TY - JOUR AU - Kalokhe, Ameeta Shivdas AU - Iyer, Sandhya AU - Gadhe, Keshav AU - Katendra, Tuman AU - Kolhe, Ambika AU - Rahane, Girish AU - Stephenson, Rob AU - Sahay, Seema PY - 2021 DA - 201/2/1 TI -印度亲密伴侣暴力初级预防的基于夫妻的干预(Ghya Bharari Ekatra):试点可行性和可接受性研究JO - JMIR形式Res SP - e26130 VL - 5is - 2kw -亲密伴侣暴力KW -预防KW -试点研究KW -基于性别的暴力KW -家庭暴力KW -暴力KW -印度KW -干预KW -患病率KW -心理健康KW -接受KW -安全KW -可行性KW -有效性AB -背景:亲密伴侣暴力在全球范围内的高度流行及其与身体和心理健康不良的关联突出表明需要进行有效的初级预防。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 SN - 2561-326X UR - https://formative.www.mybigtv.com/2021/2/e26130 UR - https://doi.org/10.2196/26130 UR - http://www.ncbi.nlm.nih.gov/pubmed/33459278 DO - 10.2196/26130 ID - info:doi/10.2196/26130 ER -