Motivational interviewing and intimate partner violence: a randomized trial |
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| Affiliation: | 1. Centre for Intervention Research, National Institute of Public Health, University of Southern Denmark, Oester Farimagsgade 5A, 2., 1353 Copenhagen, Denmark;2. Department of Cancer Prevention and Documentation, Danish Cancer Society, Strandboulevarden 49, 2100 Copenhagen, Denmark;3. National Institute of Public Health, University of Southern Denmark, Oester Farimagsgade 5A, 2., 1353 Copenhagen, Denmark;1. Institute of Social Medicine and Prevention, University Medicine Greifswald, Walther-Rathenau-Str. 48, D-17475 Greifswald, Germany;2. Department for Internal Medicine B, University Medicine Greifswald, Sauerbruchstr., 17475 Greifswald, Germany;3. Institute for Medical Psychology, University Medicine Greifswald, Walther-Rathenau-Str. 46, 17475 Greifswald, Germany;4. Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Sauerbruchstr., 17475 Greifswald, Germany;1. Bellvitge Biomedical Research Institute (IDIBELL), Smoking Cessation Clinic, Preventive Medicine Department, Bellvitge University Hospital, Feixa Llarga s/n 08907 Hospitalet de Llobregat, Barcelona, Spain;2. Smoking Cessation Clinic, Department of Medicine, Psychiatry and Dermatology, School of Medicine, Zaragoza University, C/Domingo Miral, s/n 50009 Zaragoza, Spain;3. Smoking Cessation Unit, Plan Integral de Tabaquismo, Consejeria de Sanidad y Consumo, Consejería de Sanidad y Seguridad Social Ctra. San Amaro, s/n 51001, Ceuta, Spain;4. Smoking Cessation Clinic, Psychiatry Department, Sant Pau University Hospital, c/Sant Antoni Maria Claret, 165 08025 Barcelona, Spain;5. Smoking Cessation Clinic, Santa Maria Hospital, Av. Alcalde Rovira i Roure 44 25198 Lleida, Spain;6. Smoking Cessation Clinic, Pulmonology Department, Carlos III Hospital, c/Sinesio Delgado 10 20029 Madrid, Spain;1. School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia;2. Hunter New England Population Health, Hunter New England Local Health District, Locked Mail Bag 10, Wallsend, New South Wales 2287, Australia;3. Hunter Medical Research Institute, Locked bag 1000, New Lambton, New South Wales 2305, Australia;4. School of Psychology, University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia;1. Population Council, New Delhi, India;2. National Institute for Research in Reproductive Health, Mumbai, India;3. Center on Gender Equity and Health, Division of Global Public Health, Department of Medicine, University of California San Diego, San Diego, USA;4. Department of Society, Human Development and Health, Harvard School of Public Health, Harvard University, Boston, USA;5. Joint Doctoral Program in Public Health (Global Health), San Diego State University/University of California, San Diego, USA;6. Department of Medicine, Section of General Internal Medicine, Clinical Addiction Research and Education, Boston University School of Medicine, Boston Medical Center, Boston, USA;1. Berlin School of Public Health, Charité — Universitätsmedizin Berlin, 13347 Berlin, Germany;2. University of Applied Sciences, Oecotrophology, 48149 Münster, Germany;3. Institute for Social Medicine, Epidemiology and Health Economics, Charité — Universitätsmedizin Berlin, 10117 Berlin, Germany;4. Department of Medical Biometry and Epidemiology, University of Hamburg, 20246 Hamburg, Germany;5. Center of Rehabilitation Research, University of Potsdam, 14469 Potsdam, Germany;6. Department of Cardiology, Angiology, and Pulmology, University of Heidelberg, 69120 Heidelberg, Germany |
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| Abstract: | PurposeTo determine if motivational interviewing (MI) improves self-efficacy (primary outcome), depressive symptoms (secondary outcome), and stage-of-readiness-to-change (secondary outcome) among women in abusive relationships.MethodsRandomized controlled trial among women who experienced intimate partner violence in a current relationship over the past 12 months. Subjects were recruited from two family planning clinics (December 2007 to May 2010). The intervention included an initial face-to-face session and three telephone sessions administered 1-, 2-, and 4-months postenrollment, each using MI to identify personal goals. Controls were referred to community-based resources. Outcomes were measured by self-administered questionnaires before randomization and 6 months later. Modified intent-to-treat analyses of completed participants were conducted using multivariate analysis of variance for continuous outcomes and polytomous logistic regression for categorical outcomes.ResultsThree hundred six eligible women were enrolled (recruitment rate = 64%); 204 completed the 6-month follow-up (completion rate = 67%). Depressive symptoms decreased to a greater extent in MI than referral women (P = .07). Self-efficacy and stage-of-readiness-to-change increased more in MI than referral women, but these differences were not statistically significant.ConclusionsWith a lower than projected sample size, our findings did not achieve statistical significance at the 5% level but suggest a beneficial effect of the MI intervention on reducing depressive symptoms. |
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| Keywords: | Intimate partner violence Motivational interviewing Randomized trial Depression Self-efficacy Stage-of-readiness-to-change |
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