杂志文章%@ 2561-326X %I JMIR出版物%V 5% N 卡塔尔世界杯8强波胆分析2% P e26130% A基于夫妻的干预(Ghya Bharari Ekatra)对印度亲密伴侣暴力的初级预防:试点可行性和可接受性研究%A Kalokhe,Ameeta Shivdas %A Iyer,Sandhya %A Gadhe,Keshav %A Katendra,Tuman %A Kolhe,Ambika %A Rahane,Girish %A Stephenson,Rob %A Sahay,Seema +埃默里大学医学院医学系传染病部，美国佐治亚州亚特兰大市Clifton路1518号CNR大楼5003，邮编:1 404 712 1924，akalokh@emory.edu %K亲密伴侣暴力%K预防%K试点研究%K基于性别的暴力%K家庭暴力%K暴力%K印度%K干预%K患病率%K心理健康%K接受度%K安全性%K可行性%K有效性%D 2021 %7 1.2.2021 %9原始论文%J JMIR表格决议%G英文%X背景:全球亲密伴侣暴力(IPV)的高患病率及其与身体和心理健康状况不佳的关联强调了有效的初级预防的必要性。我们之前开发了Ghya Bharari Ekatra (GBE)，这是一项针对居住在印度浦那贫民窟社区的新婚夫妇的IPV的基于夫妻的初级预防干预措施。目的:通过本先导研究，我们旨在探讨GBE的接受性、安全性、可行性和初步疗效。方法:在2018年1月至5月期间，我们招募并分配了20对夫妇接受GBE + IPV支持服务信息，20对对照组夫妇仅接受IPV支持服务信息。GBE干预由参与者所在社区的同行教育工作者对3到5对夫妇进行了为期6周的培训。干预部分涉及关系质量、恢复力、沟通和冲突协商、自尊、性沟通和性健康知识以及围绕IPV的规范。结果评估包括对参与者和同行的退出访谈，以检查接受度和可行性挑战，以及基线和3个月的随访访谈，以检查IPV报告和心理健康(女性)和酒精滥用(男性)的变化。过程评价检查了给药剂量、接受剂量、保真度、招募、参与率和背景。 Results: Half (40/83) of the eligible couples approached agreed to participate in the GBE intervention. Retention rates were high (17/20, 85% across all 6 sessions), feedback from exit interviews suggested the content and delivery methods were very well received, and the community was highly supportive of the intervention. The principal feasibility challenge involved recruiting men with the lowest income who were dependent on daily wages. No safety concerns were reported by female participants over the course of the intervention or at the 3-month follow-up. There were no reported physical or sexual IPV events in either group, but there were fewer incidents of psychological abuse in GBE participants (3/17, 18%) versus control participants (4/16, 25%) at 3-month follow-up. There was also significant improvement in the overall mental health of female intervention participants and declines in the control participants (change in mean General Health Questionnaire-12 score: –0.13 in intervention vs 0.13 in controls; P=.10). Conclusions: GBE has high acceptance, feasibility, and preliminary efficacy in preventing IPV and improving mental health among women. Next steps include refining the intervention content based on pilot findings and examining intervention efficacy through a large-scale randomized trial with longer follow-up. Trial Registration: ClinicalTrials.gov NCT03332134; https://clinicaltrials.gov/ct2/show/NCT03332134. Clinical Trials Registry of India CTRI/2018/01/011596; http://ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=21443 International Registered Report Identifier (IRRID): RR2-10.2196/11533 %M 33459278 %R 10.2196/26130 %U https://formative.www.mybigtv.com/2021/2/e26130 %U https://doi.org/10.2196/26130 %U http://www.ncbi.nlm.nih.gov/pubmed/33459278