Reyes H Luz McNaughton, Langoni Eliana Gabriela Armora, Sharpless Laurel, Blackburn Natalie, McCort Agnieszka, Macy Rebecca J, Moracco Kathryn E, Foshee Vangie A
Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Injury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
JMIR Res Protoc. 2022 Aug 5;11(8):e35487. doi: 10.2196/35487.
Children exposed to intimate partner violence (IPV) between caregivers are at an increased risk of becoming involved in dating violence during adolescence. However, to date, few adolescent dating violence (ADV) prevention programs have been developed for and evaluated with youth exposed to IPV. An exception is Moms and Teens for Safe Dates (MTSD), an evidence-based ADV prevention program for mothers or maternal caregivers (mothers) exposed to IPV and their teenagers. The MTSD program comprises a series of booklets that families complete together in a home that includes activities to promote positive family communication and healthy teenager relationships. We developed a web-adapted version of the MTSD program-entitled eMoms and Teens for Safe Dates (eMTSD)-to provide a delivery format that may increase program appeal for digitally oriented teenagers, lower dissemination costs, lower reading burden for low-literacy participants, and incorporate built-in cues and reminders to boost program adherence.
This protocol is for a research study that has the following three main objectives: to assess the acceptability of eMTSD; to identify the feasibility of the research process, including program adherence and participant recruitment and assessment; and to explore the acceptability, feasibility, and preliminary efficacy of 2 features-text reminders and the creation of an action plan for engaging with the program-that may increase program uptake and completion.
Approximately 100 mothers and their teenagers will be invited to complete eMTSD, which includes six 30-minute web-based modules over a 6-week period. Mothers will be recruited through community organizations and social media advertising and will be eligible to participate if they have at least 1 teenager aged 12 to 16 years living with them, have experienced IPV after the teenager was born, are not currently living with an abusive partner, and have access to an internet-enabled device. Using a factorial design, enrolled dyads will be randomized to the following four adherence support groups (n=25 dyads per group): text reminders and action planning, text reminders only, action planning only, and no adherence supports. All participants will complete brief web-based assessments at enrollment after each module is completed, after the full program is completed, and 90 days after enrollment. Program adherence will be tracked using website use metrics.
The data collected will be synthesized to assess the acceptability of the program and the feasibility of the study procedures. An exploratory analysis will examine the impact of adherence support on program completion levels. In November 2021, ethical approval was received and recruitment was initiated. Data collection is expected to continue until December 2022.
The web-based delivery of a family-based healthy relationship program for teenagers exposed to IPV may offer a convenient, low-cost, and engaging approach to preventing ADV. The findings from this study are expected to guide future research.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/35487.
照料者之间遭受亲密伴侣暴力(IPV)的儿童在青春期卷入约会暴力的风险会增加。然而,迄今为止,很少有为遭受IPV的青少年开发并评估的青少年约会暴力(ADV)预防项目。“安全约会的妈妈和青少年”(MTSD)项目是个例外,它是一个基于证据的ADV预防项目,面向遭受IPV的母亲或母亲照料者(母亲)及其青少年。MTSD项目包括一系列家庭一起在居家环境中完成的手册,其中包含促进积极家庭沟通和健康青少年关系的活动。我们开发了MTSD项目的网络适配版本——名为“网络安全约会的妈妈和青少年”(eMTSD)——以提供一种交付形式,这种形式可能会增加对数字化导向青少年的项目吸引力,降低传播成本,减轻低识字率参与者的阅读负担,并纳入内置提示和提醒以提高项目依从性。
本方案针对一项研究,该研究有以下三个主要目标:评估eMTSD的可接受性;确定研究过程的可行性,包括项目依从性以及参与者招募和评估;探索两个功能——短信提醒以及制定参与项目的行动计划——的可接受性、可行性和初步效果,这两个功能可能会提高项目的接受度和完成率。
将邀请大约100位母亲及其青少年完成eMTSD,该项目在6周内包括六个30分钟的网络模块。将通过社区组织和社交媒体广告招募母亲,如果她们至少有一名12至16岁的青少年与她们同住,在青少年出生后经历过IPV,目前没有与施虐伴侣同住,并且能够使用联网设备,就有资格参与。采用析因设计,将入选的二元组随机分配到以下四个依从性支持组(每组n = 25个二元组):短信提醒和行动计划组、仅短信提醒组、仅行动计划组以及无依从性支持组。所有参与者将在入组时、每个模块完成后、整个项目完成后以及入组90天后完成简短的基于网络的评估。将使用网站使用指标跟踪项目依从性。
收集到的数据将进行综合分析,以评估项目的可接受性和研究程序的可行性。探索性分析将考察依从性支持对项目完成水平的影响。2021年11月获得了伦理批准并开始招募。预计数据收集将持续到2022年12月。
为遭受IPV的青少年提供基于网络的家庭健康关系项目,可能为预防ADV提供一种方便低成本且有吸引力的方法。本研究的结果有望为未来的研究提供指导。
国际注册报告识别号(IRRID):DERR1-10.2196/35487。