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

描述（由申请人提供）：青少年中约会暴力的流行和后果令人震惊。在本研究中，我们提出了一个基于网络的青少年约会暴力（TDV）预防计划，少数民族中学生，这是你的游戏约会暴力（IYG-DV）。虽然它最初被称为“这是你的游戏”，...保持真实的（IYG）影响青少年性健康，它也显示出积极的影响，减少情感和身体的TDV受害和情感TDV犯罪。然而，对身体TDV犯罪没有影响，对性TDV的影响尚不清楚。因此，通过扩大国际年计划，可以加强国际年减少TDV的好处，以a）更直接地解决身体和性TDV犯罪，B）包括多个层次的社会生态模型（例如，青少年、家庭、学校工作人员）进行TDV预防。家庭暴力国际年将包括互动的、基于网络的活动（包括根据性别、关系状况和约会虐待经历量身定制的活动），以加强心理社会因素（例如，知识，技能，自我效能，态度和规范，性别角色信念，感知的父母和学校因素）与预防TDV。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，转介和资源支持。评价设计包括在10所城市中学进行的随机对照试验（n=1000名7年级青少年）。基线，即时干预后和12个月的后续学生调查将通过ACASI管理，以评估该计划的短期和长期的心理和行为结果的影响。将包括成本效益分析，以审查该计划的经济影响。家庭暴力国际年将比现有的家庭暴力预防方案有很大的优势，现有的家庭暴力预防方案大多费用高昂，对学校有限的资源造成负担，而且针对的是年龄较大的白色青年。家庭暴力国际年将：（1）为更年轻的少数民族青年设计，他们面临的家庭暴力风险更大;（2）易于交付，适合学生个人的需要;（3）纳入技术进步和互联网对青年的吸引力;（4）通过消除教师培训的必要性来减少执行费用;（5）包括家长和学校工作人员的组成部分。如果发现它是有效的，IYG-DV可以传播到美国各地的学校，在国家一级大大减少TDV和随后的成人家庭暴力。 公共卫生相关性：青少年约会暴力对青少年，特别是年轻的少数民族来说是一个严重的公共卫生问题。本研究将确定短期和长期的影响和成本效益的基于网络的青少年约会暴力预防计划的少数民族中学生，包括活动在多个层次的社会生态模型。它将为审查针对重大公共卫生挑战的预防和传播的其他途径作出重大贡献。

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.