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

一项以家庭为基础的在线计划，旨在防止性少数群体青少年酗酒、约会和性暴力

• 批准号: 10740591
• 负责人: Katie M Edwards
• 金额: $ 65.33万
• 依托单位: UNIVERSITY OF COLORADO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10740591
• 关键词: Age; Alcohol consumption; Alcohols; Caregivers; Child; Child Rearing; Color; Communication; Discrimination; Emotional; Evaluation; Family; Family Relationship; Feedback; Fostering; Future; Health; Heterosexuals; Homo; Homophobia; Hour; Intervention; Interview; Lesbian Gay Bisexual Transgender Queer; National Institute on Alcohol Abuse and Alcoholism; Outcome; Parents; Participant; Patient Recruitments; Perception; Persons; Phase; Population; Population Heterogeneity; Prevention program; Problem Solving; Procedures; Program Development; Randomized, Controlled Trials; Reporting; Research; Research Personnel; Research Priority; Research Project Summaries; Risk; Risk Behaviors; Risk Factors; Risk Reduction; Safety; Sampling; Self Efficacy; Sexual and Gender Minority Youth; Surveys; Testing; Waiting Lists; Work; Youth; acceptability and feasibility; adolescent substance use; alcohol consequences; alcohol related consequences; biological adaptation to stress; caregiving; cisgender; dating violence; design; deter alcohol use; drinking; emotion regulation; evidence base; experience; feasibility research; follow-up; foster parent; improved; internalized stigma; minority stress; minority stressor; negative affect; novel; pilot trial; programs; protective factors; recruit; reduced alcohol use; rural area; sexual violence; skills; social; social media; transphobia; violence prevention; willingness; young adult

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.

项目摘要 性和性别中有关酒精使用率（AU）和约会暴力（DV）的研究文件 少数族裔青年（SGMY），可能与特定人口特定危险因素的组合有关（例如，护理人员 拒绝，内在化的同性恋/跨性别恐惧症），普遍的风险因素（例如，在社会情感技能中定义 酒精拒绝技能，对酒精规范的看法不准确）和缺乏受保护的因素（例如，育儿 和家庭关系技能）。但是，迄今为止，我们对如何同时防止Au和 sgmy中的DV。我们建议开发和评估一个在线家庭计划（健康家庭） 光明的未来计划[HFBFP]）为15至18岁的SGMY中的AU和DV。HFBFP将是一个 基于小组的干预措施，包括七个每周独立的护理人员和青年会议。编程 护理人员将专注于促进对SGMY的接受和支持，并增强相关的护理技能。 SGMY的编程将专注于减少内在的HOMO/BI/TRANSPHOBIA，并增强社交 情感技能，提高对酒精和约会暴力规范的准确看法以及增加酒精 拒绝技能。 SGMY和Caregiver编程将设计为互补的内容以增强 编程组件的效力和程序技能将在会议之间作为家庭实践。 该计划将由SGM的年轻成人和SGMY护理人员共同利用。跨学科团队 调查人员将与10个SGMY一起在青年顾问委员会（YAB），10位照顾者到SGMY 护理人员顾问委员会（CAB）和该项目的所有阶段的专家顾问委员会（EAB）。在 适应和计划阶段，我们将通过年轻人，看护人的持续反馈来最终确定HFBFP， 和专家咨询委员会（AIM 1A），并对HFBFP进行开放试点试验 进一步完善HFBFP内容并评估研究程序和计划的可行性 实施（目标1B）。在试点评估阶段，我们将通过一项随机对照试验 护理人员– gmmy dyads（分配给HFBFP的50个二元组和50个二元组为候补名单），评估可接受性 HFBFP（AIM 2A）通过计划观察，会议后调查（n = 100）和退出的可行性 SGMY及其照顾者的访谈（n = 28）。我们将测试HFBFP在提高相关性方面的效率 家庭/照顾者的成果（例如接受SGMY，家庭沟通技巧，育儿自我效能感） 以及相关的SGMY成果（例如，少数群体压力，酒精使用意图/意愿，家庭暴力/酒精使用 规范，沟通自我效能）（AIM 2B）通过基线，立即测试和3-- 一个月随访。我们将招募SGMY及其护理人员（100个二元组），少数族裔压力升高 在美国通过社交媒体和LGBTQ+组织。我们将超越色彩家庭和 居住在农村地区的家庭。