Development and Pilot Evaluation of an Online Intervention to Prevent Dating Violence and Problem Drinking in Sexual Minority Youth

预防性少数青少年约会暴力和饮酒问题的在线干预措施的开发和试点评估

• 批准号: 10544805
• 负责人: Katie M Edwards
• 金额: $ 20.8万
• 依托单位: UNIVERSITY OF NEBRASKA LINCOLN
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-03-05 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10544805
• 关键词: 18 year old; Address; Adherence; Adult; Advertisements; Affect; Age; Alcohol abuse; Alcohol consumption; Area; Attention; Behavioral; Cellular Phone; Communities; Data; Development; Dropout; Educational Curriculum; Emotional; Etiology; Evaluation; Feedback; Feeling; Goals; Grant; Health; Health behavior; Healthy People 2020; Heterosexuals; Home; Individual; Institution; Intervention; Interview; Knowledge; Lesbian Gay Bisexual Transgender Queer; Literature; Mediator; Methodology; Modeling; Online Systems; Outcome; Pathway interactions; Personal Satisfaction; Persons; Phase; Pilot Projects; Prevention; Prevention program; Prevention strategy; Probability; Procedures; Public Health; Randomized; Randomized, Controlled Trials; Research; Research Infrastructure; Resources; Risk; Risk Behaviors; Risk Factors; Risk Reduction; Rural; Safety; Seasons; Sex Orientation; Surveys; Teleconferences; Testing; Violence; Waiting Lists; Youth; acceptability and feasibility; cisgender; cost effectiveness; dating violence; dating violence prevention; demographics; deter alcohol use; dosage; evidence base; experience; homonegativity; improved; informant; innovation; member; minority stress; modifiable risk; online delivery; online intervention; perceived discrimination; personalized normative feedback; pilot trial; prevent; programs; promote resilience; protective behavior; protective factors; recruit; rural area; sexual minority; sexual minority youth; sexual risk taking; skills; social media; social stigma; substance use; therapy development; treatment effect

Project Summary Dating violence (DV) is strongly associated with alcohol use (AU), and both DV and AU occur at alarmingly high rates among sexual minority youth in part because of increased minority stress4,7,18 and decreased sense of community.19,20 Prevention programming that targets these two modifiable risk and protective factors (i.e., minority stress and sense of community) in conjunction with other evidence-based DV and AU components (e.g., bystander intervention, refusal skills, personalized normative feedback, protective behavior strategies) could ultimately reduce rates of DV and AU and related health risk behaviors (e.g., sexual risk-taking) among LGBTQ+ youth. The proposed project seeks to develop a new synchronous online DV and AU prevention initiative for LGBTQ+ youth (15 to 18 years old), preliminarily entitled Radicalizing Respect and Relationships (R3). The theoretically grounded R3 Prevention Initiative (R3-PI) follows best practices for effective health behavior prevention programming,13,14 and is expected to include eight 45-minute modules intended for delivery as an online, small group program. Following a Stage 1A and 1B model, during the Development Phase we will finalize and refine the R3-PI materials; these materials will be developed based on the project team’s expertise and knowledge of the extant literature, key informant feedback (i.e., LGBTQ+ youth advisory board, experts in the field), as well as feedback from youth during an open pilot trial. During the Pilot Study Phase, 200 LGBTQ+ youth who are dating will be recruited using social media and other online advertisements and randomly assigned to a wait-list control (n = 100) or R3-PI (n = 100) conditions. Pre-, immediate, and 3-month posttests will assess the acceptability of the study procedures (e.g., compliance with survey procedures) and generate initial data on the efficacy of the R3-PI. We will also assess acceptability and feasibility of the program and research procedures via post-session surveys, program observations, evaluations of adherence and drop-out rates, and online exit interviews with a subsample of youth (n = 15 or until saturation is achieved). Ultimately, the proposed project has the potential for high public health impact because we will develop the first-ever DV and AU prevention initiative specifically tailored for LGBTQ+ youth. Further, given the online delivery format of this intervention, it has the potential to reach LGBTQ+ youth across the U.S., including youth in rural and remote areas where rates of minority stress are highest and LGBTQ+ sense of community is lowest and where fewer resources to address risk and promote resilience are available.16

项目摘要 约会暴力（DV）与饮酒（AU）密切相关，DV和AU都在令人震惊的 性少数青少年的高率部分是由于少数派压力增加4,7,18，并提高了意义 社区。19,20针对这两个可修改风险和受保护因素的预防计划（即 少数派压力和社区意识）与其他基于证据的DV和AU组件结合 （例如，旁观者干预，拒绝技能，个性化的正常反馈，保护行为策略） 最终可以降低DV和AU的速度以及相关的健康风险行为（例如，性冒险） LGBTQ+青年。拟议的项目旨在开发一个新的同步在线国内和非盟预防 LGBTQ+青年的倡议（15至18岁），初步有权尊重和关系 （R3）。理论上扎根的R3预防计划（R3-PI）遵循有效健康的最佳实践 预防行为​​节目，13,14，预计将包括八个45分钟的模块 作为在线小组计划作为在线交付。遵循阶段1A和1B模型，在开发过程中 我们将最终确定R3-PI材料；这些材料将根据项目开发 团队的专业知识和知识对外星，关键的线人反馈（即LGBTQ+青年咨询 董事会，该领域的专家），以及在开放试点审判中的青年反馈。在试点研究中 阶段，将使用社交媒体和其他在线招募约约会的200个LGBTQ+青年 广告并随机分配给候补名单控件（n = 100）或R3-PI（n = 100）条件。前， 立即和3个月的后测试将评估研究程序的可接受性（例如，遵守 调查程序）并生成有关R3-PI效率的初始数据。我们还将评估可接受性和 通过会议后调查，计划观察，计划和研究程序的可行性， 评估依从性和辍学率，以及与青年子样本的在线退出访谈（n = 15或 直到实现饱和为止）。最终，拟议的项目有可能产生高公共卫生影响 因为我们将开发有史以来第一个专门针对LGBTQ+青年量身定制的预防计划。 此外，鉴于此干预的在线交货格式，它有可能吸引LGBTQ+青年 美国，包括在少数族裔压力最高和LGBTQ+的粗糙和偏远地区的青年 社区意识是最低的，在应对风险和促进弹性的资源更少的地方是 可用16