Development and Pilot Evaluation of an Online Intervention to Prevent Dating Violence and Problem Drinking in Sexual Minority Youth

预防性少数青少年约会暴力和饮酒问题的在线干预措施的开发和试点评估

• 批准号: 10544805
• 负责人: Katie M Edwards
• 金额: $ 20.8万
• 依托单位: UNIVERSITY OF NEBRASKA LINCOLN
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-03-05 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10544805
• 关键词: 18 year old; Address; Adherence; Adult; Advertisements; Affect; Age; Alcohol abuse; Alcohol consumption; Area; Attention; Behavioral; Cellular Phone; Communities; Data; Development; Dropout; Educational Curriculum; Emotional; Etiology; Evaluation; Feedback; Feeling; Goals; Grant; Health; Health behavior; Healthy People 2020; Heterosexuals; Home; Individual; Institution; Intervention; Interview; Knowledge; Lesbian Gay Bisexual Transgender Queer; Literature; Mediator; Methodology; Modeling; Online Systems; Outcome; Pathway interactions; Personal Satisfaction; Persons; Phase; Pilot Projects; Prevention; Prevention program; Prevention strategy; Probability; Procedures; Public Health; Randomized; Randomized, Controlled Trials; Research; Research Infrastructure; Resources; Risk; Risk Behaviors; Risk Factors; Risk Reduction; Rural; Safety; Seasons; Sex Orientation; Surveys; Teleconferences; Testing; Violence; Waiting Lists; Youth; acceptability and feasibility; cisgender; cost effectiveness; dating violence; dating violence prevention; demographics; deter alcohol use; dosage; evidence base; experience; homonegativity; improved; informant; innovation; member; minority stress; modifiable risk; online delivery; online intervention; perceived discrimination; personalized normative feedback; pilot trial; prevent; programs; promote resilience; protective behavior; protective factors; recruit; rural area; sexual minority; sexual minority youth; sexual risk taking; skills; social media; social stigma; substance use; therapy development; treatment effect

Project Summary Dating violence (DV) is strongly associated with alcohol use (AU), and both DV and AU occur at alarmingly high rates among sexual minority youth in part because of increased minority stress4,7,18 and decreased sense of community.19,20 Prevention programming that targets these two modifiable risk and protective factors (i.e., minority stress and sense of community) in conjunction with other evidence-based DV and AU components (e.g., bystander intervention, refusal skills, personalized normative feedback, protective behavior strategies) could ultimately reduce rates of DV and AU and related health risk behaviors (e.g., sexual risk-taking) among LGBTQ+ youth. The proposed project seeks to develop a new synchronous online DV and AU prevention initiative for LGBTQ+ youth (15 to 18 years old), preliminarily entitled Radicalizing Respect and Relationships (R3). The theoretically grounded R3 Prevention Initiative (R3-PI) follows best practices for effective health behavior prevention programming,13,14 and is expected to include eight 45-minute modules intended for delivery as an online, small group program. Following a Stage 1A and 1B model, during the Development Phase we will finalize and refine the R3-PI materials; these materials will be developed based on the project team’s expertise and knowledge of the extant literature, key informant feedback (i.e., LGBTQ+ youth advisory board, experts in the field), as well as feedback from youth during an open pilot trial. During the Pilot Study Phase, 200 LGBTQ+ youth who are dating will be recruited using social media and other online advertisements and randomly assigned to a wait-list control (n = 100) or R3-PI (n = 100) conditions. Pre-, immediate, and 3-month posttests will assess the acceptability of the study procedures (e.g., compliance with survey procedures) and generate initial data on the efficacy of the R3-PI. We will also assess acceptability and feasibility of the program and research procedures via post-session surveys, program observations, evaluations of adherence and drop-out rates, and online exit interviews with a subsample of youth (n = 15 or until saturation is achieved). Ultimately, the proposed project has the potential for high public health impact because we will develop the first-ever DV and AU prevention initiative specifically tailored for LGBTQ+ youth. Further, given the online delivery format of this intervention, it has the potential to reach LGBTQ+ youth across the U.S., including youth in rural and remote areas where rates of minority stress are highest and LGBTQ+ sense of community is lowest and where fewer resources to address risk and promote resilience are available.16

项目摘要 约会暴力（DV）与酒精使用（Au）密切相关，DV和Au的发生率都令人担忧。 性少数青年的高发病率部分是因为少数民族压力增加4，7，18和感觉下降 19，20针对这两个可改变的风险和保护因素（即， 少数民族的压力和社区意识）与其他循证DV和Au成分相结合 (e.g.,旁观者干预、拒绝技能、个性化规范反馈、保护性行为策略） 可以最终降低DV和Au的发病率以及相关的健康风险行为（例如，性冒险） LGBTQ+青年。拟议的项目旨在开发一种新的同步在线DV和Au预防 针对LGBTQ+青少年（15至18岁）的倡议，初步标题为激进的尊重和关系 （R3）。R3预防倡议（R3-PI）遵循有效健康的最佳实践 行为预防编程，13，14，预计将包括8个45分钟的模块，旨在 作为在线小组计划交付。按照1A和1B阶段模型，在开发期间， 在此阶段，我们将最终确定并完善R3-PI材料;这些材料将根据项目开发 团队的专业知识和现有文献的知识，关键信息提供者的反馈（即，LGBTQ+青年咨询 委员会、该领域的专家），以及在一次公开试点试验期间青年的反馈意见。在初步研究期间 阶段，200名正在约会的LGBTQ+青年将通过社交媒体和其他在线方式招募 广告，并随机分配给等待列表控制（n = 100）或R3-PI（n = 100）条件。前， 立即和3个月后测试将评估研究程序的可接受性（例如，遵守 调查程序），并生成关于R3-PI功效的初始数据。我们还将评估可接受性， 通过会后调查，项目观察， 对坚持率和辍学率进行评价，并对青年子样本进行在线离职访谈（n = 15或 直到达到饱和）。最终，拟议的项目有可能对公共卫生产生重大影响。 因为我们将制定有史以来第一个专门为LGBTQ+青年量身定制的DV和Au预防倡议。 此外，鉴于这种干预的在线交付形式，它有可能接触到LGBTQ+青年， 美国，包括农村和偏远地区的年轻人，那里的少数民族压力率最高，LGBTQ+ 社区意识最低，用于应对风险和促进复原力的资源较少， available.16