Promoting Health of Youth with Disabilities through Violence Prevention Efforts

描述（由申请人提供）：促进残疾青年的健康和福祉是一个重大的公共卫生问题。 近5400万美国人患有干扰生活活动的残疾，研究表明，残疾青年比普通人群中的残疾青年更容易出现危害健康的行为，包括参与暴力。 健康促进计划可以使这些年轻人受益匪浅，学校为实施这些努力提供了一个实际而重要的社会环境。 不幸的是，大多数基于学校的暴力预防方案是为一般人群制定的，这些方案的有效性尚未在残疾青年中进行评估，取得进展的关键一步是修改暴力预防工作，经验证明对一般人群有效，如以和平和积极的方式应对（RIPP），满足残疾青年的需求，并确定此类干预措施对这一人群的有效性。 残疾青年遭受暴力和伤害的风险很高，危害健康的行为与反社会行为的增加、抑郁和焦虑程度较高以及生活满意度下降密切相关。该研究项目的目标包括：（1）加强社区参与预防残疾青年暴力的工作，（2）与残疾青年及其教师合作，更好地了解这些青年普遍面临的使他们面临暴力风险的问题情况，并确定在修改残疾青年暴力预防方案干预措施方面的支持和挑战，（4）评估RIPP对残疾青少年的有效性。 残疾青年的参与包括在这个研究项目的每个阶段，希望创造一个最有效的方案。 虽然这个项目的重点是一个具体的干预措施，我们预计，它将提供一个实用的模板，在其他学校和学校系统的健康促进工作的复制。

DESCRIPTION (provided by applicant): The promotion of health and well-being among youth with disabilities is a significant public health concern. Almost 54 million Americans have disabilities that interfere with life activities, and research suggests that youth with disabilities are at higher risk that those in the general population for health-compromising behaviors including involvement in violence. Health promotion programs may benefit these youth greatly, and schools offer a practical and important social context for implementing such efforts. Unfortunately, most school-based violence prevention programs were developed for the general population and the effectiveness of these programs has not been evaluated among youth with disabilities, A key step in making progress is this area is to modify violence prevention efforts empirically demonstrated to be effective for the general population, such as Responding in Peaceful and Positive Ways (RIPP), to meet the needs of youth with disabilities and to determine the effectiveness of such interventions for this population. Youth with disabilities are at a high risk for violence perpetration and victimization, health-compromising behaviors that are strongly related to increased rates of anti-social behavior, higher levels of depression and anxiety, and decreased life satisfaction. The goals of this research project include the following: (1) to increase community involvement in violence prevention efforts for youth with disabilities, (2) to work with youth with disabilities and their teachers to better understand the problem situations commonly faced by these youth that place them at risk for violence involvement, and identify supports and challenges in modifying the RIPP interventions for youth with disabilities, and (4) to evaluate the effectiveness of RIPP for youth with disabilities. Participation from youth with disabilities is included at each phase of this research project in hopes of creating a maximally effective program. Although this project focuses on a specific intervention, we anticipate that it will offer a practical template for the replication of health promotion efforts in other schools and school systems.