Department of Family and Community Medicine, School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Department of Family and Health Community Systems, School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
J Adolesc Health. 2021 Feb;68(2):370-377. doi: 10.1016/j.jadohealth.2020.10.004. Epub 2020 Nov 18.
Violence is the leading cause of death among adolescents and young adults in the Americas. Community-Based Participatory Action Research engaged youth and parents to develop and implement two interventions. A Violence Prevention Program (VPP) focused on risk factors for violence, and a Positive Youth Development Program (PYDP) focused on protective factors. Program effects on violence outside of and in school were assessed at 6 and 12 months.
Both interventions included an 8-week internet-based program and an in-person youth summit. Participants were prospectively randomized twice, first to the VPP and a no-VPP control group and again to the PYDP and a no-PYDP control group. Participants self-reported violence outside of and in school through self-administered baseline surveys with repeat assessments at 6 and 12 months. Analysis of covariance models examined VPP and PYDP effects on violence.
The analysis sample was 86% Latino, 56% female, 36% aged 10-13 years, 45% aged 14-18, and 19% aged 19-23 years. Analysis of covariance models of violence outside of school demonstrated small program interaction effects at 6 months (partial eta = .030; p = .007) and small VPP effects at 12 months (partial eta = .023; p = .025). Models of violence in school demonstrated small PYDP effects at 6 months (partial eta = .023; p = .018).
Community-Based Participatory Action Research engaging adolescents, young adults, and parents to address locally relevant health issues can have multiple benefits. In this study, a VPP had positive effects on violence outside of school at 12 months, and a PYDP had positive effects on violence in school at 6 months.
在美洲，暴力是青少年和青年死亡的主要原因。社区参与式行动研究让青少年和家长参与到两个干预项目的制定和实施中。一个是预防暴力项目（VPP），重点关注暴力的风险因素；另一个是青年正向发展项目（PYDP），重点关注保护因素。在 6 个月和 12 个月时，评估了项目对校外和校内暴力的影响。
这两个干预措施都包括一个为期 8 周的基于互联网的项目和一个面对面的青年峰会。参与者首先进行了两次前瞻性随机分组，第一次是 VPP 和无 VPP 对照组，然后是 PYDP 和无 PYDP 对照组。参与者通过自我管理的基线调查自我报告校外和校内暴力情况，在 6 个月和 12 个月时进行重复评估。协方差分析模型考察了 VPP 和 PYDP 对暴力的影响。
分析样本中 86%是拉丁裔，56%是女性，36%年龄在 10-13 岁，45%年龄在 14-18 岁，19%年龄在 19-23 岁。校外暴力的协方差分析模型显示，6 个月时有较小的项目交互效应（偏 eta 平方=.030；p=.007），12 个月时有较小的 VPP 效应（偏 eta 平方=.023；p=.025）。校内暴力模型显示，6 个月时有较小的 PYDP 效应（偏 eta 平方=.023；p=.018）。
让青少年、青年和家长参与解决当地相关健康问题的社区参与式行动研究可以带来多种好处。在这项研究中，VPP 在 12 个月时对校外暴力有积极影响，PYDP 在 6 个月时对校内暴力有积极影响。
