A Stage-Based Expert System for Teen Dating Violence Prevention

基于阶段的青少年约会暴力预防专家系统

• 批准号: 8076417
• 负责人: DEBORAH A LEVESQUE
• 金额: $ 9.93万
• 依托单位: PRO-CHANGE BEHAVIOR SYSTEMS, INC.
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-11 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8076417
• 关键词: Accident and Emergency department; Accounting; Adolescence; Alcohol consumption; Attitude; Behavior Control; Characteristics; Computer Graphics; Computers; Control Groups; Data; Educational Curriculum; Emotional; Exercise; Expert Systems; Family; Feedback; Female; Foundations; Frequencies; Future; Gender; Homicide; Hospitals; Illinois; Individual; Individual Differences; Injury; Intervention; Learning; Life; Maintenance; Modeling; Multimedia; Outcome; Outcome Measure; Participant; Pattern; Phase; Preparation; Prevention; Prevention program; Randomized; Randomized Clinical Trials; Readiness; Recording of previous events; Reliance; Reporting; Schools; Staging; Structure; Students; Technology; Teen Dating Violence; Teenagers; Testing; Text; Treatment Efficacy; Undifferentiated; Victimization; Violence; Woman; Work; base; behavior change; boys; dating violence; dating violence prevention; experience; follow-up; girls; help-seeking behavior; high school; improved; interactive multimedia; intimate partner violence; male; maltreatment; meetings; neglect; peer; peer violence; perpetrators; posters; prevent; primary outcome; programs; prototype; public health relevance; secondary outcome; sexual coercion; skills; therapy design; therapy development; web page; web site

DESCRIPTION (provided by applicant): Male-to-female intimate partner violence accounts for 26 percent of violence-related injuries in women presenting in hospital emergency departments and 33 percent of all female homicides. Adolescence provides an excellent "window of opportunity" for the prevention of intimate partner violence. Patterns of relating in intimate relationships are still relatively undifferentiated and open to influence. However, the evidence supporting traditional, school-based programs for the prevention of teen dating violence is mixed. A major problem with existing programs is that they are "one size fits all," making it difficult to meet the diverse needs of students boys and girls, individuals who are dating and those who are not, individuals who have experienced dating violence as a victim, perpetrator, or both, and those who have not. Perhaps most importantly, these interventions neglect individual differences in readiness to use healthy, non-violent ways of relating to stay violence-free. In Phase I the objective was to use expert system technology to integrate best practices for teen dating violence prevention with the Transtheoretical Model (TTM), the "stage model," to develop an interactive, multimedia computer-administered change program that delivers individualized intervention sessions and exercises tailored to stage of change and other individual characteristics. In Phase II, the objective is to complete development of the intervention package and assess its efficacy in a randomized clinical trial involving 4,000 teens from 20 Illinois high schools. Efficacy will be assessed by comparing the intervention and control groups on dating violence victimization and perpetration, frequency of skill use, attitudes supporting dating violence, and several secondary outcome measures. Public Health Relevance: The proposed project is the first to develop a multimedia, computer-administered teen dating violence prevention program based on an empirically validated model of behavior change, the Transtheoretical Model. The program delivers interventions tailored to individual dating history, dating violence experiences, gender, and stage of change for using healthy relationship skills to stay violence free. The intervention has the potential to reduce and prevent teen dating violence and it physical and emotional consequences, and improve the lives and relationships of teens now and in the future.

描述（由申请人提供）：男性对女性亲密伴侣暴力占医院急诊室女性暴力相关伤害的 26%，占所有女性凶杀案的 33%。青春期为预防亲密伴侣暴力提供了极好的“机会之窗”。亲密关系中的交往模式仍然相对未分化且容易受到影响。然而，支持传统的、以学校为基础的预防青少年约会暴力计划的证据却好坏参半。现有计划的一个主要问题是它们“一刀切”，很难满足男孩和女孩学生、正在约会的人和没有约会的人、作为受害者经历过约会暴力的人的多样化需求、犯罪者或两者兼而有之，以及那些没有犯罪的人。也许最重要的是，这些干预措施忽视了在准备使用健康、非暴力的方式来保持无暴力方面的个体差异。第一阶段的目标是利用专家系统技术将预防青少年约会暴力的最佳实践与跨理论模型（TTM）（“阶段模型”）相结合，开发交互式、多媒体计算机管理的变革计划，提供个性化的干预课程以及针对变化阶段和其他个人特征量身定制的练习。第二阶段的目标是完成干预方案的开发，并在一项随机临床试验中评估其功效，该试验涉及来自伊利诺伊州 20 所高中的 4,000 名青少年。将通过比较干预组和对照组在约会暴力受害和实施、技能使用频率、支持约会暴力的态度以及一些次要结果指标方面的效果来评估效果。公共卫生相关性：拟议的项目是第一个基于经经验验证的行为改变模型（跨理论模型）开发多媒体、计算机管理的青少年约会暴力预防计划的项目。该计划针对个人约会历史、约会暴力经历、性别以及使用健康的关系技巧来避免暴力的变化阶段提供量身定制的干预措施。该干预措施有可能减少和防止青少年约会暴力及其对身体和情感的影响，并改善青少年现在和未来的生活和人际关系。