关键词: domestic violence early engagement help-seeking men perpetrators technology

Mesh : Humans Male Adult Feasibility Studies Help-Seeking Behavior Motivation Australia Patient Acceptance of Health Care Young Adult Intimate Partner Violence

来  源:   DOI:10.1891/VV-2022-0159

Abstract:
Men\'s use of domestic violence is a major public health issue globally. However, the potential for technology to address this issue has been limited within research and practice. This study aimed to test the feasibility and acceptability of an online healthy relationship tool (BETTER MAN) for men who have used domestic violence to encourage help-seeking. A pre- and postsurvey with a 3-month follow-up was used. One hundred and forty men enrolled, with retention rates of 79% (111) immediately after BETTER MAN and 62% (86) at 3 months. Participants were diverse men (mean age of 32 years, 33% born outside Australia, 19% in same-sex relationships, and 2% Aboriginal or Torres Strait Islander). The majority (70%, 58) of men reported behaviors classified as moderate risk (e.g., checked partner\'s phone, picked on partner, and controlled money) and 24% (20) as high-risk behaviors (e.g., scared partner, physical force, and unwanted sexual activities). Post BETTER MAN, there was a significant increase in mean intention to contact counseling service (baseline 5.8, immediately 6.7, and 3-month follow-up 7.2) and mean confidence in the ability to seek help (baseline 3.7, immediately 5.1, and 3-month follow-up 7.2). Men\'s readiness to make changes in behavior median score significantly moved from baseline (5.9-I am not ready to take action), immediately (6.7-I am ready to make some changes), and 3-month follow-up (7.2-I have begun to change my behavior). At 3-month follow-up, 55% (47/86) of men reported accessing counseling services compared with 34% (46/140) of men at baseline. Findings suggest that it is feasible that BETTER MAN might work to engage men to seek help and is acceptable to men using domestic violence. However, a large-scale randomized controlled trial is needed to determine the effectiveness of BETTER MAN on help-seeking behaviors for men\'s use of domestic violence.
摘要:
男性使用家庭暴力是全球范围内的重大公共卫生问题。然而,技术解决这一问题的潜力在研究和实践中受到限制。这项研究旨在测试使用家庭暴力鼓励寻求帮助的男性的在线健康关系工具(BETTERMAN)的可行性和可接受性。进行了为期3个月的前后调查。一百四十人报名,BetterMAN后立即保留率为79%(111),3个月时保留率为62%(86)。参与者是不同的男性(平均年龄32岁,33%在澳大利亚以外出生,19%在同性关系中,和2%的原住民或托雷斯海峡岛民)。大多数(70%,58)的男性报告的行为被归类为中等风险(例如,检查合作伙伴的电话,挑选搭档,和受控资金)和24%(20)作为高风险行为(例如,害怕的伙伴,物理力,和不想要的性活动)。后更好的人,联系咨询服务的平均意向(基线5.8,立即6.7和3个月随访7.2)和寻求帮助能力的平均信心(基线3.7,立即5.1和3个月随访7.2)显著增加.男性准备改变行为中位数得分明显偏离基线(5.9-我还没有准备好采取行动),立即(6.7-我准备进行一些更改),和3个月的随访(7.2-我已经开始改变我的行为)。在3个月的随访中,55%(47/86)的男性报告获得咨询服务,而基线时男性为34%(46/140)。研究结果表明,更好的男人可能会努力让男人寻求帮助,并且使用家庭暴力的男人也可以接受。然而,需要一项大规模随机对照试验来确定BETTERMAN对男性使用家庭暴力的求助行为的有效性.
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