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Stage of Change as a Predictor of Attrition Among Men in a Batterer Treatment Program

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Abstract

This study assessed the contribution of the men's stage of change to the prediction of attrition among men attending a batterer treatment program. As outlined by the transtheoretical model of change, men were classified into the precontemplation, contemplation, or action stage based on their level of change motivation and behavior. It was hypothesized that men in the precontemplation stage would dropout of treatment at higher rates than men in later stages of change. Participants were 308 men who enrolled in a batterer treatment program over the course of 1 year, 61.4% of whom dropped out of treatment. Counselor rated, but not self-rated stage of change significantly predicted treatment completion once traditionally used demographic, contextual, and personality variables were taken into account. Specifically, men identified by counselors as being in the precontemplation stage were 2.3 times as likely as men rated in the contemplation stage and 8.8 times as likely as men rated in the action stage to dropout of treatment. Referral source, age, and history of arrest also made significant contributions to the prediction of attrition. The best combination of predictors led to the successful classification of 72% of the cases, 98% of the dropouts but only 19% of the completers. Discussion focuses on the limitations of current findings and their implications for the use of the transtheoretical model to predict attrition from batterer treatment.

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References

  • Aldarondo, E., and Sugarman, D. B. (1996). Risk marker analysis of the cessation and persistence of wife assault. J. Consult. Clin. Psychol. 64: 1010-1019.

    Google Scholar 

  • Aldrich, J. H., and Nelson, F. D. (1984). Linear Probability, Logit, and Probit Models: Sage University Paper Series on Quantitative Applications in the Social Sciences, Sage, Newbury Park, CA.

    Google Scholar 

  • Barlow, D. H. (1989). Treatment outcome evaluation methodology with anxiety disorders: Strengths and key issues. Adv. in Behav. Res. Ther. 11: 121-132.

    Google Scholar 

  • Brown, P. D., O'Leary, D., and Feldbau, S. R. (1997). Dropout in a treatment program for self-referring wife abusing men. J. Fam. Violence 12: 365-387.

    Google Scholar 

  • Cadsky, O., Hansen, K. H., Crawford, M., and Lalonde, C. (1996). Attrition from a male batterer treatment program: Client-treatment congruence and lifestyle instability. Violence Vict. 11: 51-64.

    Google Scholar 

  • Chen, H., Bersani, C., Meyers, S. C., and Denton, R. (1989). Evaluating the effectiveness of a court sponsored treatment program. J. Fam. Violence 4: 309-322.

    Google Scholar 

  • Cleary, P. D., and Angel, R. (1984). The analysis of relationships involving dichotmous variables. J. Health Soc. Behav. 25: 334-348.

    Google Scholar 

  • Daly, J. E., and Pelowski, S. (2000). Predictors of dropout among men who batter: A review of studies with implications for research and practice. Violence Vict. 15: 137-160.

    Google Scholar 

  • Davis, R. C., and Smith, B. (1995). Domestic violence reforms: Empty promises or fulfilled expectations. Crime Delinq. 41: 541-552.

    Google Scholar 

  • DeHart, D. D., Kennerly, R. J., Burke, L. K., and Follingstad, D. R. (1999). Predictors of attrition in a treatment program for battering men. J. Fam. Violence 14: 19-34.

    Google Scholar 

  • DeMaris, A. (1989). Attrition in batterers' counseling: The role of social and demographic factors. Soc. Serv. Rev. 142-154.

  • Dunn, R. L., and Schwebel, A. I. (1995). Meta-analytic review of marital therapy outcome research. J. Fam. Psychol. 9: 58-68.

    Google Scholar 

  • Edleson, J. L., and Grusznski, R. J. (1988). Treatment men who batter: Four years of outcome data from the domestic abuse project. J. Soc. Serv. Res. 12: 3-22.

    Google Scholar 

  • Elkin, I., Shea, M. T., Watkins, J. T., Imber, S. D., Sotsky, S. M., Collins, J. F., Glass, D. R., Pilkonis, P. A., Weber, W. R., Docherty, J. P., Fiester, S. J., and Parloff, M. B. (1989). NIMH treatment of depression collaborative research program: General effectiveness of treatment. Arch. Gen. Psychiatry 46: 971-982.

    Google Scholar 

  • Faulkner, K. K., Cogan, R., Nolder, M. and Shooter, G. (1991). Characteristics of men and women completing cognitive–behavioral spouse abuse treatment. J. Fam. Violence 6: 243-254.

    Google Scholar 

  • Garfield, S. L. (1994). Research on client variables in psychotherapy. In Bergin, A. E., and Garfield, S. L. (eds.). Handbook of Psychotherapy and Behavior Change, 4th edn.), Wiley, New York, pp. 190-228.

    Google Scholar 

  • Gondolf, E. W. (1990). An exploratory survey of court-mandated batterer programs. Response 13: 7-11.

    Google Scholar 

  • Gondolf, E. W. (1997). Batterer programs: What we know and need to know. J. Interpers. Violence 12: 83-98.

    Google Scholar 

  • Gondolf, E. W. (2000). Mandatory court review and batterer program compliance. J. Interpers. Violence 15: 428-437.

    Google Scholar 

  • Gondolf, E. W., and Foster, R. A. (1991). Pre-program attrition in batterer programs. J. Fam. Violence 6: 337-349.

    Google Scholar 

  • Grusznski, R. J., and Carrillo, T. P. (1988). Who completes batterer's treatment groups? An empirical investigation. J. Fam. Violence 3: 141-150.

    Google Scholar 

  • Hahlweg, K., and Markman, H. J. (1988). Effectiveness of behavioral marital therapy: Empirical status of behavioral techniques in preventing and alleviating marital distress. J. Consult. Clin. Psychol. 56: 440-447.

    Google Scholar 

  • Hamberger, L. K., and Hastings, J. E. (1989). Counseling male spouse abusers: Characteristics of treatment completers and dropouts. Violence Vict. 4: 275-286.

    Google Scholar 

  • Hamberger, L. K., Lohr, J. M., and Gottlieb, M. (2000). Predictors of treatment dropout from a spouse abuse abatement program. Behav. Modif. 24: 528-552.

    Google Scholar 

  • Harris, R., Savage, S., Jones, T., and Brooke, W. (1988). A comparison of treatments for abusive men and their partners within a family-service agency. Can. J. Commun. Men. Health 7: 147-155.

    Google Scholar 

  • Health Canada (1998). Canada's Treatment Programs for Men Who Abuse Their Partners (Rep. No. Cat. H72-21/107–1998), Minister of Public Works and Government Services Canada, Ottawa, ON.

    Google Scholar 

  • McConnaughy, E. A., DiClemente, C. C., Prochaska, J. O., and Velicer, W. F. (1989). Stages of change in psychotherapy: A follow-up report. Psychotherapy 26: 494-503.

    Google Scholar 

  • McConnaughy, E. A., Prochaska, J. O., and Velicer, W. F. (1983). Stages of change in psychotherapy: Measurement and sample profiles. Psychother.: Theory Res. Pract. 20: 368-375.

    Google Scholar 

  • Miller, W. R., and Rollnick, S. (1991). Motivational Interviewing: Preparing People to Change Addictive Behavior, Guilford, New York.

    Google Scholar 

  • Murphy, C. M., Musser, P. H., and Maton, K. I. (1998). Coordinated community intervention for domestic abusers: Intervention system involvement and criminal recidivism. J. Fam. Violence 13: 263-284.

    Google Scholar 

  • Leary, K. D., Malone, J., and Tyree, A. (1994). Physical aggression in early marriage: Prerelationship and relationship effects. J. Consult. Clin. Psychol. 62: 594-602.

    Google Scholar 

  • Pence, E., and Paymar, M. (1986). Power and Control: Tactics of Men Who Batter, Minnesota Program Development, Duluth, MN.

    Google Scholar 

  • Pirog-Good, M., and Stets-Kealey, J. (1985). Male batterers and battering prevention programs: A national survey. Response 8-12.

  • Prochaska, J. O. (1991). Prescribing to the stage and level of phobic patients. Psychotherapy 28: 463-468.

    Google Scholar 

  • Prochaska, J. O., and DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychother.: Theory Res. Pract. 19: 276-288.

    Google Scholar 

  • Prochaska, J. O., DiClemente, C. C., and Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. Am. Psychol. 47: 1102-1114.

    Google Scholar 

  • Prochaska, J. O., Velicer, W. F., Rossi, J. S., Goldstein, M. G., Marcus, B. H., Rakowski, W., Fiore, C., Harlow, L. L., Redding, C. A., Rosenbloom, D., and Rossi, S. R. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychol. 13: 39-46.

    Google Scholar 

  • Saltstone, R., Halliwell, S., and Hayslip, M. A. (1994). A multivariate evaluation of the Michigan alcoholism screening test and the drug abuse screening test in a female offender population. Addict. Behav. 19: 455-462.

    Google Scholar 

  • Saunders, D. G., and Hanusa, D. (1986). Cognitive–behavioral treatment for men who batter: The short-term effects of group therapy. J. Fam. Violence 1: 357-372.

    Google Scholar 

  • Saunders, D. G., and Parker, J. C. (1989). Legal sanctions and treatment follow-through among men who batter: A multivariate analysis. Soc. Work Res. Abstr. 21-29.

  • Scott, K. L. (2001). An Application of the Transtheoretical Model to Understanding Change Among Male Batterers, Unpublished doctoral dissertation, University of Western Ontario, Canada.

    Google Scholar 

  • Scott, K. L. (in press). Validation of a change-based typology of abuse men: A new application of the URICA. J. Int. Violence

  • Selzer, M. L. (1971). The Michigan Alcoholism Screening Test: The quest for a new diagnostic instrument. Am. J. Psychiatry 127: 1653-1658.

    Google Scholar 

  • Selzer, M. L., Vinokur, A., and van Rooijen, L. (1975). A self-administered Short Michigan Alcoholism Screening Test (SMAST). J. Stud. Alcohol 36: 117-126.

    Google Scholar 

  • Shadish, W. R., Montgomery, L. M., Wilson, P., Wilson, M. R., Bright, I., and Okwumabua, T. (1993). Effects of family and marital psychotherapies: A meta-analysis. J. Consult. Clin. Psychol. 61: 992-1002.

    Google Scholar 

  • Smith, K. J., Subich, L. M., and Kalodner, C. (1995). The transtheoretical model's stages and processes of change and their relation to premature termination. J. Counsel. Psychol. 42: 34-39.

    Google Scholar 

  • Straus, M. A., and Gelles, R. (1990). Physical Violence in American Families, Transaction, New Brunswick, NJ.

    Google Scholar 

  • Tabachnick, B. G., and Fidell, L. S. (1989). Using Multivariate Statistics, 2nd edn., Harper Collins, New York.

    Google Scholar 

  • Walitzer, K. S., Derman, K. H., and Conners, G. L. (1999). Strategies for preparing clients for treatment: A review. Behav. Modif. 23: 129-151.

    Google Scholar 

  • Wierzbicki, M., and Petarik, G. (1993). A meta-analysis of psychotherapy dropout. Prof. Psychol.: Res. Pract. 24: 190-195.

    Google Scholar 

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Scott, K.L. Stage of Change as a Predictor of Attrition Among Men in a Batterer Treatment Program. Journal of Family Violence 19, 37–47 (2004). https://doi.org/10.1023/B:JOFV.0000011581.01231.1e

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