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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >The Effects of a Health Care-Based Brief Intervention on Dating Abuse Perpetration: Results of a Randomized Controlled Trial
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The Effects of a Health Care-Based Brief Intervention on Dating Abuse Perpetration: Results of a Randomized Controlled Trial

机译：卫生保健的简要干预对约会滥用行动的影响：随机对照试验的结果

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Dating abuse (DA) is prevalent and consequential, yet there are no evidence-based interventions for the health care setting that prevent perpetration. The current study's purpose was to test a one-session brief motivational interview-style intervention to decrease DA perpetration. We conducted a two-arm RCT of the Real Talk intervention with follow-up at 3 and 6 months. Participants were 172 youth ages 15-19 years old, recruited from the pediatric emergency department or outpatient care services of an urban hospital in the USA in 2014-2017. The primary outcome was change in self-reported DA perpetration, including subtypes of DA such as physical, sexual, psychological, and cyber DA. Youth in both intervention and control arms reduced DA perpetration over time. GEE models indicated no overall intervention effects for any, physical, sexual, or psychological DA. There were overall effects for cyber DA (RR 0.49, 95% CI 0.27, 0.87). There were also effects at 3 months for psychological DA (RR 0.24, 95% CI 0.06, 0.93) and cyber DA (RR 0.39, 95% CI 0.19, 0.79). Analyses stratified by gender also found overall effects for males for any DA (RR 0.20, 95% CI 0.07, 0.55), physical DA (RR 0.30, 95% CI 0.10, 0.89), and cyber DA (RR 0.04, 95% CI 0.01, 0.27). For males, intervention effects on any DA persisted to 6 months (RR 0.13, 95% CI 0.02, 1.01). This health care-based one-session DA intervention is a potentially promising approach to reduce DA perpetration among adolescents.
机译：约会滥用（DA）是普遍的，结果，但没有证据基于证据的卫生保健环境，以防止滞留。目前的研究目的是测试一次性短暂的励志访谈风格干预，以减少大规模的滞销。我们在3个月和6个月的后续行动中进行了一个双臂RCT。参与者是15-19岁的172岁，于2014 - 2017年从美国城市医院的小儿科急诊部门或门诊护理服务招募。自我报告的DA牵伸发生了主要结果，包括DA的亚型，如身体，性，心理和网络DA。干预和控制臂的青年随着时间的推移而减少了DA的绝望。 GEE模型向任何，身体，性，性或心理DA表示没有整体干预效果。 Cyber​​ DA（RR 0.49,95％CI 0.27,0.87）存在整体效果。心理DA（RR 0.24,95％CI 0.06,0.93）和Cyber​​ DA（RR 0.39,95％CI 0.19,0.79），还有3个月的效果。分析性别分层还发现了任何DA的男性的整体效果（RR 0.20,95％CI 0.07,0.55），物理DA（RR 0.30,95％CI 0.10,0.89）和Cyber​​ DA（RR 0.04,95％CI 0.01 ，0.27）。对于雄性，任何DA的干预作用持续到6个月（RR 0.13,95％CI 0.02,1.01）。这种卫生保健的一届一次性干预是一种潜在的有希望的方法，可以减少青少年之间的DA滞后。

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