Table 2.
intervention components
| Factors underpinning IPA in substance using men | COM-B | TDF | Intervention function | BCTs | Translation of BCTs within ADVANCE |
|---|---|---|---|---|---|
| 1. Respect | |||||
|
Sees himself as the victim Sees himself as unable to make positive changes Believes he will lose male identity if he changes Not believe he has choices |
Reflective Motivation |
Social Role/Identity Belief about capability Intentions Goals Optimism |
Persuasion Education Enablement Modelling Incentivisation |
Acknowledge backgrounds Promote positive images Promote self-efficacy Reward positive choices Reward attendance |
Information on intergenerational IPA links Boost positive models non-abusing male Work with clients’ strengths Reward positive engagement/attendance: attend as you can Pay incentives rewarding attendance—tied to positive non-abusing goals |
| Lack understanding of the impact of his behaviour on partner | Reflective Motivation | Belief about consequences |
Education Modelling |
Demonstrate positive and negative interactions on film | Film demonstrating impact of substance led or controlling (‘protective’) behaviour on partners |
| 2. Self-regulation | |||||
|
Poor behaviour management Poor self-regulation |
Physical capability | Behavioural Regulation |
Enablement Modelling Incentivisation |
Introduce self-management Manage Emotions SMART goals |
Films demonstrating how to do it differently Demonstrate distress tolerance Incentives for Attendance |
| 3. Substance use | |||||
|
See substances as controlling his behaviour Fail to inhibit controlling or abusive behaviours |
Physical Capability | Physical Skills |
Education Enablement |
Feedback on substances and behavioural choice Promote behaviour management Distress tolerance |
Provide input on range of influences of substances on behaviours: acquisition, intoxication, withdrawal, lifestyle Introduce behavioural strategies to reduce abusive and controlling behaviours |
| Lack understanding of range of impact of substance use on his thinking and behaviour | Psychological Capability | Knowledge | Education | Provide information on impact of substances on behaviours | Films demonstrating impact of substances via acquisition, intoxication, withdrawal, lifestyle and entitlement on behaviours |
|
Poor ability to challenge Negative automatic thoughts (NATs) Poor perspective taking |
Psychological Capability | Memory, attention and decision | Enablement |
Advice on cues for conflict Elicit client input |
Increase awareness of triggers/cues to relationship conflict Increase self-awareness |
| Psychological Capability | Emotion |
Persuasion Enablement |
Show positive images Work ‘with’ clients’ motivation Highlight strengths |
Film of masculinities to challenge Films of doing it differently to enhance motivation Focus on personal goals Develop skills to plan and enact positive relationship behaviours |
|
| Physical opportunity |
Context Resources |
Enablement Education |
Support non abusing partner Identify opportunities to practice |
Proactive contact and information and support for non-abusing partner to minimise opportunity for ongoing abuse Value out of session work Provide additional telephone calls to encourage ‘try it out’ Teach positive relationship skills: perspective taking and communication |
|
| Social opportunity | Social influences | Modelling | Demonstrate respectful communication |
Show respectful positive communication between facilitators Respectful challenge between facilitators and group members Respect and ground rules in group |
|