Motivational interviewing and intimate partner violence: a randomized trial

To 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. Randomized controlled trial among women who experienced intimate partner violen...

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Published in:	Annals of epidemiology Vol. 24; no. 2; pp. 144 - 150
Main Authors:	Saftlas, Audrey F., Harland, Karisa K., Wallis, Anne B., Cavanaugh, Joseph, Dickey, Penny, Peek-Asa, Corinne
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01.02.2014
Subjects:	Adult Analysis of Variance Depression Depression - psychology Depression - therapy Female Humans Internal Medicine Interpersonal Relations Intimate partner violence Iowa - epidemiology Middle Aged Motivational Interviewing Power, Psychological Prevalence Psychiatric Status Rating Scales Randomized trial Rural Population - statistics & numerical data Self Efficacy Self-Assessment Sexual Partners Socioeconomic Factors Spouse Abuse - psychology Stage-of-readiness-to-change Surveys and Questionnaires Telephone Treatment Outcome Iowa Motivational interviewing Depression Randomized trial Intimate partner violence Self-efficacy Stage-of-readiness-to-change
ISSN:	1047-2797, 1873-2585, 1873-2585
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Abstract	To 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. Randomized 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. Three 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. With 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.
AbstractList	Abstract Purpose To 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. Methods Randomized 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. Results Three 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. Conclusions With 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. To 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. Randomized 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. Three 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. With 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. To 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.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.Randomized 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.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.Three 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.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.With 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.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.
Author	Saftlas, Audrey F. Cavanaugh, Joseph Harland, Karisa K. Peek-Asa, Corinne Wallis, Anne B. Dickey, Penny
Author_xml	– sequence: 1 givenname: Audrey F. surname: Saftlas fullname: Saftlas, Audrey F. email: audrey-saftlas@uiowa.edu organization: Department of Epidemiology, University of Iowa, Iowa City, IA – sequence: 2 givenname: Karisa K. surname: Harland fullname: Harland, Karisa K. organization: Department of Occupational and Environmental Health, Injury Prevention Research Center, University of Iowa, Iowa City, IA – sequence: 3 givenname: Anne B. surname: Wallis fullname: Wallis, Anne B. organization: Department of Epidemiology, University of Iowa, Iowa City, IA – sequence: 4 givenname: Joseph surname: Cavanaugh fullname: Cavanaugh, Joseph organization: Department of Biostatistics, University of Iowa, Iowa City, IA – sequence: 5 givenname: Penny surname: Dickey fullname: Dickey, Penny organization: Department of Occupational and Environmental Health, Planned Parenthood of the Heartland, Des Moines, IA – sequence: 6 givenname: Corinne surname: Peek-Asa fullname: Peek-Asa, Corinne organization: Department of Occupational and Environmental Health, Injury Prevention Research Center, University of Iowa, Iowa City, IA
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Snippet	To determine if motivational interviewing (MI) improves self-efficacy (primary outcome), depressive symptoms (secondary outcome), and... Abstract Purpose To determine if motivational interviewing (MI) improves self-efficacy (primary outcome), depressive symptoms (secondary outcome), and...
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SubjectTerms	Adult Analysis of Variance Depression Depression - psychology Depression - therapy Female Humans Internal Medicine Interpersonal Relations Intimate partner violence Iowa - epidemiology Middle Aged Motivational Interviewing Power, Psychological Prevalence Psychiatric Status Rating Scales Randomized trial Rural Population - statistics & numerical data Self Efficacy Self-Assessment Sexual Partners Socioeconomic Factors Spouse Abuse - psychology Stage-of-readiness-to-change Surveys and Questionnaires Telephone Treatment Outcome
Title	Motivational interviewing and intimate partner violence: a randomized trial
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