Skip to main content
Duke University Libraries
DukeSpace Scholarship by Duke Authors
  • Login
  • Ask
  • Menu
  • Login
  • Ask a Librarian
  • Search & Find
  • Using the Library
  • Research Support
  • Course Support
  • Libraries
  • About
View Item 
  •   DukeSpace
  • Theses and Dissertations
  • Duke Dissertations
  • View Item
  •   DukeSpace
  • Theses and Dissertations
  • Duke Dissertations
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Development and Piloting of an Intervention to Reduce Alcohol Use and Improve Family Engagement Among Fathers in Kenya

Thumbnail
View / Download
2.6 Mb
Date
2020
Author
Giusto, Ali
Advisor
Puffer, Eve
Repository Usage Stats
132
views
28
downloads
Abstract

Problem drinking accounts for 9.6% of disability-adjusted life years worldwide, and disproportionally affects men with disabling physical, psychological, and behavioral consequences. These can lead to a cascade of negative effects on men’s families, with documented ties to intimate partner violence (IPV) and child maltreatment. These problems are often exacerbated where poverty rates are high, including low and middle-income countries (LMICs). To begin to address intersecting risks, two studies were completed. Study 1 aimed to develop an alcohol reduction and family engagement intervention for fathers with problem drinking in Kenya using a mixed-method, multi-step process, as well as evaluate its feasibility and acceptability among fathers and lay counselors using process data from the pilot trial. Study 2 aimed to pilot and examine the initial impact of the intervention on alcohol use and related problems in the family using a non-concurrent multiple baseline single case series design. Study 1 resulted in a 5-session family-focused intervention rooted in behavioral activation (BA), motivational interviewing (MI), and gender transformative strategies (GTS) modified for context-specific goal and streamlined for lay providers. Results indicated the treatment was feasible and acceptable to fathers with high attendance, high satisfaction, acceptance of implementation strategies, and perceived program helpfulness. Counselors with no prior formal training in mental health were able to recruited and trained as counselors and demonstrated reached high rates of intervention fidelity implemented with good quality and high general counselor competency. In Study 2, quantitative and qualitative findings demonstrated promising findings. Fathers who completed treatment (n=8) showed significant reductions in alcohol use during treatment and follow-up periods in comparison to the time prior to treatment. Improvements were also seen in alcohol-related conflict, drinking-related problems, father involvement, and missed family time due to drinking from the perspective of multiple reporters, as well as in secondary outcomes of individual mental health, couple relationship quality, and father-child relationship quality. Indicators of family violence did not show significant improvements, but trended in the expected direction. Results suggest that the developed treatment may be helpful for reducing men’s alcohol use and family outcomes.

Description
Dissertation
Type
Dissertation
Department
Psychology and Neuroscience
Subject
Psychology
Permalink
https://hdl.handle.net/10161/19789
Citation
Giusto, Ali (2020). Development and Piloting of an Intervention to Reduce Alcohol Use and Improve Family Engagement Among Fathers in Kenya. Dissertation, Duke University. Retrieved from https://hdl.handle.net/10161/19789.
Collections
  • Duke Dissertations
More Info
Show full item record
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.

Rights for Collection: Duke Dissertations


Works are deposited here by their authors, and represent their research and opinions, not that of Duke University. Some materials and descriptions may include offensive content. More info

Make Your Work Available Here

How to Deposit

Browse

All of DukeSpaceCommunities & CollectionsAuthorsTitlesTypesBy Issue DateDepartmentsAffiliations of Duke Author(s)SubjectsBy Submit DateThis CollectionAuthorsTitlesTypesBy Issue DateDepartmentsAffiliations of Duke Author(s)SubjectsBy Submit Date

My Account

LoginRegister

Statistics

View Usage Statistics
Duke University Libraries

Contact Us

411 Chapel Drive
Durham, NC 27708
(919) 660-5870
Perkins Library Service Desk

Digital Repositories at Duke

  • Report a problem with the repositories
  • About digital repositories at Duke
  • Accessibility Policy
  • Deaccession and DMCA Takedown Policy

TwitterFacebookYouTubeFlickrInstagramBlogs

Sign Up for Our Newsletter
  • Re-use & Attribution / Privacy
  • Harmful Language Statement
  • Support the Libraries
Duke University