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

项目摘要（补充） 行政补充的目的：响应NOT-OD-22-159（预防性研究的支持） 对经历健康差异的人群的干预），本行政管理的目的 补充是为了支持增加两个目的，以进一步评估酒精使用（Au）和青少年的影响， 约会暴力（TDV）在线预防计划（PRYSHM [促进有韧性的青年与坚强的心， 思想];以前题为R3）的性和性别少数青年（SGMY）的SGMY的颜色。除了 基于证据的Au和DSV预防成分（例如，旁观者干预技能，纠正 社会规范的误解，拒绝技能），九届PRYSHM计划侧重于积极的身份 发展，应对与成为SGMY以及种族/少数民族青年有关的压力，以及 旨在为SGMY的未来注入希望，包括多重少数化的SGMY。因此，在本补充中， 我们试图对另外100名SGMY进行抽样，以检查积极的民族/种族/文化认同发展， 程序结果的中介（例如，Au和TDV [主要结局]降低， 抑郁症，药物使用，和性冒险）之间的SGMY的颜色（补充目标1）。我们还寻求 确保PRYSHM计划同样适用于SGMY的颜色， 按SGMY人种/种族分类的模型（补充目标2）。这些目标至关重要，因为我们知道， 基本上没有关于有色人种SGMY的预防，尽管研究表明， 预防计划对SGMY不起作用，对有色人种也不起作用。尽管需要在结构上做出努力， 减少异性恋，顺性别主义和种族主义，并为SGMY创造安全/肯定的环境， 包括有色人种的SGMY，帮助这些年轻人建立弹性的计划也是如此， 健康差距。

Project Summary (Supplement) Purpose of the Administrative Supplement: In response to NOT-OD-22-159 (Support Research on Preventive Interventions with Populations that Experience Health Disparities), the purpose of this administrative supplement is to support the addition of two aims to further assess the impact of an alcohol use (AU) and teen dating violence (TDV) online prevention program (PRYSHM [Promoting Resilient Youth with Strong Hearts and Minds]; formerly entitled R3) for sexual and gender minority youth (SGMY) on SGMY of color. In addition to evidence-based AU and DSV prevention components (e.g., bystander intervention skills, correcting misperceptions of social norms, refusal skills), the nine-session PRYSHM program focuses on positive identity development, coping with stressors related to being a SGMY as well as a racial/ethnic minority youth, and seeks to instill hope for the future in SGMY, including multiply minoritized SGMY. As such, in this supplement, we seek to sample an additional 100 SGMY to examine positive ethnic/racial/cultural identity development as a mediator of program outcomes (e.g., reductions in AU and TDV [primary outcomes] and reductions in depression, drug use, and sexual risk taking) among SGMY of color (Supplemental Aim 1). We also seek to ensure that the PRYSHM program is working equally well for SGMY of color by conducting multiple group models by SGMY race/ethnicity (Supplemental Aim 2). These aims are critically important given we know essentially nothing about prevention among SGMY of color, although research suggests that universal prevention programs do not work for SGMY, nor for youth of color. Although efforts are needed at the structural level to reduce heterosexism, cisgenderism, and racism, and create safe/affirming environments for SGMY, including SGMY of color, so too are programs that help to build resilience in these youth as a way to reduce health disparities.