Katie M Edwards, Heather Littleton, Joseph Gardella, Lorey A Wheeler, Alexander Farquhar-Leicester, Weiman Xu, Caroline Spitz, Paige Hespe, Alexis Chavez, Seungju Kim, Dongho Choi, Maeve Allen, Emily Camp, Sarah Ashworth, Minati Sharma, Joshua Girard, Molly Higgins, Skyler Hopfauf, Clayton Neighbors
{"title":"An Online Program for Sexual and Gender Minority Youth Reduces Alcohol Use and Teen Dating Violence: A Randomized Controlled Trial.","authors":"Katie M Edwards, Heather Littleton, Joseph Gardella, Lorey A Wheeler, Alexander Farquhar-Leicester, Weiman Xu, Caroline Spitz, Paige Hespe, Alexis Chavez, Seungju Kim, Dongho Choi, Maeve Allen, Emily Camp, Sarah Ashworth, Minati Sharma, Joshua Girard, Molly Higgins, Skyler Hopfauf, Clayton Neighbors","doi":"10.15288/jsad.24-00007","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The purpose of the current study was to assess preliminary efficacy from a randomized controlled trial of the Promoting Resilient Youth with Strong Hearts and Mind (PRYSHM) Program. PRYSHM is an online, live-facilitated, nine-session group program for sexual and gender minority youth (SGMY) ages 15 to 18. The program focuses on reducing proximal forms of minority stress, promoting positive identity development, building LGBTQ+ community, developing social-emotional skills, and providing alcohol use (AU) and teen dating violence (TDV) prevention skills.</p><p><strong>Method: </strong>Participants (recruited predominantly via social media) included 304 recently dating SGMY (ages 15 to 18) from across the U.S. who were randomized to treatment or waitlist after completing a baseline survey. Participants completed post-test and 3-month follow-up surveys.</p><p><strong>Results: </strong>Relative to waitlist, participants in the PRYSHM condition had reduced AU and TDV perpetration. Dosage analyses supported that youth who attended six or more PRYSHM sessions had better outcomes compared to the control group, and more so than youth who attended 0-2 sessions or 3-5 sessions.</p><p><strong>Conclusion: </strong>These data provide preliminary support for PRYSHM as an efficacious intervention to reduce TDV, AU, and alcohol consequences among SGMY. Dosage analyses provided additional nuance in understanding program effects, with promising findings for those receiving a higher dosage of intervention content. Research is needed using larger samples of SGMY, including SGMY with identities underrepresented in the current trial (e.g., SGMY assigned male at birth), as well as work seeking to evaluate mechanisms of change and identify the optimum program dosage. There is also a need for studies with a longer-term follow-up to evaluate the intervention's durability and if additional booster sessions are needed.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of studies on alcohol and drugs","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.15288/jsad.24-00007","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The purpose of the current study was to assess preliminary efficacy from a randomized controlled trial of the Promoting Resilient Youth with Strong Hearts and Mind (PRYSHM) Program. PRYSHM is an online, live-facilitated, nine-session group program for sexual and gender minority youth (SGMY) ages 15 to 18. The program focuses on reducing proximal forms of minority stress, promoting positive identity development, building LGBTQ+ community, developing social-emotional skills, and providing alcohol use (AU) and teen dating violence (TDV) prevention skills.
Method: Participants (recruited predominantly via social media) included 304 recently dating SGMY (ages 15 to 18) from across the U.S. who were randomized to treatment or waitlist after completing a baseline survey. Participants completed post-test and 3-month follow-up surveys.
Results: Relative to waitlist, participants in the PRYSHM condition had reduced AU and TDV perpetration. Dosage analyses supported that youth who attended six or more PRYSHM sessions had better outcomes compared to the control group, and more so than youth who attended 0-2 sessions or 3-5 sessions.
Conclusion: These data provide preliminary support for PRYSHM as an efficacious intervention to reduce TDV, AU, and alcohol consequences among SGMY. Dosage analyses provided additional nuance in understanding program effects, with promising findings for those receiving a higher dosage of intervention content. Research is needed using larger samples of SGMY, including SGMY with identities underrepresented in the current trial (e.g., SGMY assigned male at birth), as well as work seeking to evaluate mechanisms of change and identify the optimum program dosage. There is also a need for studies with a longer-term follow-up to evaluate the intervention's durability and if additional booster sessions are needed.
期刊介绍:
The Journal of Studies on Alcohol and Drugs began in 1940 as the Quarterly Journal of Studies on Alcohol. It was founded by Howard W. Haggard, M.D., director of Yale University’s Laboratory of Applied Physiology. Dr. Haggard was a physiologist studying the effects of alcohol on the body, and he started the Journal as a way to publish the increasing amount of research on alcohol use, abuse, and treatment that emerged from Yale and other institutions in the years following the repeal of Prohibition in 1933. In addition to original research, the Journal also published abstracts summarizing other published documents dealing with alcohol. At Yale, Dr. Haggard built a large team of alcohol researchers within the Laboratory of Applied Physiology—including E.M. Jellinek, who became managing editor of the Journal in 1941. In 1943, to bring together the various alcohol research projects conducted by the Laboratory, Dr. Haggard formed the Section of Studies on Alcohol, which also became home to the Journal and its editorial staff. In 1950, the Section was renamed the Center of Alcohol Studies.