 28 (1) ◽  
pp. 25-44 ◽  
Author(s):  
Renée Hoffart ◽  
Nicholas A. Jones

The establishment of the Indian Residential Schools by the Canadian federal government to assimilate indigenous peoples to European and Christian ideals has had generational repercussions on Canada’s indigenous peoples. Many emotional, physical, and sexual abuses occurred within these schools resulting in significant trauma within this population. In order to shed light on these impacts, indigenous women were interviewed about their experiences with these schools. Thematic network analysis was used to analyze the data, and a number of themes emerged, including identifying the relationships between residential schools, intergenerational trauma, and the normalization of intimate partner violence (IPV) in domestic relationships. The findings add to the existing discourse on IPV in indigenous populations and may be used to inform violence reduction strategies.


Author(s):  
April Gerlock ◽  
Glenna Tinney

Military service provides many opportunities but also may result in experiences that are highly stressful to Service members or military veterans and their families. This chapter explores the intersection of the common conditions of post-traumatic stress disorder, traumatic brain injury, substance misuse, and intimate partner violence (IPV). It discusses how these conditions impact intimacy and health and also compound elements of risk and danger within the couple relationship. Included are narratives from veterans and their wives or partners about how these conditions affect things such as taking medications and keeping medical appointments to feeling safe with each other. The importance of conducting screening and assessment for IPV perpetration and victimization and how IPV impacts these co-occurring conditions and vice versa, are also addressed. IPV impacts intimacy from the most basic aspect of feeling safe with each other, to talking about highly distressing traumatic experiences, to sharing physical closeness.


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