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2024 | Flash Funding | Developing an mHealth Intervention to Reduce Partner Violence among Heavy-Drinking Adults

FLASH FUNDED PROJECT | Whole Health Consortium

Developing an mHealth Intervention to Reduce Partner Violence among Heavy-Drinking Adults

TEAM:

This project aims to develop an accessible mobile health (mHealth) intervention to address intimate partner violence (IPV) among adults with alcohol use disorder (AUD). Research shows a strong correlation between alcohol use and IPV, with alcohol acting as both a cause and consequence of IPV. Acute alcohol intoxication increases the likelihood of IPV perpetration, and individuals who perpetrate IPV are more likely to have AUD. Despite this correlation, accessible interventions targeting IPV among adults with AUD are lacking. Existing interventions often have substantial access barriers such as cost, scheduling, transportation, and childcare needs. Interviews with individuals affected by AUD and IPV reveal a strong desire to reduce both relationship conflict and alcohol use, but stigma and shame often prevent individuals from seeking in-person treatment. Clinicians also face challenges, such as lack of IPV-specific training, liability concerns, and potential burnout, leading to a reluctance to address IPV in patients with AUD.

This project proposes using mHealth technology to detect alcohol use and IPV in real-time, providing timely interventions outside traditional therapy settings. Preliminary data supports the feasibility and effectiveness of a mobile app paired with a portable breathalyzer to detect drinking and IPV events. This approach aims to offer support in individuals' natural environments, making interventions more accessible. With 33% of women and 28% of men experiencing physical IPV, 48.4% of women and 48.8% of men experiencing psychological IPV, and IPV prevalence being higher in rural areas with fewer resources, an mHealth approach can help bridge access gaps in rural healthcare. The lifetime burden cost of IPV and AUD to the US government is substantial, highlighting the need for effective and accessible interventions. At the project's conclusion, the team will be well-positioned to further develop and implement this innovative intervention, addressing urgent public health needs.