This is a pilot clinical trial to test an intervention called FLARE, which is an adolescent relationship abuse prevention program for sexual and gender diverse youth and their trusted adults. FLARE comprises in-person, virtual, and asynchronous programming developed by and for caregivers and adolescents.
In this pilot trial, the investigators will be testing FLARE, a dating violence prevention program for sexual and gender diverse youth and their trusted adults. The study will be comparing FLARE to a wait-list control. This trial will focus on assessing acceptability, feasibility, and fidelity, as well as exploratory changes in behavioral outcomes. FLARE includes 1 in-person full day session, 2 virtual large group sessions, and several asynchronous components (website, workbook, card game). FLARE runs over a 4 week period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
108
Adolescent relationship abuse prevention intervention for sexual and gender diverse youth and their trusted adults
The control group will receive a resource guide and then will be able to receive FLARE after the trial is complete as a wait list control option
University of Pittsburgh
Pittsburgh, Pennsylvania, United States
RECRUITINGAcceptability
Acceptability of Intervention Measure: Mean value of 4 items. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Completely disagree) to 5 (Completely agree) and averaged to produce the mean value. The higher the computed mean value, the greater acceptability of the intervention.
Time frame: T2 (1 month post baseline)
Trial Feasibility
Trial Consent Rate: % of individuals who assented/consented to participate out of individuals who screened eligible Trial Baseline Participation Rate: % of individuals who completed the baseline survey out of individuals who assented/consented to participate Trial Intervention Demand: % of intervention arm participants who complete the intervention Trial Retention Rate: % of participants who complete each followup survey
Time frame: T1 (baseline); T2 (1 month post baseline); T3 (3 months post baseline, 2 months post T2)
Attitudes about abusive behaviors
Recognition of Abusive Behaviors Scale: Mean of the 8 items that use 5-point Likert response options, where higher scores indicate greater recognition of abusive behaviors.
Time frame: T1 (baseline); T3 (3 months post baseline, 2 months post T2)
Attitudes towards diverse identities
Attitudes Towards Diverse Identities and Expressions: Mean value of 6 items about sexual diverse youth and mean value of 7 items about gender diverse youth. Items use 5-point Likert scales. Higher average scores indicate more positive attitudes.
Time frame: T1 (baseline); T3 (3 months post baseline, 2 months post T2)
Self-efficacy
Attitudes Towards Diverse Identities and Expressions: Mean value of 6 items about sexual diverse youth and mean value of 7 items about gender diverse youth. Items use 5-point Likert scales. Higher average scores indicate more positive attitudes.
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Time frame: T1 (baseline); T3 (3 months post baseline, 2 months post T2)
Parenting confidence
Sexuality-related parenting practice confidence: Mean value of the sexuality-related parenting practice confidence subscale containing 17 items that uses a 10-point Likert scale, wherein higher mean values indicate greater confidence.
Time frame: T1 (baseline); T3 (3 months post baseline, 2 months post T2)
Caregiver self-efficacy
Affirmative Caregiving Self-Efficacy Inventory: Mean value of 20-item scale using 5-point Likert response options designed to assess caregivers' confidence in their abilities to engage in affirmative caregiver practices with SGDY. Higher mean values indicate greater self-efficacy.
Time frame: T1 (baseline); T3 (3 months post baseline, 2 months post T2)
Motivation
Motivation change ruler: The motivation change ruler assesses motivation for preventing ARA and engaging in monitoring activities with a total of 4 items and Likert scale response option. Each item will be used individually, and higher values indicate greater motivation.
Time frame: T1 (baseline); T3 (3 months post baseline, 2 months post T2)
Resource utilization
Utilization of dating/ARA resources: Utilization of dating/ARA resources is assessed using 6 items with Likert scale response options. Higher scores indicate greater utilization of dating/ARA resources.
Time frame: T1 (baseline); T3 (3 months post baseline, 2 months post T2)
Dating related parenting monitoring
Exposure to opportunities for engaging in dating/ARA monitoring activities is assessed using 5 with Likert scale response options. Higher scores indicate greater exposures to opportunities for engaging in dating/ARA monitoring activities.
Time frame: T1 (baseline); T3 (3 months post baseline, 2 months post T2)
Parenting monitoring
Mean value of the 18 items using Likert scale response options, wherein higher schools indicate greater positive parenting practices.
Time frame: T1 (baseline); T3 (3 months post baseline, 2 months post T2)
LGBTQ Caregiver
LGBTQ Caregiver Acceptance Scale: Mean values will be calculated for each of the subscales, which include outness (10 items), caregiver acceptance (6 items), concealment (6 items), respect (9 items), attitudes toward parenting SGDY (4 items), supportive action (5 items). Response options use a 6-point Likert scale. Higher mean values indicate greater levels of positive outcomes, except for concealment where lower values indicate positive outcomes.
Time frame: T1 (baseline); T3 (3 months post baseline, 2 months post T2)
parent-adolescent communication
5 item investigator developed measure around parent-adolescent communication on dating and dating violence. Summary score, higher mean is more communication
Time frame: T1 (baseline); T3 (3 months post baseline, 2 months post T2)
Adolescent relationship abuse
Measure of Adolescent Relationship Harassment and Abuse (MARSHA): Developed specifically by and for marginalized youth including SGDY, MARSHA assesses the frequency adolescent relationship abuse among adolescents. MARSHA included items assessing ARA victimization (39) and perpetration (39) frequency, with subscales pertain to privacy control, social control, physical abuse, sexual abuse, and intimidation. Response options include: 0 times, 1-3 times, 4-10 times, more than 10 times. Summary scores are created for each subscale by dichotomizing the items (0 vs 1) and adding them together. Higher scores indicate greater ARA.
Time frame: T1 (baseline); T3 (3 months post baseline, 2 months post T2)