Dating Violence Prevention for Juvenile Justice Girls

少年司法女孩的约会暴力预防

• 批准号: 9247835
• 负责人: Christie Jade Rizzo
• 金额: $ 56.8万
• 依托单位: NORTHEASTERN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-04-15 至 2020-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9247835
• 关键词: Address; Adolescent; Age; Anger; Arousal; Assertiveness; Attention; Attitude; Behavior; Characteristics; Child; Child Abuse; Clinical Trials; Coercion; Cognition; Cognitive Therapy; Communication; Control Groups; Cost Analysis; Data; Development; Effectiveness; Elements; Emotional; Evidence based intervention; Family; Female Adolescents; Frequencies; Future; Goals; Health Promotion; Hybrids; Intervention; Justice; Knowledge; Left; Literature; Manuals; Mediating; Mental Health; Mental disorders; Outcome; Participant; Phase; Population; Post-Traumatic Stress Disorders; Preventive Intervention; Procedures; Randomized; Readiness; Recording of previous events; Recruitment Activity; Research; Research Personnel; Rhode Island; Risk; Risk Factors; Running; Sampling; Scientific Advances and Accomplishments; Sexual abuse; Standardization; Symptoms; System; Teen Dating Violence; Testing; Time; Training; Trauma; Unsafe Sex; Victimization; Violence; base; condoms; cost; court; court personnel; dating violence; dating violence prevention; demographics; depressive symptoms; design; effective intervention; effectiveness research; efficacy testing; efficacy trial; evidence base; experience; girls; high risk; high risk population; high-risk adolescents; juvenile justice system; learning strategy; pilot trial; post intervention; primary outcome; probation; programs; psychoeducational; public health relevance; recidivism; sex; sex risk; sexual risk taking; skills; trial comparing; violence perpetration; violence victimization; violent relationship; young woman

 DESCRIPTION (provided by applicant): Research is urgently needed to rigorously test a skills-based intervention for dating violence prevention among juvenile justice girls. Court-involved, non-incarcerated (CINI) girls represent a particularly high-risk group for dating violenc exposure. This is due to the multiple risk factors they possess that have demonstrated associations with teen dating violence outcomes in other high-risk adolescent female populations. Despite the critical need for these young women to learn strategies that offset their heightened risk for involvement in coercive romantic relationships, no such evidence-based interventions exist for this population. The goal of the current study is to establish the efficacyof Date SMART (K23MH086328), a theoretically-driven skills-based intervention, in reducing dating violence, sexual risk behavior, and delinquency among girls in the juvenile justice system. Pilot data reveal that girls randomized to the Date SMART intervention spend significantly fewer days in violent relationships compared to girls randomized to the comparison condition. They also show improvements in condom use at last sex and reductions in delinquency. Moreover, the risk profile of adolescent girls who participated in the pilot trial is remarkably similar to the profile of adolescent girls involved in the juvenile justice system. Thus Date SMART is uniquely suited for CINI girls. Despite the promise of Date SMART, the time lag from pilot testing to efficacy testing and final dissemination activities is protracted, as researchers fail to consider questions of effectiveness early on. Hybrid designs that retain core components of efficacy trials (randomization, controlled conditions) and essential elements of effectiveness research (e.g., participant diversity; standardized training procedures, attention to cost) can reduce time to implementation in the "real world." As such, we plan to test the efficacy of Date SMART on dating violence, sexual risk, and delinquency among 250 court-involved, non-incarcerated girls. We will also gather effectiveness data from key stakeholders to determine how best to implement the program, train staff, and predict the cost of the program within the juvenile court. CINI girls, ages 14-17 (N= 12 juveniles for Phase I Intervention Run-Through; N=250 for Phase II RCT study) will be recruited from the Rhode Island Family Court and Probation Departments and randomized to either the Date SMART (active) intervention (n=125) or a Health Promotion (control) condition (n=125). In Phase I (12 juveniles will be recruited to complete the Intervention Run-Through and research assessment once to allow testing of RCT intervention and assessment procedures prior to the RCT phase. In Phase II, 250 juveniles will be recruited and randomized at baseline and then re-assessed at 3, 6, 9 and 12 month post-intervention follow-ups.

 描述（由申请人提供）：迫切需要进行研究，以严格测试基于技能的干预措施，以预防少年司法女孩中的约会暴力。法院参与，非监禁（CINI）的女孩是一个特别高风险的群体约会暴力曝光。这是由于他们拥有的多种风险因素，这些因素已证明与其他高风险青少年女性人群中的青少年约会暴力结果有关。尽管这些年轻女性迫切需要学习策略，以抵消其参与胁迫浪漫关系的风险增加，但对于这一人群来说，没有这种基于证据的干预措施。本研究的目的是建立有效的日期SMART（K23 MH 086328），理论驱动的技能为基础的干预，在减少约会暴力，性风险行为，和青少年司法系统中的女孩犯罪。试点数据显示，与随机分配到比较条件的女孩相比，随机分配到日期SMART干预的女孩在暴力关系中花费的时间显着减少。它们还表明，在最近一次性行为中使用避孕套的情况有所改善，犯罪率有所下降。此外，参与试点试验的少女的风险状况与少年司法系统中少女的风险状况非常相似。因此，日期智能是唯一适合CINI女孩。尽管有Date SMART的承诺，但从试点测试到疗效测试和最终传播活动的时间滞后是漫长的，因为研究人员未能在早期考虑有效性问题。混合设计保留了疗效试验的核心组成部分（随机化，对照条件）和有效性研究的基本要素（例如，参与者的多样性;标准化的培训程序， 成本）可以减少在“真实的世界”中实现的时间。“因此，我们计划在250名法庭参与的非监禁女孩中测试Date SMART对约会暴力，性风险和犯罪的有效性。我们还将从主要利益相关者那里收集有效性数据，以确定如何最好地实施该计划，培训工作人员，并预测该计划在少年法庭内的成本。将从罗得岛家庭法院和缓刑部门招募14-17岁的CINI女孩（I期干预运行期间N= 12名青少年; II期RCT研究N=250名），并随机分配至Date SMART（主动）干预组（n=125）或健康促进（对照）组（n=125）。在第I阶段，将招募12名青少年完成干预运行和研究评估，以便在RCT阶段之前测试RCT干预和评估程序。在第二阶段，将招募250名青少年，并在基线时进行随机分组，然后在干预后3个月、6个月、9个月和12个月进行重新评估。