Preventing Intimate Partner Violence among Teens Who Are Pregnant or Parenting

 描述(由申请者提供)：据估计，美国每年有75万青少年怀孕。在怀孕或育儿的青少年中，多达三分之二的人曾遭受过身体亲密伴侣暴力(IPV)，心理虐待的比例甚至更高。与没有参与IPV的青少年相比，怀孕或育儿并参与IPV的青少年经历不良产前健康和分娩结局、药物使用、抑郁症状和贫困的风险更高。此外，这些父母的孩子在经历虐待儿童、心理、社会和学习问题以及在自己的关系中发生IPV的风险增加。不幸的是，现有的基于证据的IPV预防方案没有解决怀孕或为人父母的青少年遇到的特定风险因素、独特的虐待形式和潜在的虐待后果。我们建议调整基于证据的安全日期IPV预防计划，以满足怀孕或为人父母的少女的独特需求。安全约会是一个为期10节的互动计划，已经证明在预防普通青少年约会伴侣的心理、身体和性虐待方面是有效的。本研究的具体目的如下：目的1.利用目标人群的焦点小组、社区咨询小组的意见和对该计划的预测试，为怀孕或为人父母的少女调整安全日期IPV预防计划。目的2.通过对北卡罗来纳州60名怀孕或育儿的女性进行小规模随机先导性研究，评估调整后的计划与原始计划相比的可行性和可接受性。我们将使用观察值、实施者完成的会议日志、参与者调查和干预后焦点小组来收集有关实施可行性、忠诚度和参与者可接受性的数据。对干预和对照组青少年进行的前测和为期6个月的跟踪调查将被用来检查项目对IPV实施和受害的影响。对实施和结果进行系统的适应和试点评估，对于了解安全约会的潜力以满足怀孕或为人父母的少女的需要至关重要。提高针对这一人群的IPV预防方案的科学严谨性和质量可能最终改善年轻父母及其子女的健康和福祉。

 DESCRIPTION (provided by applicant): An estimated 750,000 U.S. teens become pregnant each year. Up to two-thirds of teens who are pregnant or parenting have been the victim or perpetrator of physical intimate partner violence (IPV), and the rate of psychological abuse is even higher. Teens who are pregnant or parenting and involved in IPV, as compared with those not involved in IPV, are at elevated risk for experiencing poor prenatal health and birth outcomes, substance use, depressive symptoms, and poverty. In addition, children of these parents are at increased risk for experiencing child abuse; psychological, social, and academic problems; and IPV in their own relationships. Unfortunately, existing evidence-based IPV-prevention programs do not address the specific risk factors, unique forms of abuse, and potential consequences of abuse encountered by teens who are pregnant or parenting. We are proposing to adapt the evidence-based Safe Dates IPV prevention program to address the unique needs of teen girls who are pregnant or parenting. Safe Dates is a 10-session interactive program that has demonstrated efficacy in preventing psychological, physical, and sexual abuse among dating partners in a general population of teens. The specific aims of this research are as follows: Aim 1. Adapt the Safe Dates IPV prevention program for female teens who are pregnant or parenting, using focus groups with the target population, input from a community advisory panel, and a pre-test of the program to inform adaptations. Aim 2. Evaluate the feasibility and acceptability of the adapted program, compared to the original program, in a small-scale randomized pilot study with 60 female teens in North Carolina who are pregnant or parenting. We will use observations, session logs completed by implementers, participant surveys, and post-intervention focus groups to collect data about implementation feasibility, fidelity, and acceptability to participants. Pre-test and 6-month follow-up surveys with intervention and comparison group teens will be used to examine program effects on IPV perpetration and victimization. A systematic adaptation and pilot evaluation of implementation and outcomes are essential to understanding the potential for Safe Dates to meet the needs of teen girls who are pregnant or parenting. Enhancing the scientific rigor and quality of IPV prevention programs for this population may ultimately improve the health and well-being of both young parents and their children.