Predictors of treatment dropout from a spouse abuse abatement program.
In spouse-abuse CBT, police history, alcohol denial, and cluster-B traits barely predict dropout, so plan for high attrition, not perfect prediction.
01Research in Context
What this study did
McSweeney et al. (2000) tracked men in a spouse-abuse counseling program. They wanted to know who would quit early.
The team looked at police records, drinking denial, and personality traits. They used simple before-and-after tests.
What they found
Only three flags raised the risk of dropout: lots of police contact, saying 'I don't have a drinking problem,' and paranoid or borderline traits.
Even together, these signs predicted just seven percent of the variance. That is too weak to guide real decisions.
How this fits with other research
Bélanger et al. (2017) ran a similar check on panic-group CBT. They also found that severe anxiety and marital conflict forecast quitting, showing the same weak-link pattern across a different problem.
Greer (1982) had already warned that we barely measure dropout in abuse programs. K et al. answer that call, yet the low power shows we still need better tools.
McIntyre et al. (2017) looked at carer traits, not client traits, and found younger, lower-SES carers drove dropout in an ID trial. Together the papers hint that both client and carer variables matter, but each explains only a slice.
Why it matters
For BCBAs running court-linked programs, do not rely on a short screener to guess who will stay. Instead, plan for high attrition: use reminder calls, flexible scheduling, and rapid engagement in the first two sessions. Keep extra seats open so you can over-book by twenty percent and still finish with a full cohort.
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02At a glance
03Original abstract
This study evaluated predictors of dropout among men who began and attended at least 1 session of a cognitive-behavioral, skills training oriented spouse abuse abatement counseling program. Based on prior research, a number of demographic, criminal justice, partner violence pattern, and personality characteristics were studied. Dropout prediction was assessed at 2 phases of program participation, during assessment (early drop) and during intervention (late drop). Overall, few of the variables studied predicted dropout. Early dropout was predicted by high rates of police contact for violent crimes, failure to self-report an alcohol problem, and paranoid personality characteristics. Late dropout was predicted by both high and moderate levels of police contact for violent crimes, and borderline personality characteristics. An Age x Violent Crime interaction suggested that young violent offenders are more likely to complete treatment. The overall model accounted for only 7.15% of the variance. Clinical and research implications are discussed.
Behavior modification, 2000 · doi:10.1177/0145445500244003