Clinical Trial on the Effectiveness of CETA for Violence and Substance Use in Zambia
Both intimate partner violence (IPV) and alcohol misuse are highly prevalent and partner alcohol misuse is a significant contributor to women’s risk for IPV. There are few evidence-based interventions to address these in low- and middle-countries (LMIC). We evaluated the effectiveness of an evidence-based, multi-problem, flexible, transdiagnostic intervention, the Common Elements Approach (CETA) in reducing (a) women’s experience of IPV and (b) their male partner’s alcohol misuse among couples in urban Zambia.
This was a single-blind, parallel assignment randomised controlled trial in Lusaka, Zambia. Women who reported moderate or higher levels of IPV and their male partners with hazardous alcohol use were enrolled as a couple and randomized to CETA or treatment-as-usual plus safety checks (TAU-Plus). Primary outcome assessments were planned at post-treatment, 12 months post-baseline, and 24 months post-baseline. IPV was assessed by the Severity of Violence Against Women’s Scale (SVAWS) and male alcohol use by the Alcohol Use Disorders Identification Test (AUDIT). Assessors were blinded. Analyses were intent-to-treat. The trial was registered on ClinicalTrials.gov (NCT02790827).
- Lusaka, Zambia: 30 projects - selected city