King Cheryl A, Gipson Polly Y, Arango Alejandra, Foster Cynthia Ewell, Clark Michael, Ghaziuddin Neera, Stone Deborah
University of Michigan.
Centers for Disease Control and Prevention.
J Community Psychol. 2018 Sep;46(7):885-902. doi: 10.1002/jcop.21979. Epub 2018 Apr 6.
This study examined the effectiveness of LET's CONNECT (LC), a community mentorship program for youths who report peer social problems, which is based on a positive youth development framework. Participants were 218 youths (66.5% girls), aged 12 to 15 years, who were recruited from an urban medical emergency department and screened positive for bullying victimization, bullying perpetration, and/or low social connectedness. Youths were randomized to LC (n = 106) or the control condition (n = 112). Six-month outcomes were assessed with self-report measures of youth social connectedness, community connectedness, thwarted belongingness, depression, self-esteem, and suicidal ideation. LC was associated with a significant increase in only one of these outcomes, social connectedness (effect size = 0.4). It was associated consistently with trend-level positive changes for thwarted belongingness (decreased), depression (decreased), community connectedness, and self-esteem (effect sizes = 0.2). There was no effect on suicidal ideation (effect size = 0.0), and although not a primary outcome, eight youths in the LC condition and seven youths in the control condition engaged in suicidal behavior between baseline and follow-up. Although LC effect sizes are consistent with those from previous studies of community mentorship, there were multiple challenges to LC implementation that affected dosage and intervention fidelity, and that may account for the lack of stronger positive effects.
本研究考察了“让我们建立联系”(LET's CONNECT,简称LC)项目的有效性,该项目是一个针对报告存在同伴社交问题的青少年的社区指导项目,基于积极的青少年发展框架。参与者为218名年龄在12至15岁之间的青少年(66.5%为女孩),他们从城市医疗急诊科招募,经筛查存在受欺凌、欺凌他人和/或社交联系薄弱的情况。青少年被随机分为LC组(n = 106)或对照组(n = 112)。通过青少年社交联系、社区联系、归属感受挫、抑郁、自尊和自杀意念的自我报告测量来评估六个月的结果。LC仅与其中一项结果的显著增加相关,即社交联系(效应量 = 0.4)。它始终与归属感受挫(降低)、抑郁(降低)、社区联系和自尊的趋势水平积极变化相关(效应量 = 0.2)。对自杀意念没有影响(效应量 = 0.0),并且虽然不是主要结果,但在基线和随访之间,LC组有8名青少年和对照组有7名青少年实施了自杀行为。尽管LC的效应量与先前社区指导研究的结果一致,但LC项目的实施存在多个挑战,这些挑战影响了干预剂量和干预保真度,这可能是缺乏更强积极效果的原因。