约会 SOS：基于系统和理论的方法开发一种网络定制干预措施，以预防巴西青少年中的约会暴力。
Dating SOS: a systematic and theory-based development of a web-based tailored intervention to prevent dating violence among Brazilian youth.
机构信息
Department of Clinical Psychology, Institute of Psychology, University of Brasília, Campus Darcy Ribeiro, Brasília, DF, CEP 70910-900, Brazil.
Department of Design, Institute of Arts, University of Brasília, Brasília, Brazil.
出版信息
BMC Public Health. 2020 Mar 26;20(1):391. doi: 10.1186/s12889-020-08487-x.
BACKGROUND
Dating violence has an alarming prevalence among Brazilian adolescents. School-based preventive programs have been implemented, but remain isolated initiatives with low reach. Health communication strategies based on innovative technologies with a high potential of diffusion are urgent. This study aimed to develop a computer-tailored intervention to prevent victimization and perpetration of dating violence among Brazilian youth.
METHODS
The intervention, called Dating SOS (SOS Namoro), is based on the I-Change Model and attachment theory and is a comprehensive preventive program targeted to young people with a current partner. The intervention design included the stages of needs assessment; definition of objectives of change; development of the library of messages; elaboration of a questionnaire for tailoring feedbacks according to the relevant variables; integration of the content in the software Tailor Builder; pre-testing; and usability and efficacy evaluation planning. Dating SOS is composed of four online sessions. The first session gives a tailored orientation on attachment style and risk perception of violence. The second session addresses knowledge on conflict management, positive and negative social models of intimate relationships and an action plan to improve everyday interactions. The third session covers social norms, self-efficacy and an action plan to cope with conflicts. The fourth session discusses attitudes, social support and an action plan to protect from violence. Improvements on the interface and tailoring refinement was done after pre-testing to improve attractiveness and decrease risk of iatrogenic effects.
DISCUSSION
The principal merit of the present study resides in the development of an innovative strategy based on the qualified use of the internet for education surrounding romantic relationships and the prevention of dating violence among adolescent and young Brazilians, a hitherto unaddressed need in the field. The intervention usability and efficacy should be investigated in further studies.
TRIAL REGISTRATION
Brazilian Registry of Clinical Trials. RBR-9frj8q. Prospectively registered on July 25, 2019. http://www.ensaiosclinicos.gov.br/rg/RBR-9frj8q/.
背景
恋爱暴力在巴西青少年中普遍存在，令人震惊。已经实施了基于学校的预防计划，但这些计划仍然是孤立的举措，覆盖面有限。因此，迫切需要基于具有高传播潜力的创新技术的健康传播策略。本研究旨在开发一种针对巴西青年恋爱暴力受害和施暴的计算机定制干预措施。
方法
该干预措施称为恋爱 SOS（SOS Namoro），它基于 I-Change 模型和依恋理论，是一项针对有现任伴侣的年轻人的综合预防计划。干预设计包括需求评估阶段；改变目标的定义；消息库的开发；根据相关变量制定定制反馈问卷；将内容整合到软件 Tailor Builder 中；预测试；以及可用性和功效评估计划。恋爱 SOS 由四个在线课程组成。第一节课根据依恋风格和暴力风险感知进行个性化指导。第二节课介绍关于冲突管理、积极和消极的亲密关系社会模式以及改善日常互动的行动计划。第三节课涵盖社会规范、自我效能和应对冲突的行动计划。第四节课讨论态度、社会支持和保护免受暴力的行动计划。在预测试后，对界面和定制进行了改进，以提高吸引力并降低医源性影响的风险。
讨论
本研究的主要优点在于开发了一种创新策略，该策略基于互联网的合理使用，为巴西青少年的浪漫关系教育和恋爱暴力预防提供支持，这是该领域迄今为止尚未得到满足的需求。干预措施的可用性和功效应在进一步的研究中进行调查。
试验注册
巴西临床试验注册处。RBR-9frj8q。于 2019 年 7 月 25 日前瞻性注册。http://www.ensaiosclinicos.gov.br/rg/RBR-9frj8q/。
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