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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预防亲密伴侣暴力犯罪者累犯的干预措施的有效性：系统评价和荟萃分析

 背景

此前对预防亲密伴侣暴力（IPV）累犯的干预措施的审查指出，其好处微乎其微，并且对针对不同类别的犯罪者采取“一刀切”方法的干预措施持批评态度。与更传统的“一刀切”干预方法相比，本系统回顾和荟萃分析评估了风险-需求-响应框架中干预措施的证据。

 方法

检索了六个数据库（PsycINFO、Web of Science、PubMed、EMBASE、SCOPUS、PILOTS），以查找检查 IPV 干预措施有效性的研究。

 结果

三十一项研究符合纳入标准。根据是否比较两种治疗方法（ n = 17）或使用未治疗对照组（ n = 14）对研究进行单独分析。在荟萃分析中，随访时间≤一年的干预措施的总体效应大小为OR = 0.52，95% CI [0.35–0.78] ( p < 0.001)，OR = 0.60，95% CI [0.46–0.78]对于随访一到两年的干预措施（ p < 0.001）。使用两年以上随访的研究的汇总效果并未达到统计显着性。亚组分析表明，不同治疗类型的效果大小不同，风险-需求-响应治疗相对于其他治疗方式表现良好。

 结论

风险需求响应治疗在中短期内显示出希望，但长期维持效果的挑战仍然存在。