Its Your Game: An Innovative Approach to Preventing Teen Dating Violence

描述（由申请人提供）：青少年约会暴力的普遍程度及其后果令人担忧。在本研究中，我们建议评估一个基于网络的少数民族中学生青少年约会暴力（TDV）预防项目——It's Your Game-Dating violence （IYG-DV）。虽然最初是以《It's Your Game》的名义开发的……保持真实（Keep it Real， IYG）对青少年性健康的影响，对减少情绪和身体上的TDV受害以及情绪上的TDV加害也有积极的影响。然而，对生理上的TDV行为没有影响，对性上的TDV的影响尚不清楚。因此，通过将青少年青少年年规划扩展到：a)更直接地解决身体和性方面的青少年青少年家暴犯罪；b)涵盖预防青少年家暴的社会生态模式的多个层面（如青年、家庭、学校员工），可以增强青少年青少年年在减少TDV方面的效益。IYG-DV将包括基于网络的互动活动（包括根据性别、关系状况和约会虐待经历量身定制的活动），以增强与预防TDV相关的社会心理因素（例如，知识、技能、自我效能、态度和规范、性别角色信念、感知到的父母和学校因素）。它还将纳入基于网络的学校工作人员和家长材料，以协助识别、技能培训、推荐和资源支持。评估设计将包括在10所城市中学进行的随机对照试验（n=1000名七年级青少年）。基线调查、干预后立即调查和12个月的跟踪调查将通过ACASI进行，以评估该计划对心理社会和行为结果的短期和长期影响。成本效益分析将包括在内，以检查该计划的经济影响。与现有的TDV预防项目相比，IYG-DV将具有显著的优势。现有的TDV预防项目大多成本高昂，而且/或者对学校有限的资源征税，主要针对年龄较大的白人青年。IYG-DV将(1)为TDV风险较高的年轻少数民族青年设计；(2)易于交付，并根据学生的个别需求量身定制；(3)结合科技进步和互联网对年轻人的吸引力；(4)通过消除对教师培训的需求来降低实施成本；(5)包括家长和学校工作人员组成部分。如果发现有效，IYG-DV可以在美国的学校传播，在全国范围内大大减少TDV和随后的成人家庭暴力。

DESCRIPTION (provided by applicant): The prevalence and consequences of dating violence among young adolescents is alarming. In this study, we propose to evaluate a web-based teen dating violence (TDV) prevention program for ethnic minority middle school students, It's Your Game-Dating Violence (IYG-DV). Although initially developed as It's Your Game...Keep it Real (IYG) to impact adolescent sexual health, it has also shown positive impact on reducing emotional and physical TDV victimization and emotional TDV perpetration. There were no effects, however, for physical TDV perpetration and effects on sexual TDV are unknown. The benefits of IYG for reducing TDV, therefore, can be enhanced by expanding the IYG program to a) more directly address physical and sexual TDV perpetration and b) encompass multiple levels of the social-ecological model (e.g., youth, family, school staff) for TDV prevention. IYG-DV will include interactive, web-based activities (including activities tailored by gender, relationship status, and experience of dating abuse) to enhance psychosocial factors (e.g., knowledge, skills, self-efficacy, attitudes and norms, gender role beliefs, perceived parental and school factors) related to preventing TDV. It will also incorporate web-based school staff and parent materials to assist with identification, skills training, referral, and resource support. Th evaluation design will comprise a randomized controlled trial (n=1000 7th-grade youth) in 10 urban middle schools. Baseline, immediate post- intervention and 12-month follow-up student surveys will be administered via ACASI to assess the program's short- and long-term impact on psychosocial and behavioral outcomes. Cost-effectiveness analyses will be included to examine the program's economic impact. IYG-DV will have significant advantages over existing TDV prevention programs, most of which are costly and/or taxing on schools' limited resources and targeted to older predominantly white youth. IYG-DV will (1) be designed for younger, ethnic minority youth, who are at increased risk for TDV; (2) be easily delivered and tailored to individual student needs; (3) incorporate technological advances and the Internet's appeal to youth; (4) reduce implementation costs by removing the need for teacher training; and (5) include parent and school staff components. If it is found to be effective, IYG-DV could be disseminated to schools across the United States, dramatically reducing TDV and subsequent adult domestic violence on a national level. PUBLIC HEALTH RELEVANCE: Teen dating violence presents a serious public health problem for adolescents, especially young ethnic minorities. This study will determine the short- and long-term impact and cost-effectiveness of a web-based teen dating violence prevention program for ethnic minority middle school youth that incorporates activities at multiple levels of the social-ecological model. It will provide a significant contribution in examining additional avenues for prevention and dissemination to target a major public health challenge.