An Online Family-based Program to Prevent Alcohol Use and Dating and Sexual Violence among Sexual and Gender Minority Youth

项目摘要 关于性暴力和性别暴力中的饮酒率（Au）和约会暴力（DV）的研究文件 少数民族青年（SGMY），可能与特定人群的风险因素（例如，护理者 排斥，内化的同性恋/双性恋/变性者恐惧症），普遍风险因素（例如，缺乏社交情感技能， 拒绝酒精的技能，对酒精规范的不准确认识）和缺乏保护因素（例如，育儿 家庭关系技能）。然而，迄今为止，我们对如何同时预防Au和 SGMY之间的DV。我们建议开发和评估一个基于家庭的在线计划（健康家庭 光明未来计划[HFBFP]），以预防15至18岁SGMY中的Au和DV。HFBFP将是一个 基于小组的干预，包括每周七次单独的护理人员和青年会议。编程 照顾者将专注于促进对SGMY的接受和支持，并提高相关的照顾技能。 SGMY的规划将侧重于减少内化的同性恋/双性恋/变性者恐惧症，并加强社会- 情感技能，增加对酒精和约会暴力规范的准确认知， 拒绝技巧SGMY和护理人员方案将在内容上相互补充， 编程组件的潜力和编程技能将在会话之间作为一个家庭进行练习。 该计划将由SGM年轻人和SGMY照顾者共同促进。跨学科团队 调查人员将与10名SGMY一起在青年咨询委员会（YAB）工作，10名照顾SGMY的人在一个 护理咨询委员会（CAB）和专家咨询委员会（EAB）在项目的所有阶段。期间 在适应和规划阶段，我们将通过青年、照顾者、 和专家咨询委员会（目标1a），并在14个家庭中进行了一项HFBFP的公开试点试验 进一步完善HFBFP内容，评估研究程序和方案的可行性 （目标1b）。在初步评估阶段，我们将通过随机对照试验， 每个人-SGMY配对（50个配对分配给HFBFP，50个配对分配给等待名单），评估可接受性 通过项目观察、会后调查（n = 100）和退出评估HFBFP（目标2a）的可行性 与SGMY及其护理人员的访谈（n = 28）。我们将测试HFBFP在改善相关疾病方面的功效。 家庭/护理者结果（例如，接受SGMY，家庭沟通技巧，育儿自我效能）， 以及相关的SGMY结果（例如，少数民族压力，酒精使用意图/意愿，家庭暴力/酒精使用 标准，沟通自我效能）（目标2b）通过在基线，测试后立即完成的调查，和3- 月随访。我们将招募SGMY和他们的照顾者（100对），他们的少数民族压力升高， 通过社交媒体和LGBTQ+组织在美国传播。我们将对有色人种进行过度抽样， 生活在农村地区的家庭。

Project Summary Research documents concerning rates of alcohol use (AU) and dating violence (DV) among sexual and gender minority youth (SGMY), likely related to a combination of population-specific risk factors (e.g., caregiver rejection, internalized homo/bi/transphobia), universal risk factors (e.g., deficits in social emotional skills and alcohol refusal skills, inaccurate perceptions of alcohol norms) and lack of protective factors (e.g., parenting and family relational skills). To date, however, we know very little about how to concurrently prevent AU and DV among SGMY. We propose to develop and evaluate an online family-based program (Healthy Families Bright Future program [HFBFP]) to prevent AU and DV among SGMY ages 15 to 18. The HFBFP will be a group-based intervention that includes seven weekly separate caregiver and youth sessions. Programming for caregivers will focus on fostering acceptance and support for SGMY and enhancing relevant caregiving skills. Programming for SGMY will focus on reducing internalized homo/bi/transphobia and enhancing social- emotional skills, increasing accurate perceptions of alcohol and dating violence norms, and increasing alcohol refusal skills. SGMY and caregiver programming will be designed to be complementary in content to enhance the potency of programming components, and program skills will be practiced as a family between sessions. The program will be co-facilitated by an SGM young adult and SGMY caregiver. The interdisciplinary team of investigators will work alongside 10 SGMY on a Youth Advisory Board (YAB), 10 caregivers to SGMY on a Caregiver Advisory Board (CAB), and an Expert Advisory Board (EAB) on all phases of the project. During the Adaptation and Planning Phase, we will finalize the HFBFP via ongoing feedback from the Youth, Caregiver, and Expert Advisory Boards (Aim 1a) as well as conduct an open pilot trial of the HFBFP with fourteen families to further refine the HFBFP content and evaluate the feasibility of research procedures and program implementation (Aim 1b). During the Pilot Evaluation Phase, we will via a randomized controlled trial of caregiver–SGMY dyads (50 dyads assigned to the HFBFP and 50 dyads to a waitlist), assess the acceptability and feasibility of the HFBFP (Aim 2a) via program observations, post-session surveys (n = 100), and exit interviews (n = 28) with SGMY and their caregiver(s). We will test the HFBFP’s efficacy in improving relevant family/caregiver outcomes (e.g., acceptance of SGMY, family communication skills, parenting self-efficacy) as well as relevant SGMY outcomes (e.g., minority stress, alcohol use intentions/willingness, DV/alcohol use norms, communication self-efficacy) (Aim 2b) via surveys completed at baseline, immediate post-test, and 3- month follow-up. We will recruit SGMY and their caregivers (100 dyads) with elevated minority stress from across the U.S. via social media and from LGBTQ+ organizations. We will oversample families of color and families living in rural areas.