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

项目概要 约会暴力 (DV) 与饮酒 (AU) 密切相关，并且 DV 和 AU 的发生率都令人震惊 性少数群体青少年的比例较高，部分原因是少数群体压力增加4,7,18和意识下降 19,20 针对这两个可改变的风险和保护因素的预防规划（即 少数族裔压力和社区意识）以及其他基于证据的 DV 和 AU 组成部分 （例如，旁观者干预、拒绝技巧、个性化规范反馈、保护行为策略） 最终可以降低 DV 和 AU 的发生率以及相关的健康风险行为（例如，性冒险） 拟议项目旨在开发一种新的同步在线 DV 和 AU 预防方法。 针对 LGBTQ+ 青少年（15 至 18 岁）的倡议，初步标题为“激进尊重和关系” (R3) 具有理论基础的 R3 预防倡议 (R3-PI) 遵循有效健康的最佳实践。 行为预防编程，13,14 预计将包括八个 45 分钟的模块，旨在 在开发过程中，按照第 1A 阶段和第 1B 阶段的模式以在线小组项目的形式进行交付。 阶段我们将最终确定和完善R3-PI材料，这些材料将根据该项目进行开发； 团队的专业知识和现有文献知识、关键信息者反馈（即 LGBTQ+ 青年咨询 董事会、该领域的专家），以及试点研究期间公开试点试验期间年轻人的反馈。 阶段，将使用社交媒体和其他在线方式招募 200 名正在约会的 LGBTQ+ 青少年 广告并随机分配给等待名单控制 (n = 100) 或 R3-PI (n = 100) 条件。 立即和 3 个月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 功效的初始数据。我们还将评估可接受性和有效性。 通过会后调查、计划观察来确定计划和研究程序的可行性， 对依从率和辍学率的评估，以及对青年子样本（n = 15 或 最终，拟议项目有可能对公共卫生产生重大影响。 因为我们将制定首个专为 LGBTQ+ 青少年量身定制的 DV 和 AU 预防计划。 此外，考虑到这种干预措施的在线交付形式，它有可能影响 LGBTQ+ 青少年 美国，包括少数民族和 LGBTQ+ 压力最高的农村和偏远地区的年轻人 社区意识最低，应对风险和提高复原力的资源也较少 可用.16