Background

Previous reviews of interventions to prevent recidivistic intimate partner violence (IPV) have cited minimal benefits and have been critical of interventions adopting a ‘one-size-fits-all’ approach to a heterogenous category of offenders. The present systematic review and meta-analysis assesses evidence for interventions situated in a risk-need-responsivity framework, in comparison with the more traditional ‘one-size-fits-all’ intervention approach.

Method

Six databases (PsycINFO, Web of Science, PubMed, EMBASE, SCOPUS, PILOTS) were searched for studies examining effectiveness of IPV interventions.

Results

Thirty-one studies met the inclusion criteria. Studies were analysed separately depending on whether they compared two treatments (n = 17) or used a no-treatment control group (n = 14). In the meta-analysis, overall effect sizes were OR = 0.52, 95% CI [0.35–0.78] for interventions with follow-up of ≤ one year (p < 0.001) and OR = 0.60, 95% CI [0.46–0.78] for interventions with follow-up between one and two years (p < 0.001). The pooled effects from the studies using follow-up of greater than two years did not reach statistical significance. Subgroup analyses suggested that effect sizes differed across treatment types, with risk-need-responsivity treatments performing well against other modalities.

Conclusions

Risk-need-responsivity treatments showed promise in the short-to-medium term, but the challenge of sustaining effects into the longer term remains.

中文翻译：

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预防亲密伴侣暴力肇事者再犯的干预措施的有效性：系统的回顾和荟萃分析

背景

先前对预防累犯性亲密伴侣暴力的干预措施的评论仅列举了最低限度的收益，并批评了对异类犯罪者采取“千篇一律”的干预措施。与更传统的“千篇一律”的干预方法相比，本系统的综述和荟萃分析评估了风险需求-反应框架中的干预措施的证据。

方法

搜索了六个数据库（PsycINFO，Web of Science，PubMed，EMBASE，SCOPUS，PILOTS）以研究检查IPV干预措施有效性的研究。

结果

共有31项研究符合纳入标准。根据研究是比较两种治疗（n  = 17）还是使用未治疗的对照组（n  = 14）来分别分析研究。在荟萃分析中，随访≤一年的干预措施的总体效果大小为OR  = 0.52，95％CI [0.35-0.78]（p  <0.001），OR = 0.60，95 ％CI [0.46-0.78]随访一到两年的干预措施（p <0.001）。使用超过两年的随访研究得出的合并效应未达到统计学意义。亚组分析表明，效果大小因治疗类型而异，风险-需求-反应疗法相对于其他方式表现良好。

结论

风险-需要-反应性治疗在短期到中期显示出了希望，但长期维持影响的挑战仍然存在。