Interventions to Prevent Intimate Partner Violence Perpetration by Men and Boys in Lower- and Middle-Income Countries: A Systematic Review Open Access

DeHond, Allayna (Spring 2021)

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Background: Intimate partner violence (IPV) affects the health and wellbeing of women across the globe, with the greatest burden of IPV encountered by women in low- and middle-income countries (LMICs). In recent years there has been a growing number of primary prevention interventions targeting IPV perpetration by men and boys. This systematic review aims to summarize the studies published to date, examining the efficacy of such primary prevention interventions in LMICs, exploring the populations studied, intervention theory, components, and delivery, and to identify gaps in the existing literature.

Methods: PudMed, EMbase, and PsychINFO were systematically searched for peer-reviewed articles, published between January 2001 and October 2020, that examined the efficacy of primary prevention interventions aiming to reduce IPV perpetration by men/boys in LMICs. Eligibility criteria included: English language, report of quantitative male IPV perpetration outcome, and study of an intervention delivered to men/boys. Study population, setting, and design, intervention components, outcome assessment methods, and IPV perpetration results were extracted from articles meeting eligibility criteria. The quality of studies was assessed using Effective Public Health Practice Project (EPHPP) tool.

Results: Seventeen articles representing 16 studies met inclusion criteria. Interventions took place in 8 different countries and utilized common methods such as community mobilization, group education sessions, and trained peer facilitators. Interventions ranged in duration from 2 months to 4 years and the most common supporting theory use was the Social Cognitive Theory. Of these 16 studies, 9 (56%) reported significant effects on at least one form of IPV perpetration. Using the EPHPP quality assessment tool, 9 studies (56%) received strong ratings, 2 (13%) received moderate ratings, and 5 (31%) received weak ratings.

Conclusions: This review highlighted several interventions targeting perpetration of IPV by men/boys that were effective, the majority of which were evidence-based, grounded in theory, and targeted multiple levels of the socio-ecological model. Key gaps in the literature, that should be the focus of future studies, include extending intervention studies to LMICs outside the 8 represented here, possibly by adapting and testing IPV prevention interventions that demonstrated efficacy, and for establishment of standardized IPV perpetration definitions, outcome measures, and tools. 

Table of Contents

Introductory pages i

Distribution Agreement i

Thesis Committee Approval Form ii

Abstract Title Page iii

Abstract iv

Thesis Title Page v

Acknowledgements vi

Acronyms vii

Introduction 1

Methods 7

Results 12

Discussion 34

Implications for Public Health 43

Conclusion 44

References 45

Tables and Figures

Table 1: Search Terms used in Databases 8

Table 2: Screening Filters 9

Figure 1: PRISMA diagram of study selection for review 13

Table 3: Characteristics of included studies 18

Table 4: Intervention names and components of included studies 23

Table 5: Program effects for various IPV perpetration outcomes 31

Table 6: EPHPP Quality Assessment ratings for included studies 33

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