评估数字干预以减少年轻黑人男性的攻击性和支持枪支暴力态度:测试前-测试后可行性研究。

IF 2.3 Q2 PEDIATRICS
Chuka Emezue, Jessica Bishop-Royse, Andrew Froilan, Tara Wilkes, Niranjan S Karnik, Wrenetha A Julion
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引用次数: 0

摘要

背景:美国儿童和青少年火器伤害和死亡人数激增至20世纪90年代中期以来的最高水平,标志着一个关键的公共卫生拐点。年轻黑人男性(15-24岁)与枪支相关的死亡率是白人男性的24倍。尽管存在这种不成比例的风险,但他们不太可能参与传统的枪支暴力预防项目。这种差异突出表明,迫切需要采取创新的、符合文化特点的方法,解决暴力的情感、行为和社会决定因素。目的:本试点研究旨在评估兄弟行为的初步效果,这是一种文化响应、创伤信息、多组件移动和基于网络的干预措施,旨在支持年轻黑人男性(15-24岁)导航和预防社区暴力、物质使用和精神健康挑战。干预措施的目的是增加生活在资源匮乏、暴力程度高的环境中的青年获得危机前支持和心理健康资源的机会。方法:70名年轻黑人男性,严重打架、朋友携带武器、社区环境和枪支威胁(安全)得分在1至5分之间(表明低至中度枪支暴力风险),被纳入这项前瞻性测试前-测试后研究。参与者完成了兄弟行为干预的心理教育部分,包括7个基于视频的模块。在基线和4周后再次进行调查,以评估对枪支和暴力的态度(枪支和暴力态度问卷)、反应性攻击和主动攻击(反应-主动攻击问卷)、心理困扰(凯斯勒心理困扰量表)和抑郁症状(8项患者健康问卷)的变化。配对t检验分析前后差异。结果:共有70名年轻黑人男性(平均年龄20.97岁,SD 2.44岁)参与研究。近一半的人报告最近发生了肢体冲突(48/70,69%),枪支威胁(39/70,56%),或者在他们的社区听到枪声(63/70,90%)。超过50%(39/70,56%)报告使用非法药物,70人中有32人(46%)报告与药物有关的暴力。安全得分揭示了枪支风险因素的异质性,特别是在社区暴力和枪支威胁中。干预后,参与者对枪支和暴力的态度显著降低(枪支和暴力态度问卷,平均29.8-26.1,p)。结论:初步研究结果表明,兄弟会行动可能降低年轻黑人男性的亲暴力态度和反应性攻击。这些结果强调了文化响应性数字干预作为预防服务不足青年群体枪支暴力战略的可行性和潜在影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating a Digital Intervention to Reduce Aggression and Pro-Firearm Violence Attitudes Among Young Black Males: Pretest-Posttest Feasibility Study.

Background: Pediatric and adolescent firearm injuries and fatalities in the United States have surged to levels not seen since the mid-1990s, marking a critical public health inflection point. Young Black males (ages 15-24) experience firearm-related fatality rates 24 times higher than their White peers. Despite this disproportionate risk, they are less likely to participate in traditional firearm violence prevention programs. This disparity highlights the urgent need for innovative, culturally responsive approaches that address the emotional, behavioral, and social determinants of violence.

Objective: This pilot study aims to evaluate the preliminary effects of BrotherlyACT, a culturally responsive, trauma-informed, multicomponent mobile and web-based intervention designed to support young Black males (ages 15-24) in navigating and preventing community violence, substance use, and mental health challenges. The intervention aims to increase access to precrisis support and mental health resources for youth living in low-resource, high-violence settings.

Methods: Seventy young Black males with Serious Fighting, Friend Weapon Carrying, Community Environment, and Firearm Threats (SaFETy) scores between 1 and 5 (indicating low-to-moderate firearm violence risk) were enrolled in this prospective pretest-posttest study. Participants completed a psychoeducational component of the BrotherlyACT intervention, consisting of 7 video-based modules. Surveys were administered at baseline and again 4 weeks later to assess changes in attitudes toward guns and violence (Attitudes Toward Guns and Violence Questionnaire), reactive and proactive aggression (Reactive-Proactive Aggression Questionnaire), psychological distress (Kessler Psychological Distress Scale), and depressive symptoms (8-item Patient Health Questionnaire). Paired t tests were conducted to analyze pre-post differences.

Results: A total of 70 young Black males (mean age 20.97 years, SD 2.44 years) participated in the study. Nearly half reported recent physical fights (48/70, 69%), gun threats (39/70, 56%), or hearing gunshots in their neighborhood (63/70, 90%). More than 50% (39/70, 56%) reported illicit drug use, and 32 out of 70 (46%) reported substance-related violence. SaFETy scores revealed heterogeneous but elevated exposure to firearm risk factors, particularly in community violence and firearm threats. Postintervention, participants demonstrated a statistically significant reduction in attitudes toward guns and violence (Attitudes Toward Guns and Violence Questionnaire; mean 29.8-26.1, P<.001, d=0.53), with the largest shift observed in "Aggressive Response to Shame" (28% reduction). Reactive aggression significantly declined (mean 10.48-8.67, P=.008, d=0.37), whereas proactive aggression remained stable. Psychological distress and depressive symptoms remained stable. Nearly all participants (68/70, 97%) completed all modules in a single session, with 47 out of 70 (67%) finishing within an hour, suggesting high feasibility and user engagement.

Conclusions: Preliminary findings indicate that BrotherlyACT may reduce proviolence attitudes and reactive aggression among young Black males. These results underscore the feasibility and potential impact of culturally responsive digital interventions as a strategy to prevent firearm violence among underserved youth populations.

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来源期刊
JMIR Pediatrics and Parenting
JMIR Pediatrics and Parenting Medicine-Pediatrics, Perinatology and Child Health
CiteScore
5.00
自引率
5.40%
发文量
62
审稿时长
12 weeks
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