Computer-based intervention for residents of domestic violence shelters with substance use: A randomized pilot study

PLOS ONE · 8 authors, 8 centres

AI SUMMARY

FIDELITY 100%

POPULATION50 women with recent IPV and alcohol and drug use risk recruited from domestic violence shelters

INTERVENTIONA brief computerized intervention to reduce alcohol and drug use

COMPARISONAn attention and time control condition

This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.

AGENT 01 · STRUCTURED SUMMARY

TRACE TO SOURCE

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TL;DR

This randomized pilot trial tested a brief computerized intervention for women with recent intimate partner violence (IPV) and substance use risk in domestic violence shelters. The study found the intervention was feasible and acceptable, with high completion and satisfaction rates, but did not show significant differences in primary substance use outcomes between groups.

Full summary

863 CHARS

This randomized pilot study evaluated the feasibility, acceptability, and preliminary effectiveness of a brief computerized intervention for 50 women with recent IPV and substance use risk recruited from domestic violence shelters. The primary outcome was the percent of heavy drinking or drug-using days over 6 months post-shelter. Secondary outcomes included receipt of substance use services and IPV severity. Results showed high feasibility and acceptability, with an 80% completion rate and high satisfaction scores. As expected in a pilot trial, there were no significant between-group differences in the primary outcome of percent heavy drinking/drug using days or secondary outcomes. IPV severity decreased in both groups over time. The authors conclude the intervention is feasible and acceptable but a fully powered trial is needed to evaluate efficacy.

PICO

PPOPULATION

50 women with recent IPV and alcohol and drug use risk recruited from domestic violence shelters

IINTERVENTION

A brief computerized intervention to reduce alcohol and drug use

OOUTCOME

Percent heavy drinking or drug using days in 3-month increments over 6 months after leaving the shelter

STUDY TYPE

RCT

SPECIALTY

psychiatry

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10212146

Computer-based intervention for residents of domestic violence shelters with substance use: A randomized pilot study

PLOS ONE

READ THE FULL PAPER

ABSTRACT

Abstract Background Intimate Partner Violence (IPV) is a significant public health problem often associated with serious mental health and physical health implications. Substance use disorders (SUDs) are one of the most common comorbidities among women with IPV, increasing risk of subsequent IPV. Methods The current study examined the feasibility, acceptability, and preliminary effectiveness of a brief computerized intervention to reduce alcohol and drug use among women with IPV. Fifty women with recent IPV and alcohol and drug use risk were recruited from domestic violence shelters and randomized to the experimental computerized intervention or to an attention and time control condition. The primary outcome was percent heavy drinking or drug using days in 3 month increments over the 6 months after leaving the shelter. Receipt of substance use services and IPV severity were evaluated as secondary outcomes. Results The computerized intervention was feasible and acceptable, with high (n = 20, 80%) completion rates, engagement with the intervention, and satisfaction scores. As expected in this pilot trial, there were no significant differences between conditions in percent heavy drinking/drug using days or receipt of substance use services and large individual differences in outcomes. For example, receipt of substance use services decreased by a mean of 0.05 times/day from the baseline to the 6-month time period in the control condition (range -1.00 to +0.55) and increased by a mean of 0.06 times/day in the intervention condition (range -0.13 to +0.89). There were large decreases in IPV severity over time in both conditions, but directions of differences favored the control condition for IPV severity. Conclusion A computerized intervention to reduce the risk of alcohol/drug use and subsequent IPV is feasible and acceptable among residents of a domestic violence shelter. A fully powered trial is needed to conclusively evaluate outcomes.

CITATION EXPORT

Maji Hailemariam, Jennifer E Johnson, Dawn M Johnson et al.. Computer-based intervention for residents of domestic violence shelters with substance use: A randomized pilot study. PLOS ONE. (2023). https://doi.org/10.1371/journal.pone.0285560

AUTHORS

8 · 8 CENTRES

Maji Hailemariam, Jennifer E Johnson, Dawn M Johnson, Alla Sikorskii, Caron Zlotnick, Joseph Donlan, Sandra Ann Springer, Sandra Ann Springer

1Charles Stewart Mott Department of Public Health, Michigan State University, College of Human Medicine, Flint, Michigan, United States of America
2Department of Obstetrics Gynecology and Reproductive Biology, Michigan State University, College of Human Medicine, East Lansing, Michigan, United States of America
3Department of Psychology, University of Akron, Akron, Ohio, United States of America
4Department of Psychiatry, Michigan State University, College of Osteopathic Medicine, East Lansing, Michigan, United States of America
5Department of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island, United States of America
6Department of Medicine at Women and Infants Hospital, Providence, Rhode Island, United States of America
7Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
8Yale School of Medicine, UNITED STATES