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Dating Violence and Sexual Risk Prevention for Young Mothers

年轻母亲的约会暴力和性风险预防

基本信息

批准号：
9813296
负责人：
MEREDITH CERIAN JONES
金额：
$ 44.37万
依托单位：
ROWAN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-15 至 2024-06-14
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9813296
关键词：
Address Adolescent Affect Age Ambulatory Care Facilities Birth Rate Child Child Health Cities Clinic Clinics and Hospitals Coercion Cognitive Therapy Collaborations Control Groups Data Education Educational process of instructing Emotional Enrollment Environment Evidence based intervention Face Fathers Feedback Female Adolescents Focus Groups Future Goals HIV Health Health Personnel Health Promotion Healthcare Hispanics Hospitals Income Intervention Interview Low income Manuals Mentors Methods Not Hispanic or Latino Outcome Outpatients Parents Participant Phase Play Population Intervention Postpartum Depression Pregnancy Prevention Prevention Research Preventive Intervention Procedures Process Provider Randomized Controlled Trials Reporting Research Research Assistant Research Methodology Risk Risk Factors Role STI prevention Sexually Transmitted Diseases Sum Target Populations Teenagers Testing University Hospitals Unsafe Sex Victimization Violence Waiting Lists Work adolescent health base child bearing condoms dating violence dating violence prevention depressive symptoms design efficacy testing efficacy trial ethnic minority population evidence base experience group intervention health care settings health disparity high risk improved informant member motherhood peer post intervention prenatal primary outcome racial minority recruit retention rate secondary outcome sex sexual risk behavior skills teen birth teenage mother therapy design trend trial comparing undergraduate research uptake violence perpetration violence victimization violent relationship young mother young woman

项目摘要

DATING VIOLENCE AND SEXUAL RISK PREVENTION FOR YOUNG MOTHERS Adolescent mothers (ages 15-19) are at greater risk than non-parenting peers for dating violence (DV) and sexually transmitted infections (STIs), including HIV, increasing teen mothers’ and their children’s risk for negative health outcomes. Evidence-based interventions to reduce both DV and sexual risk in young mothers’ relationships are limited. Adolescent mothers are disproportionately from low-income, racial and ethnic minority backgrounds, and thus face additional barriers to accessing prevention interventions. The proposed project includes 3 aims: 1) identifying and testing ways to increase recruitment and engagement of adolescent mothers (ages 15-19) from underserved backgrounds in DV and sexual risk prevention research at hospital- based clinics; 2) adapting Date SMART, an evidence-informed DV and sexual risk prevention intervention, for adolescent mothers; and 3) conducting a pilot randomized controlled trial of the adapted intervention, Date SMART-Young Moms (YM) in an ambulatory clinic setting at Cooper University Hospital in Camden, NJ. Camden is a city where the majority of residents are low-income, racial and/or ethnic minorities, and teen birth rate is among the highest in the state. In Phase 1, key informant interviews with 10 healthcare providers and focus groups with 16 young mothers will help identify where, when, and how to best connect with the target population in hospital-based outpatient clinics. In Phase 2, recruitment methods will be tested by recruiting two more focus groups of 16 adolescent mothers to inform the adaptation of Date SMART, a 7-session, group- based intervention designed for at-risk, underserved adolescent girls. Date SMART aims to reduce DV and sexual risk behavior by teaching cognitive behavioral therapy (CBT)-based skills to reduce depressive symptoms, emotional reactivity, and interpersonal skills deficits. Focus group feedback will be used to adapt Date SMART for young mothers (Date SMART-YM). Phase 3 will be a randomized controlled trial of Date SMART-YM with 32 adolescent mothers (16 in the intervention condition, 16 in the control condition) in a hospital clinic setting, and a pilot test of the Date SMART-YM assessment battery. Primary outcomes are changes from baseline to post-intervention in sexual risk behavior (condom use at last sex, number of unprotected sex acts) and DV (perpetration and victimization of hostile, coercive, and violent behaviors). Secondary outcomes include feasibility (recruitment and retention rates) and acceptability (qualitative and quantitative intervention feedback). Undergraduate research assistants will play an active role in recruitment, intervention adaptation, and delivery, and will receive mentoring from experts in sexual risk and DV prevention, health disparities, and qualitative and quantitative research methods. Results will inform a future fully-powered efficacy trial comparing Date SMART to a health promotion control condition. Delivering CBT skills to reduce depressive symptoms, emotional reactivity, and interpersonal skills deficits in healthcare settings will ultimately decrease sexual risk behavior and DV, and improve the health of adolescent mothers and their children.

年轻母亲的约会暴力和性风险预防