Health Condition 1: F101- Alcohol abuse
Conditions
Interventions
Intervention1: Combined motivational interviewing (MI) and behavioral couples therapy (BCT): Participants will engage in 10 hour-long sessions once a week. Husband will receive MI over 4 sessions. Sub
b) for IPV, PHC staff will refer them to a legal cell at NIMHANS, a one-stop IPV center, and inform participants of their options (including support for leaving the relationship if they wish) based on
c) for AUD, they will provide a brief educational intervention based on the World Health Organization’s manual for managing AUD in PHCs and will provide referral to NIMHANS, a tertiary care mental hea
Sponsors
National Institute on Alcohol Abuse and Alcoholism
Eligibility
Inclusion criteria
Inclusion criteria: 1) married with both spouses age =18; 2) living within the catchment area of the PHC; 3) speaking Kannada or Hindi; 4) wife reporting any physical or sexual IPV in the past 12 months (note exclusion for severe IPV below); and 5) the husband having AUD (AUDIT-C =4).
Exclusion criteria
Exclusion criteria: 1) husband has severe alcohol dependence (per Severity of Alcohol Dependence Questionnaire, SADQ = 31) or is at risk of severe withdrawal symptoms (Clinical Institute Withdrawal Assessment for Alcohol Scale–Revised - CIWA-AR); 2) significant medical problems that will make the couple unable to participate in the intervention sessions; 3) cognitive problems, (Short-Blessed Cognitive Test score =7; previously adapted for India); 4) past year history of IPV severe enough to result in hospitalization (per an adapted version of the International Violence Against Women Survey - IVAWS), or 5) wife screens positive for AUD (AUDIT-C =4).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) mean scores on the Indian Family Violence and Control Scale (IFVCS) 2) number of days (0-7) with a negative breathalyzer test over a 1-week period. Time points: baseline, 3, 6, 9, 12mo follow-up Timepoint: baseline, 3, 6, 9, 12mo follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Communications Patterns Questionnaire. 35 items for couple’s behavior patterns during and after conflict interactions. 2) Alcohol Use Disorders Identification Test (AUDIT) Timepoint: baseline, 3, 6, 9, 12mo follow-up | — |
Countries
India
Contacts
Public ContactDr Srinivasan Krishnamachari
St Johns Research Institute
Outcome results
None listed