Dating Violence Prevention for Juvenile Justice Girls

 描述(由申请人提供)：迫切需要进行研究，以严格测试以技能为基础的干预措施，以预防青少年司法女孩中的约会暴力。法庭参与的、未被监禁的(CINI)女孩是约会暴力暴露的特别高风险群体。这是因为她们拥有的多种风险因素已经证明与其他高危青少年女性群体的青少年约会暴力结果有关。尽管这些年轻女性迫切需要学习策略，以抵消她们卷入强迫恋爱关系的高风险，但这一群体并不存在这样的循证干预措施。目前这项研究的目标是确定Date SMART(K23MH086328)在减少青少年司法系统中女孩约会暴力、性风险行为和犯罪方面的有效性，这是一种理论上以技能为基础的干预措施。试点数据显示，与随机进入比较状态的女孩相比，随机进入聪明干预日期的女孩在暴力关系中花费的天数明显减少。他们还显示，在最后一次性行为中，避孕套的使用有所改善，犯罪行为有所减少。此外，参与试点试验的少女的风险概况与参与少年司法系统的少女的概况非常相似。因此，Date Smart特别适合Cini女孩。尽管DATE SMART有希望，但从试点测试到有效性测试和最终传播活动的时间间隔很长，因为研究人员没有及早考虑有效性问题。混合设计，保留疗效试验的核心组成部分(随机化、受控条件)和有效性研究的基本要素(例如，参与者多样性；标准化的培训程序，注意 成本)可以减少在“真实世界”中实施的时间。因此，我们计划测试Date Smart在250名参与法庭、未被监禁的女孩中对约会暴力、性风险和犯罪的有效性。我们还将收集关键利益相关者的有效性数据，以确定如何最好地实施该计划，培训工作人员，并预测该计划在少年法庭内的成本。14-17岁的CINI女孩(第一阶段干预贯通的N=12名青少年；第二阶段RCT研究的N=250名青少年)将从罗德岛家庭法院和缓刑部门招募，并随机分为Date Smart(积极)干预(n=125)或健康促进(控制)条件(n=125)。在第一阶段(将招募12名青少年一次完成干预、贯穿和研究评估，以便在随机对照试验阶段之前测试随机对照试验干预和评估程序。在第二阶段，250名青少年将被招募并在基线时随机分组，然后在干预后3、6、9和12个月的随访中重新评估。

 DESCRIPTION (provided by applicant): Research is urgently needed to rigorously test a skills-based intervention for dating violence prevention among juvenile justice girls. Court-involved, non-incarcerated (CINI) girls represent a particularly high-risk group for dating violenc exposure. This is due to the multiple risk factors they possess that have demonstrated associations with teen dating violence outcomes in other high-risk adolescent female populations. Despite the critical need for these young women to learn strategies that offset their heightened risk for involvement in coercive romantic relationships, no such evidence-based interventions exist for this population. The goal of the current study is to establish the efficacyof Date SMART (K23MH086328), a theoretically-driven skills-based intervention, in reducing dating violence, sexual risk behavior, and delinquency among girls in the juvenile justice system. Pilot data reveal that girls randomized to the Date SMART intervention spend significantly fewer days in violent relationships compared to girls randomized to the comparison condition. They also show improvements in condom use at last sex and reductions in delinquency. Moreover, the risk profile of adolescent girls who participated in the pilot trial is remarkably similar to the profile of adolescent girls involved in the juvenile justice system. Thus Date SMART is uniquely suited for CINI girls. Despite the promise of Date SMART, the time lag from pilot testing to efficacy testing and final dissemination activities is protracted, as researchers fail to consider questions of effectiveness early on. Hybrid designs that retain core components of efficacy trials (randomization, controlled conditions) and essential elements of effectiveness research (e.g., participant diversity; standardized training procedures, attention to cost) can reduce time to implementation in the "real world." As such, we plan to test the efficacy of Date SMART on dating violence, sexual risk, and delinquency among 250 court-involved, non-incarcerated girls. We will also gather effectiveness data from key stakeholders to determine how best to implement the program, train staff, and predict the cost of the program within the juvenile court. CINI girls, ages 14-17 (N= 12 juveniles for Phase I Intervention Run-Through; N=250 for Phase II RCT study) will be recruited from the Rhode Island Family Court and Probation Departments and randomized to either the Date SMART (active) intervention (n=125) or a Health Promotion (control) condition (n=125). In Phase I (12 juveniles will be recruited to complete the Intervention Run-Through and research assessment once to allow testing of RCT intervention and assessment procedures prior to the RCT phase. In Phase II, 250 juveniles will be recruited and randomized at baseline and then re-assessed at 3, 6, 9 and 12 month post-intervention follow-ups.