Me & You-Tech: A socio-ecological solution to teen dating violence for the digital age.

摘要 这项为期3年的快速通道培训的目标是发展和评估一个多层次的(青少年、家长、学校) 基于互联网的约会暴力(DV)预防计划--为六年级学生提供的Me&You-Tech(MYT)计划 学生们。到六年级时，大约50%的学生会有恋爱关系。其中， 几乎三分之一的人会犯下身体上的DV，近三分之二的人会犯下情感上的DV。 接触DV的年轻人更有可能在学校表现不佳，在未来的人际关系中遇到困难， 参与成人暴力，并经历抑郁、自杀念头、欺凌、吸毒和危险 性行为。美国许多州都被法律要求提供DV教育。然而，年轻人暴露在 DV教育，特别是有效的计划，是微不足道的，现有的几个计划面临着 学校在忠诚度、培训和资源方面的障碍的挑战。 这项研究包括两个阶段和10个具体目标：阶段1：从理论上和经验上发展 基于MYT原型和测试可行性(MOS1-12)。阶段1特定目标：1.1进行内容分析 现有的Me&You和SSS干预矩阵，以确定所需的核心内容、方法和策略 针对MYT设计(青少年、家长和学校层面的组成部分)；1.2审查MYT的概念和 线框图，以测试学校、青年、 和家长咨询小组，为MYT的设计(青年、家长和学校一级的组成部分)提供信息；1.3制定 MYT设计文档和开发原型，包括阿尔法测试；1.4测试MYT原型的可用性； 1.5评估(试行测试)MYT原型在学校和家庭环境中的可行性和感知价值 与分销协作者(ETR Inc.)一起审查用于传播的最佳规格；1.6传播 第一阶段调查结果(第一阶段报告和同行评议的出版物)。阶段2：制定MYT，通知来源 阶段1并进行RCT以评估MYT(MOS)的影响。13-36)。阶段2具体目标：2.1修订MYT 设计文档(基于第一阶段数据)并获得咨询小组的批准；2.2制定完整的 基于理论和经验的MYT计划；2.3测试完整的MYT计划功能和内容(阿尔法 测试)和可用性；2.4对休斯顿4所中学的MYT六年级学生(n=300)进行RCT；2.5 与协作者ETR Inc.一起审查MYT分销计划；2.6发布第二阶段报告的第二阶段结果 和同行评议的出版物。 三个主要假设是：与那些没有接受MYT的年轻人相比，获得MYT的年轻人将 显著证明：1.减少DV(情感、身体或性行为)；2.减少DV (情感的、身体的或性的)受害；以及3.改善了与 健康/不健康的约会关系(例如，知识、技能、自我效能、态度和规范、性别角色 信仰、感知的父母和学校因素)。 MYT呼吁以创新的理论为基础的项目，使用社会生态方法来解决DV， 让青少年、他们的家庭和他们的学校参与进来，同时利用基于互联网的渠道来优化计划 保真度，最大限度地减少培训、资源和成本，限制在学校环境中的采用和扩展。这 该项目是由这个经验丰富的协作调查团队在以前的RCT基础上建立的 并测试成功的中学多元干预措施。我和你…建设健康建筑 关系(我和你)，一个DV课程，包括针对青少年的课堂和基于计算机的课程， 亲子居家活动和学校工作人员培训减少了DV的发生和 与暴力规范、性短信态度、冲突解决有关的积极心理社会结果 技能。七块石头的秘密(SSS)，一款面向父母和青少年的互联网怀孕预防游戏 通过基于文本的方式，加强父母与青少年之间关于健康关系的沟通 行为线索。基于这一强有力的经验先例，一个完全基于互联网的版本的我和你是 建议利用这些以学校和家庭为基础的方法的优势。这样做的具体目的是 学习的目的是： MYT意义重大，因为它解决了培养青年技能的一个重要公共卫生挑战 尊重没有暴力的约会关系，培训学校教职员工提供支持和保护 环境来实现这一点，并加强亲子讨论，以加强健康的重要性 两性关系。MYT是创新的，因为它将为使用集成的多组件提供证据 使用可扩展的基于技术的渠道加强健康关系的社会生态方法 克服学校环境中的保真度、资源和传播成本方面的障碍，并提供 可扩展的解决方案，以解决缺乏易于传播的循证TDV计划，并将提供。

ABSTRACT The goal of this 3 year Fast-Track STTR is to develop and evaluate a multi-level (youth, parent, school) Internet-based dating violence (DV) prevention program, ‘Me & You-Tech’ (MYT) for 6th--grade middle school students. By 6th grade, approximately 50% of students will have engaged in a dating relationship. Of these, almost one-third will have perpetrated physical DV and almost two-thirds will have perpetrated emotional DV. Youth exposed to DV are more likely to perform poorly in school, experience difficulties in future relationships, participate in adult violence, and experience depression, suicidal ideation, bullying, substance use, and risky sexual behavior. Many U.S. states are required by law to provide DV education. However, youth exposure to DV education, in particular, effective programs, is minimal and the few programs available are confronted with challenges of school-based barriers to fidelity, training, and resources. The study comprises 2 phases and 10 specific aims: Phase 1: Develop the theoretically- and empirically- based MYT prototype and test feasibility (Mos.1-12). Phase 1 Specific Aims: 1.1 Conduct a content analysis of existing Me & You and SSS intervention matrices to identify required core content, methods, and strategies for MYT design (youth-, parent-, and school-level components); 1.2 Conduct review of MYT concepts and wireframes to test acceptability and perceived feasibility for use in the context of the school by School, Youth, and Parent Advisory Groups to inform MYT design (youth, parent-, and school-level components); 1.3 Develop MYT design documents and develop the prototype including alpha testing; 1.4 Test usability of MYT prototype; 1.5 Evaluate (pilot-test) the MYT prototype for feasibility and perceived value in school and home settings and review with distribution collaborator (ETR Inc.) for optimal specifications for dissemination; 1.6 Disseminate Phase 1 findings (Phase 1 report and peer reviewed publications). Phase 2: Develop MYT informed from Phase 1 and conduct a RCT to evaluate impact of MYT (Mos. 13-36). Phase 2 Specific Aims: 2.1 Revise MYT design documents (based on Phase 1 data) and obtain advisory group sign-off; 2.2 Develop the full theoretically- and empirically-based MYT program; 2.3 Test full MYT program functionality and content (alpha test), and usability; 2.4 Conduct a RCT of MYT 6th- grade students (n=300) in 4 Houston middle schools; 2.5 Review MYT distribution plans with collaborator ETR Inc.; 2.6 Disseminate Phase 2 findings of Phase 2 report and peer reviewed publications. The 3 primary hypotheses are: Compared to those not receiving MYT, youth who access MYT will demonstrate significantly: 1. Reduced DV (emotional, physical, or sexual) perpetration; 2. Reduced DV (emotional, physical, or sexual) victimization; and 3. Improved psychosocial determinants related to healthy/unhealthy dating relationships (e.g., knowledge, skills, self-efficacy, attitudes and norms, gender role beliefs, perceived parental and school factors). MYT addresses a call for innovative theory-based programs that use a social-ecological approach to DV, involving youth, their family, and their school while leveraging internet-based channels to optimize program fidelity and minimizing training, resources, and costs that limit adoption and scale-up in school settings. This project is founded on previous RCTs by this experienced collaborative investigative team on developing and testing successful middle school multi-component interventions. Me & You…Building Healthy Relationships (Me & You), a DV curriculum comprising classroom and computer-based lessons for youth, parental-child home-based activities, and school staff trainings, resulted in reduced DV perpetration and positive psychosocial outcomes related to norms towards violence, attitudes towards sexting, conflict resolution skills. The Secret of Seven Stones (SSS), an Internet-based pregnancy prevention game for parents and youth resulted in enhanced parent-youth communication regarding healthy relationships through text-based behavioral cues. Based on this strong empirical precedent, a completely Internet-based version of Me & You is proposed that leverages the strengths of these school- and home-based approaches. The specific aims of this study are to: MYT is significant because it addresses an important public health challenge to build youth skills for respectful dating relationships void of violence, to train school staff in providing supportive and protective environments to achieve this, and to enhance parent-youth discussion to reinforce the importance of healthy relationships. MYT is innovative because it will provide evidence in using an integrated multi-component socio-ecological approach to enhancing healthy relationships that uses a scalable technology-based channel to overcome the barriers of fidelity, resources, and cost of dissemination in school settings and provides a scalable solution to what is a dearth of readily disseminated evidence-based TDV programs and will provide.