University of Worcester Worcester Research and Publications

Using the Behaviour Change Wheel to design an intervention for partner abusive men in drug and alcohol treatment

Gilchrist, E., Johnson, Amy, McMurran, M., Stephens-Lewis, D., Kirkpatrick, S., Gardner, B., Easton, C. and Gilchrist, G. (2021) Using the Behaviour Change Wheel to design an intervention for partner abusive men in drug and alcohol treatment. Pilot and Feasibility Studies, 7 (191). ISSN 2055-5784

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We aimed to establish what core elements were required in a group therapy programme for men who disclose perpetrating intimate partner abuse in a substance use setting and develop, and test the feasibility of delivering an intervention in this setting.

We describe the theoretical development and feasibility testing of an integrated substance use and intimate partner abuse intervention (‘ADVANCE’) for delivery in substance use services. We employed a comprehensive eight-stage process to guide this development applying the ‘COM-B’ (‘capability’, ‘opportunity’, ‘motivation’ and ‘behaviour’) model for intervention design which specifies the following: (1) define the problem, (2) select the target behaviour, (3) specify the target behaviour, (4) identify what needs to change, (5) identify intervention functions, (6) identify policy categories, (7) select behaviour change techniques, and (8) design a mode of delivery. The development was informed by primary research conducted by the authors, consulting with organisation steering groups and by those with personal experiences. The identified targets for intervention and mode and method of delivery were then refined over 4 intervention development meetings, using the nominal group technique with the ADVANCE experts, then further refined following consultation with service user groups and wider expert groups via a learning alliance meetings.

Our final intervention, the ADVANCE intervention consisted of a group intervention comprising of up to four pre-group individual interviews, followed by 12 × 2-h group sessions supported by integrated safety work for victim/survivors, and risk and safety support and integrity support for the professionals. The main targets for change were personal goal planning, self-regulation, and attitudes and beliefs supporting intimate partner abuse. The intervention was regarded as very acceptable to both staff and clients in substance use services, with group attendees reported positive behaviour changes and development of new skills.

We have demonstrated the ability to employ a structured eight-step process to develop an integrated intervention to address substance use-related intimate partner abuse that is acceptable to staff and clients in substance use services. This led to a feasibility study (ISRCTN 79435190) involving 104 men and 30 staff at three different locations across the UK was conducted to assess the feasibility and acceptability of the intervention and to refine the content and approach to delivery (BMC Public Health, 21: 980, 2021).

Item Type: Article
Additional Information:

This manuscript summarises independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research programme (RP-PG-1214-20009). The views expressed in this publication are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. The funding body had no role in the study design, collection, analysis and interpretation of data, nor the writing of this article and the decision to submit it for publication.

Uncontrolled Discrete Keywords: Substance use, Intimate partner abuse, COM-B, Group intervention, Feasibility, Intervention development, IRWRG
Divisions: College of Business, Psychology and Sport > School of Psychology
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Copyright Info: © The Author(s). 2021
Depositing User: Miranda Jones
Date Deposited: 28 Apr 2022 15:52
Last Modified: 15 Feb 2023 15:05

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