A Randomized Efficacy Trial of Moms and Teens for Safe Dates

母亲和青少年安全约会的随机疗效试验 重要性：遭受过家庭暴力的儿童患许多负面疾病的风险增加。 结果，包括将问题和行为内化和外化，1-6，它们面临的风险更高 当他们成为青少年时，对他们的约会伙伴使用暴力。7-13,183尽管如此， 风险和事实是，每年约有1500万儿童遭受家庭暴力，14 没有对在这一人群中进行的约会虐待预防计划进行评估。 目的：这项拟议的研究是为了测试选择性的以家庭为基础的小学方案的有效性。 防止约会虐待针对遭受家庭暴力的青少年。 这项计划将被评估，母亲和青少年的安全约会，目标是那些已经离开虐待者的母亲 配偶及其12至15岁的青少年。这项计划是在 国家司法研究所，但其效力尚未得到评估。研究的目的是：1)测试 母亲和青少年安全约会在预防心理、身体和性约会虐待方面的效果 青少年的犯罪行为；2)确定程序是否对约会虐待行为的结果产生影响 通过我们的概念中提出的基于理论和经验的中介变量的变化 模型；以及3)测试包括青少年的性别和少数民族地位在内的节目效果的主持人， 青少年遭受家庭暴力的程度，以及母亲的心理健康状况。 研究设计：采用前测后测控制组实验设计，用于评价 这个项目。将对560名符合条件的母亲及其青少年进行基线电话访谈。 在基线访谈后，这些家庭中的一半(n=280)将被随机分配到治疗中 条件和另一个到控制条件。接受治疗的家庭将获得母亲和 青少年的安全约会。将对治疗组和对照组进行后续电话采访 干预分娩后1年的母亲和青少年。除了支持开发 方案，国家司法研究所资助所有研究方案和数据的发展 收集拟议研究所需的工具；因此，我们准备评估MOMS和 青少年在拟议的随机试验中进行安全约会，能够将所有资金支持投入到 计划评估，而不是同时进行计划开发和评估。 地点：北卡罗来纳州研究人员将与北卡罗来纳州反对家庭暴力联盟的工作人员合作 暴力(NCCADV)招募合格的母亲和提供母亲和青少年安全约会方案。 NCCADV是CDC通过Delta计划资助的14个州级联盟之一，Delta计划是一种机制 被疾控中心用来促进亲密伴侣暴力的初级预防。通过与 将建立NCCADV、系统和协议，供他们和达美航空在 如果发现是有效的，未来将向母亲和青少年传播安全约会。此外，与以下各项相关的成本 将在整个研究过程中收集计划实施情况，以便希望 如果该计划被发现是有效的，就传播它。 参与者：560名曾遭受家庭暴力但不再与家庭暴力一起生活的母亲 施虐者及其12至15岁的青少年将主要通过以下途径在整个北卡罗来纳州招募 NCCADV的活动。 干预：母亲和青少年的安全约会包括6本小册子邮寄给研究母亲，紧随其后的是 健康教育者在每次邮寄两周后都会打电话。这些小册子包括信息和互动 母亲与青少年一起做的运动和健康教育者的电话促进 参与，评估计划活动完成情况，并回答问题。此结构类似于 我们以家庭为基础的预防青少年约会虐待的普遍方案的结构被称为家庭 安全约会和我们的以家庭为基础的物质使用预防计划，称为家庭事务，这两个项目 在随机试验中证明了有效性，并导致了高家庭参与度。133,134,186 方案是建立在理论和经验基础上的概念模型，形成的结果 由国家司法研究所资助的研究，以及家庭安全约会的内容。 观察指标：该计划在启动身体约会虐待行为和 将评估心理、身体和性约会虐待行为的数量(目标1)。 将对这些方案效果的理论和经验调解人进行评估(目标2)。 节目主持人对心理和身体约会虐待行为的影响(目标3)。

A Randomized Efficacy Trial of Moms and Teens for Safe Dates Importance: Children who have been exposed to domestic violence are at increased risk for many negative outcomes, including internalizing and externalizing problems and behaviors, 1-6 and they are at increased risk of using violence against their dating partners when they become adolescents. 7-13, 183 Despite this increased risk and the fact that approximately 15 million children are exposed to domestic violence yearly, 14 there have been no evaluations of dating abuse prevention programs conducted with this population. Objectives: The proposed study is to test the efficacy of a selective family-based program for the primary prevention of dating abuse perpetration targeted at adolescents who have been exposed to domestic violence. The program to be evaluated, Moms and Teens for Safe Dates, targets mothers who have left an abusive partner and their 12 to 15 year old adolescents. This program has been fully developed with support from the National Institute of Justice, but its efficacy has not yet been evaluated. The aims of the study are to: 1) Test the efficacy of Moms and Teens for Safe Dates in preventing psychological, physical, and sexual dating abuse perpetration by adolescents; 2) Determine if program effects on dating abuse perpetration outcomes occur through changes in the theoretically- and empirically-based mediating variables presented in our conceptual model; and 3) Test for moderators of program effects including sex and minority status of the adolescent, degree of adolescent exposure to domestic violence, and the mother's psychological health. Study Design: A pre-test post-test control group experimental design will be used to evaluate the efficacy of the program. Baseline telephone interviews will be conducted with 560 eligible mothers and their adolescents. After the baseline interview, half (n = 280) of these families will be randomly allocated to the treatment condition and the other to the control condition. Families in the treatment condition will receive Mom's and Teens for Safe Dates. Follow-up telephone interviews will be conducted with the treatment and control group mothers and adolescents 1-year after intervention delivery. In addition to supporting the development of the program, the National Institute of Justice funding supported the development of all research protocols and data collection instruments needed for the proposed study; thus we are poised to evaluate the efficacy of Moms and Teens for Safe Dates in the proposed randomized trial with the ability to devote all of the funding support to program evaluation rather than to both program development and evaluation. Setting: UNC research staff will collaborate with staff from the North Carolina Coalition against Domestic Violence (NCCADV) to recruit eligible mothers and to deliver the Moms and Teens for Safe Dates program. NCCADV is one of 14 state-level coalitions funded by CDC through the DELTA program which is a mechanism used by CDC to promote the primary prevention of intimate partner violence. By collaborating with the NCCADV, systems and protocols will be set up that could be used by them and other DELTA coalitions in the future to disseminate Moms and Teens for Safe Date if it is found to be efficacious. Also, costs associated with program implementation will be collected throughout the study so that it will be available to agencies wanting to disseminate the program if it is found to be efficacious. Participants: 560 mothers who have been exposed to domestic violence, but are no longer living with the abuser, and their 12 to 15 year old adolescents will be recruited throughout North Carolina primarily through the activities of the NCCADV. Intervention: Moms and Teens for Safe Dates consists of 6 booklets mailed to study mothers, followed by health educator telephone calls two weeks after each mailing. The booklets include information and interactive exercises for mothers to do with their adolescents and the health educator telephone calls promote participation, assess program activity completion, and answer questions. This structure is similar to the structure of our universal family-based program for preventing adolescent dating abuse called Families for Safe Dates and our family-based substance use prevention program called Family Matters, both of which demonstrated efficacy in randomized trials and resulted in high family participation. 133,134,186 The content of the program is based on a theoretically- and empirically-based conceptual model, the results from formative research funded by the National Institutes of Justice, and the content of Families for Safe Dates. Outcome measures: The efficacy of the program on the initiation of physical dating abuse perpetration and the amount of psychological, physical, and sexual dating abuse perpetration will be assessed (Aim 1). Theoretically- and empirically-based mediators of these program effects will be assessed (Aim 2), as will moderators of program effects on psychological and physical dating abuse perpetration (Aim 3).