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

项目摘要 约会暴力(DV)与饮酒(AU)密切相关，DV和AU都以惊人的速度发生 性少数青年的高比率，部分原因是少数族裔压力增加，4，7，18，感觉减弱 19，20针对这两个可修改的风险和保护因素的预防规划(即， 少数群体压力和社区意识)与其他基于证据的DV和AU组成部分相结合 (例如，旁观者干预、拒绝技巧、个性化规范反馈、保护性行为策略) 可最终降低DV和AU以及相关的健康危险行为(例如性风险)的发病率 LGBTQ+青年。拟议的项目旨在开发一种新的同步在线DV和AU预防 LGBTQ+青年(15至18岁)倡议，初步名称为激进式尊重和关系 (R3)。理论上以R3为基础的预防计划(R3-PI)遵循有效健康的最佳实践 行为预防方案，13，14，预计包括8个45分钟的模块，旨在 以在线小组计划的形式提供服务。在开发过程中遵循阶段1A和1B模式 我们将最终确定和细化R3-PI材料；这些材料将在项目的基础上开发 团队对现有文献的专业知识、关键信息反馈(即LGBTQ+青年咨询 委员会、该领域的专家)，以及在公开试点试验期间来自青年的反馈。在试点研究期间 阶段，将通过社交媒体和其他在线方式招募200名正在约会的LGBTQ+青年 广告并随机分配到等待列表控制(n=100)或R3-PI(n=100)条件。前-- 即时和3个月的后测将评估研究程序的可接受性(例如，遵守 调查程序)，并生成关于R3-PI有效性的初步数据。我们还将评估可接受性和 方案的可行性和研究程序通过会后调查、方案观察、 对坚持和辍学率的评估，以及对青年(n=15或 直到达到饱和为止)。最终，拟议的项目可能会对公众健康产生重大影响 因为我们将制定有史以来第一个专门为LGBTQ+年轻人量身定做的DV和AU预防倡议。 此外，考虑到这种干预的在线交付形式，它有可能覆盖整个LGBTQ+青年 美国，包括少数民族压力发生率最高的农村和偏远地区的青年和LGBTQ+ 社区意识最低，用于应对风险和提高复原力的资源较少 Available.16

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