Abstract：
There is increasing evidence that therapy and intervention services delivered by telehealth are effective at reducing a variety of mental health symptoms. Limited studies have indicated online services can reduce intimate partner violence (IPV), but none have tested in-person compared to telehealth-delivered interventions for men who have used IPV. Clinical outcome data from 311 parents (192 fathers and 119 linked coparent mothers) engaged in the Fathers for Change (F4C) intervention following referral by child protective services for IPV were examined to determine if in-person delivery of the intervention differed in terms of client treatment engagement and retention or outcomes. Parents who enrolled during a 1-year period prior to the COVID pandemic received their F4C therapy in person, while those who enrolled during the pandemic received their intake and most of their sessions via telehealth delivery. Parents reported significantly greater symptoms of depression, anxiety, and stress prior to treatment if they enrolled prior to COVID than if they enrolled during the pandemic. There were few differences in completion rates or outcomes based on in-person compared to telehealth delivery. Fathers were slightly more likely to complete treatment and attended a significantly higher percentage of their sessions when it was delivered by telehealth during COVID. Fathers reported significantly lower stress scores posttreatment when they received COVID telehealth delivery compared to prior to COVID in-person delivery of F4C. These findings suggest that telehealth may be an appropriate and viable option for the delivery of IPV interventions for families.
摘要：
越来越多的证据表明，通过远程医疗提供的治疗和干预服务可有效减少各种心理健康症状。有限的研究表明，在线服务可以减少亲密伴侣暴力（IPV）。但是，与使用IPV的男性的远程医疗干预措施相比，没有人进行过亲自测试。检查了311名父母（192名父亲和119名联系的母亲）的临床结果数据，这些父母在儿童保护服务对IPV进行转诊后进行了父亲换（F4C）干预，以确定干预措施的当面交付是否在客户治疗参与和保留或结果方面有所不同。在COVID大流行前1年内登记的父母亲自接受了F4C治疗，而那些在大流行期间注册的人通过远程医疗服务获得了他们的摄入量和大部分会议。父母报告抑郁症状明显加重，焦虑,如果他们在COVID之前登记，而不是在大流行期间登记，那么在治疗前就会有压力。与远程医疗交付相比，基于面对面的完成率或结果几乎没有差异。在COVID期间通过远程医疗进行治疗时，父亲完成治疗的可能性略高，参加治疗的比例明显更高。父亲报告说，与COVID亲自分娩F4C之前相比，接受COVID远程医疗分娩后的治疗后压力评分明显较低。这些发现表明，远程医疗可能是为家庭提供IPV干预措施的适当且可行的选择。
