"Help Me Realize What I'm Becoming": Men's Views on Digital Interventions as a Way to Promote Early Help-Seeking for Use of Violence in Relationships.

Intimate partner violence (IPV) is a major global issue with huge impacts on individuals, families, and communities. It is also a gendered problem, with the vast majority of IPV perpetrated by men. To date, interventions have primarily focused on victim/survivors; however, it is increasingly recognized that men's use of violence must also be addressed. Despite this, there remain limited options for doing this in practice. In most high-income countries, men's behavior change programs (MBCPs) or their equivalent are the typical referral pathway, with men often mandated to attend by the criminal justice system. Yet, these programs have limited evidence for their effectiveness and recidivism and dropouts are major challenges. Moreover, an entire subset of men-those uninvolved with criminal justice settings-remain under-serviced. It is clear that a critical gap remains around early engagement with men using violence in relationships. This study explores the potential for digital interventions (websites or apps) to fill this gap through qualitative analysis of data from focus groups with 21 men attending MBCPs in Victoria, Australia. Overall, we interpreted men's perceptions of digital interventions as being able to facilitate connection with the "better man inside," with four sub-themes: (a) Don't jump down my throat straight away; (b) Help me realize what I'm becoming; (c) Seeing a change in my future; and (d) Make it simple and accessible. The findings of this study suggest that there is strong potential for digital interventions to engage early with men using IPV, but also some key challenges. Websites or apps can provide a safe, private space for men to reflect on their behavior and its consequences; however, the lack of interpersonal interaction can make it challenging to balance non-judgmental engagement with accountability. These issues should be considered when designing digital interventions for men using violence in relationships.