OBJECTIVE To evaluate a lay provider-delivered, brief intervention to reduce problem drinking and related family consequences among men in Kenya. The 5-session intervention combines behavioral activation (BA) and motivational interviewing (MI). It integrates family-related material explicitly and addresses central cultural factors through gender transformative strategies. METHOD A nonconcurrent multiple-baseline design was used. We initiated treatment with 9 men ages 30 to 48 who were fathers and screened positive for problem drinking; the median Alcohol Use Identification Test score was 17 (harmful range). Participants were randomized to staggered start dates. We measured the primary outcome of weekly alcohol consumption 4 weeks before treatment, during treatment, and 4 weeks posttreatment using the Timeline Followback measure. Secondary outcomes were assessed using a pre-post assessment (1-month) of men's depression symptoms, drinking- and family-related problem behavior, involvement with child, time with family, family functioning, relationship quality (child and partner), and harsh treatment of child and partner. Men, partners, and children (ages 8-17) reported on family outcomes. RESULTS Eight men completed treatment. Mixed-effects hurdle model analysis showed that alcohol use, both number of days drinking and amount consumed, significantly decreased during and after treatment. Odds of not drinking were 5.1 times higher posttreatment (95% CI [3.3, 7.9]). When men did drink posttreatment, they drank 50% less (95% CI [0.39, 0.65]). Wilcoxon signed-ranks test demonstrated pre-post improvements in depression symptoms and family related outcomes. CONCLUSION Results provide preliminary evidence that a BA-MI intervention developed for lay providers may reduce alcohol use and improve family outcomes among men in Kenya. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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一项针对肯尼亚父亲的简短酒精减少和家庭参与干预的多基线研究。

目标 评估由非专业提供者提供的简短干预措施，以减少肯尼亚男性的饮酒问题和相关家庭后果。5 次干预结合了行为激活 (BA) 和动机访谈 (MI)。它明确地整合了与家庭相关的材料，并通过性别变革战略解决了核心文化因素。方法 使用非并发多基线设计。我们对 9 名 30 至 48 岁的父亲进行了治疗，他们的饮酒问题筛查呈阳性；酒精使用识别测试的中位数为 17（有害范围）。参与者被随机分配到交错的开始日期。我们使用 Timeline Followback 测量方法测量了治疗前 4 周、治疗期间和治疗后 4 周每周饮酒量的主要结果。次要结果使用对男性抑郁症状、饮酒和家庭相关问题行为、与孩子的参与、与家人相处的时间、家庭功能、关系质量（孩子和伴侣）和严厉的事前评估（1 个月）进行评估。孩子和伴侣的治疗。男性、伴侣和儿童（8-17 岁）报告了家庭结果。结果 八名男性完成了治疗。混合效应障碍模型分析表明，酒精的使用，无论是饮酒天数还是饮酒量，在治疗期间和治疗后都显着减少。治疗后不饮酒的几率是治疗后的 5.1 倍（95% CI [3.3, 7.9]）。当男性在治疗后确实饮酒时，他们的饮酒量减少了 50%（95% CI [0.39, 0.65]）。Wilcoxon 符号秩检验证明了抑郁症状和家庭相关结果的前后改善。结论 结果提供了初步证据，表明为非专业提供者开发的 BA-MI 干预可以减少肯尼亚男性的酒精使用并改善家庭结果。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。