Adapting and testing the myPlan app to prevent dating violence with adolescents

摘要 有证据表明，青少年想要并需要及时、方便、互动、个人和私人的健康信息， 包括关于约会和随意/勾搭关系的信息和资源。寻求关系的青少年 信息，建议和支持与朋友和其他使用技术的人联系，因为大多数人都拥有智能手机， 片剂，并大量使用它们。本研究将解决RFA中强调的目标B。我们会调整和检查 myPlan的有效性，一个基于网络的健康关系和安全规划应用程序，以防止严重和 在约会关系和偶然/勾搭中的致命身体和性暴力（即，被定义为与一个 不被认为是重要的其他性别的成员）与男性和女性青少年（15-17岁 年），居住在城市和农村社区。对许多人来说，他们的第一次暴力经历是在约会或休闲时， 在青春期与伴侣或熟人的关系/勾搭。我们的重点是预防15-17岁 奥尔兹作为一个重要的年龄，以建立认识和理解健康的关系和安全规划，在不安全的 许多人正在向独立过渡，并在关系中寻求亲密关系。此外，证据 很明显，18-24岁年龄段最容易遭受约会/伴侣暴力，特别是性暴力。 因此，与青少年的合作是预防严重和致命的亲密暴力的关键 和今后一我们的研究分两个阶段进行，由多学科研究人员和青少年健康团队组成。 倡导并包括青少年咨询委员会。在第1阶段（第1年），我们将使用ADAPT-ITT框架， 建议采用循证艾滋病毒干预措施，但与本研究相关，允许三角测量 多种形式的数据，用于通知适配，记录适配过程，并平衡对原始应用程序的保真度， 适应美国城市和农村青少年人口，针对15-17岁。在第二阶段，我们将研究 调整后的myPlan应用程序与纵向混合方法随机试验的有效性，将myPlan与 关于主要成果的“日常护理”应用程序（预防/减少受害/实施约会暴力，包括 严重的身体和性暴力）和次要结局（例如，安全行为，旁观者行为，自我效能， 减少危害和心理健康）。我们计划招收600名男性和 女性青少年，并使用经过验证的严重和致命暴力风险衡量标准对其进行12个月以上的跟踪， 确定有效性。调查结果将由青少年咨询委员会公布， 将包括将myPlan应用程序整合到既定教育计划和政策中的战略，作为 青少年和服务提供者提高对健康关系和安全规划的认识， 亲密关系

Abstracts Evidence suggests that adolescents want and need timely, accessible, interactive, personal, and private health information, including information and resources on dating and casual/hook-up relationships. Adolescents seeking relationship information, advice and support connect with friends and others using technology as the majority own smartphones or tablets and use them heavily. The study will address Objective B highlighted in the RFA. We will adapt and examine the effectiveness of myPlan, a web-based app for healthy relationships and safety planning to prevent serious and lethal physical and sexual violence in dating relationships and casual/hook-ups (i.e., defined as intimacy with a member of the preferred sex that is not consider a significant other) with male and female adolescents (ages 15-17 years) living in urban and rural communities. For many, their first experience of violence is in a dating or casual relationship/hook-up with a partner or acquaintance during adolescence. We are focusing on prevention with 15-17 year olds as an important age to build awareness and understanding of healthy relationships and safety planning in unsafe relationships as many are making the transition to independence and seeking intimacy in relationships. Further, evidence is clear that vulnerability of dating/partner violence, especially sexual violence is highest between the ages of 18-24. Therefore, collaboration with younger adolescents is a critical to prevention of severe and lethal intimate violence now and in the future. Our study is conducted in two phases with a multidisciplinary team of researchers and adolescent health advocates and includes an adolescent advisory committee. In Phase 1 (Year 1), we will use the ADAPT-ITT framework, recommended for adaptation of evidence-based HIV interventions but relevant to this study, allowing triangulation of multiple forms of data to inform adaption, document the adaptation process, and balance fidelity to the original app while adapting to the US urban and rural adolescent population, targeting ages 15-17 years. In Phase 2, we will examine the effectiveness of the adapted myPlan app with a longitudinal mixed-methods randomized trial, comparing myPlan to a `usual care' app on primary outcome (prevention/reduction of victimization/perpetration of dating violence, including severe physical and sexual violence) and secondary outcomes (e.g. safety behaviors, bystander behavior, self-efficacy for harm reduction and mental health) with urban and rural male and female adolescents. We plan to enroll 600 male and female adolescents and follow them over 12-months using a validated measure of risk for severe and lethal violence to determine the effectiveness. The findings will be informed for dissemination by the adolescent advisory committee and will include strategies for integrating the myPlan app in established education programs and policies as a resource for adolescents and service providers to advance awareness of healthy relationships and safety planning to prevent violence in intimate relationships.