ADVANCE integrated group intervention to address both substance use and intimate partner abuse perpetration by men in substance use treatment: a feasibility randomised controlled trial

Background: Substance use is a risk factor for intimate partner abuse (IPA) perpetration. Delivering perpetrator interventions concurrently with substance use treatment shows promise. Methods: The feasibility of conducting an efficacy and cost-effectiveness trial of the ADVANCE 16-week intervention to reduce IPA by men in substance use treatment was explored. A multicentre, parallel group individually randomised controlled feasibility trial and formative evaluation was conducted. Over three temporal cycles, 104 men who had perpetrated IPA towards a female (ex) partner in the past year were randomly allocated to receive the ADVANCE intervention + substance use treatment as usual (TAU) (n = 54) or TAU only (n = 50) and assessed 16-weeks post-randomisation. Participants’ (ex) partners were offered support and 27 provided outcome data. Thirty-one staff and 12 men who attended the intervention participated in focus groups or interviews that were analysed using the framework approach. Pre-specified criteria assessed the feasibility of progression to a definitive trial: 1) ≥ 60% of eligible male participants recruited; 2) intervention acceptable to staff and male participants; 3) ≥ 70% of participants followed-up and 4) levels of substance use and 5) IPA perpetrated by men in the intervention arm did not increase from average baseline level at 16-weeks post-randomisation. Results: 70.7% (104/147) of eligible men were recruited. The formative evaluation confirmed the intervention’s acceptability. Therapeutic alliance and session satisfaction were rated highly. The overall median rate of intervention session attendance (of 14 compulsory sessions) was 28.6% (range 14.3–64.3% by the third cycle). 49.0% (51/104) of men and 63.0% (17/27) of their (ex) partners were followed-up 16-weeks post-randomisation. This increased to 100% of men and women by cycle three. At follow-up, neither substance use nor IPA perpetration had worsened for men in the intervention arm. Conclusions: It was feasible to deliver the ADVANCE intervention in substance use treatment services, although it proved difficult to collect data from female (ex)partners. While some progression criteria were met, others were not, although improvements were demonstrated by the third cycle. Lessons learned will be implemented into the study design for a definitive trial of the ADVANCE intervention

Gender, inclusivity and UK mosque experiences

Access to, management and attendance of places of worship often takes gendered forms. Gender imbalances in UK mosques manifests in attendance and management patterns and is reflected in the facilities available. The sense that mosques are perceived widely as ‘prayer-clubs for men’ (Maqsood 2005: 4–5) is often reflected in the physical spaces and facilities made available to female worshippers, and it must be noted that some mosques do not provide any of the latter at all (Dispatches 2006). Shockingly, a recent survey found that ‘women form part of the congregation in [only] half (51%) of the organisations surveyed’ (Coleman 2009: 10). Relatedly, UK Mosque management committees privilege male involvement, decision-making and leadership roles, with figures of as few as 15% women in management positions (Asim 2011: 34) and more who ‘will simply not entertain the idea’ (Asim 2011: 39). Such imbalances reflect the specificities of the UK-religious context (Maqsood 2005) yet, globally, women’s mosque involvement appears to be changing far more rapidly than here. This paper explores how gender, religious identity and sexualities interface with women’s mosque access, involvement and experiences therein. It draws upon original research with a sample of women, and indicates that inclusivity is an important topic in UK mosques, far beyond gender