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基于证据的青少年和年轻成人行为改变结局的恋爱暴力预防项目综述。

A Review of Evidence-Based Dating Violence Prevention Programs With Behavioral Change Outcomes for Adolescents and Young Adults.

机构信息

School of Medicine, Department of Pediatrics, Stanford University, Palo Alto, CA, USA.

School of Medicine, University of California, San Francisco, San Francisco, CA, USA.

出版信息

Trauma Violence Abuse. 2024 Oct;25(4):3315-3331. doi: 10.1177/15248380241246779. Epub 2024 Apr 26.

DOI:10.1177/15248380241246779
PMID:38671574
Abstract

Adolescent dating violence (DV) is not only a social but also a public health problem, necessitating the development and scale-up of prevention strategies. We conducted a review of the literature to identify adolescent and young adult DV prevention programs that have shown promising behavioral outcomes. The literature search covered articles published from 1996 to 2022 and indexed in Medline, Cochrane, Scopus, PsycINFO, and Embase. The review focused on programs implemented and evaluated in the United States or Canada that included intervention and comparison groups, a baseline assessment, and at least one post-assessment conducted after the intervention exposure. Promising behavioral outcomes were defined as positive, statistically significant differences between intervention and comparison groups with respect to DV perpetration or victimization or bystander behavior in relation to DV. A total of 118 articles were screened by abstract and read in-depth. Eighteen programs that met the inclusion criteria were identified. Of these programs, one showed reductions in DV victimization, six showed reductions in DV perpetration, and nine showed behavioral reductions in both violence perpetration and victimization. The review highlighted that while multiple programs have demonstrated efficacy in preventing or reducing intimate partner violence in North American youth populations, more robust research on the replication of these programs outside researcher-controlled environments is needed. Furthermore, issues with program inclusivity, such as with sex and gender-minority individuals, should be considered in future intervention development and replication research.

摘要

青少年约会暴力(DV)不仅是一个社会问题,也是一个公共卫生问题,因此需要制定和扩大预防策略。我们对文献进行了回顾,以确定已显示出有希望的行为结果的青少年和年轻成人 DV 预防计划。文献检索涵盖了 1996 年至 2022 年期间发表的文章,并在 Medline、Cochrane、Scopus、PsycINFO 和 Embase 中进行了索引。该综述侧重于在美国或加拿大实施和评估的计划,这些计划包括干预组和对照组、基线评估以及干预暴露后至少进行一次的后续评估。有希望的行为结果定义为干预组和对照组在 DV 实施或受害或与 DV 有关的旁观者行为方面的积极、具有统计学意义的差异。通过摘要筛选并深入阅读了 118 篇文章。确定了符合纳入标准的 18 个计划。在这些计划中,有一个显示出减少了 DV 受害,六个显示出减少了 DV 实施,九个显示出在暴力实施和受害方面都有行为减少。该综述强调,尽管多个计划已证明在预防或减少北美青年人群中的亲密伴侣暴力方面有效,但需要在研究人员控制环境之外对这些计划的复制进行更有力的研究。此外,在未来的干预措施开发和复制研究中,应考虑计划包容性问题,例如与性别和性别少数群体有关的问题。

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