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SOS dating Search all BMC articles Search. Recent Brazilian interventions against partner violence are offered face-to-face in the school environment and conducted in a workshop format by previously trained facilitators [ 89101112 ]. However, in Joseline look alike to the traditional clinical approach, Puerto rican teen pussy feedback and tailored guidance is offered through printed letters, email, mobile phones, and other mobile devices instead of the face-to-face mediation of a professional. Moderation analysis will be employed to evaluate the differential effects of the intervention based on gender, age, and sexual orientation. In Brazil, the use of Naked singapore girls and communication technologies Jeannie marie sullivan mental health promotion is rare [ 21 ] and studies using CTI are still embryonic [ 22 ] and generally address Sos dating reduction of addictive behaviors, such as smoking [ Big ass shaking ]. Help Community portal Recent changes Upload file.

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Brandon Chamberlain on 25 December Reply Unsubscribe to all. Evidence from a study of a Brazilian sample with couples in various stages of romantic relationships corroborates these findings [ 39 ].

Insecure attachment styles stem from rejective, inconsistent, intrusive, or abusive parenting practices that foment the development of internal working models characterized by distrust and insecurity in the establishment of loving bonds as well as an image of themselves as undeserving of love [ 40 , 41 ].

In this way, romantic love in adolescence and adulthood can be understood as an attachment process stemming from the first attachment experiences in childhood.

Avoidance is related to the degree of comfort individuals experience in the face of emotional closeness and intimacy. Applied to romantic relationships, highly-avoidant individuals are reluctant to establish intimate relationships and seek emotional comfort based on the concept that intimacy is threatening and the seeking of emotional support undesirable and its offer impossible.

Anxiety denotes the degree to which individuals worry about being rejected or abandoned by their romantic partners. High levels of anxiety manifest themselves in vigilance for signs of partner distancing as well as elevated investment in maintaining closeness by compulsively searching for support, which can overwhelm partners [ 40 , 43 ] and translate into violent outbursts in addition to indifference, threats, insults, and possessiveness.

Secure attachment is a protective factor for the quality of romantic relationships [ 44 ], while insecure attachment is one of the risk factors for dating violence, contributing to deficient emotional regulation [ 41 ] and conflict resolution abilities [ 38 , 39 ].

In line with attachment theory, it is hoped that Dating SOS can broaden the knowledge of its participants regarding their own attachment styles and how their anxiety levels and avoidance affect their romantic relationships.

It is expected that, upon receiving guidance tailored to their own attachment style and to the levels of dating violence experienced, the participants will recognize opportunities for implementing action plans more responsive to their needs and those of their partners.

Finally, one anticipates that the intervention can boost action plans and skills for seeking help or ending a relationship for those participants exposed to violence as opposed to tolerating violence, deflecting them from strategies intended to cope with insecure attachment and instead leading them to strategies related to a secure attachment style.

This article is intended describe the development process of Dating SOS, a computer tailored intervention grounded in theory for preventing dating violence and improving the romantic relationship quality of Brazilian youths.

It is anticipated that the study can advance the production of knowledge in the field in three ways. First, it adopts dating violence as the focus, something little done thus far in computer tailored interventions.

Second, it bases its intervention design on a collection of empirical studies of dating violence among young Brazilians, a population largely ignored in preventive actions and unstudied in this area.

Third it selects, in an original way, theoretical models yet untested in CTI for dating violence prevention. SOS Dating is an online intervention in which the participants receive tailored guidance based on their attachment style, their experience of having been involved in a romantic relationship with or without violence, their knowledge of dating violence, their attitudes towards dating violence, their positive and negative relationship models derived from those they spend their time and live with, the social norms regarding dating violence in their social circles, their sources of social support available for coping with violence, their self-efficacy for coping with conflicts nonviolently, and their action plans for improving the day-to-day quality of their romantic relationship and for managing conflict and protecting against violence.

Status of violence in the romantic relationship ranges from an absence of violence through episodes of violence to regular violence. In cases of regular violence or episodes of violence the direction victimization, perpetration, bidirectional is also considered.

Each session lasts approximately 15 minutes and occurs 1 week after the previous one. The feedback and participant guidance customizations were made using the TailorBuilder software, used in CTIs already described in literature [ 45 , 46 ].

After this, they receive tailored feedback, as in Session 1. In each session, opening and concluding narratives were used to help the participants identify with the intervention.

The feedback is offered via text passages, available as narratives or lists of items, and self-monitoring exercises.

They are posted to a website in a password-protected area and sent via e-mail as a PDF attachment as well. Email reminders are sent to participants 1 week after every session, if they have not completed the previous session or started the next one.

All interactions between the participant and SOS Dating happen online, without the mediation of a human facilitator.

The needs evaluation consisted of three empirical studies with youths, both victims and not of dating violence, to identify relevant objectives for the intervention and develop its content.

The data, examined by deductive thematic analysis, was categorized as knowledge, social norms, social support, models, attitudes, self-efficacy, action plans, and suggestions for preventive initiatives against dating violence.

The results pointed to gaps in the knowledge of the psychological and material manifestations of dating violence, with physical and sexual being the most acknowledged forms.

Similarly, ignorance of non-violent conflict resolution among students was apparent, as well as what positive and healthy aspects of romantic relationships would entail.

Dating violence was reported as acceptable in several situations, such as in the case of betrayal, when attacked first, and if one or both partners are intoxicated.

Pro-violence social norms attached to sexist stereotypes were commonly reported. The participants reported financial dependence and having kids as conditions that can promote submission to violence and inhibit social support for leaving the abusive relationship.

Finally, they reported action plans with potentially negative impacts, such as resigning themselves to violence, acting indifferently to the partner, and responding to violence with violence, but there were some positive plans as well, such as terminating the relationship or looking for professional help.

The second study investigated the characteristics, triggers and consequences of violent conflicts in dating relationships. It was conducted via individual interviews with ten participants, six men and four women, aged 17 to 27, who had experienced dating violence, either as victims or as perpetrator-victims i.

The results were analyzed using deductive thematic analysis. The participants described their relationships as a mix of positive and negative experiences, with strong affective involvement but with the use of ineffective strategies of conflict management.

It was reported that all these strategies resulted in new conflicts and subsequent future violence, causing great suffering to the parties involved.

Furthermore, data indicated the hyperactivation of the system of attachment in the face of signals interpreted as abandonment by the partner, for example silence and distancing accompanied by anxious responses, such as emotional outbursts to make the other listen.

The third study, aimed to examine emotional intimacy and safety in the romantic relationship, keeping attachment theory as the theoretical lens.

It used semi-structured individual interviews with youths between sixteen and twenty-three years of age who had dating experience.

In order to address the various objectives to be addressed in a computer tailored intervention, questionnaire based on the I-Change Model was developed, titled the Dating Violence Determinant Questionnaire.

We have chosen a closed question format with multiple choice answers for the following determinants: awareness, social support and action plans.

A Likert scale was used to evaluate the determinants: attitude 4 points, from disagree completely to agree completely , social norms 5 points, from almost everyone to almost no one , and self-efficacy 4 points, from very easy to very difficult.

The instrument was submitted to semantic validation; confusing terms or those with double meanings were corrected. Once the intervention objectives had been established and the Dating Violence Determinant Questionnaire had been created, the elaboration of a repository of advice messages was started, resulting in a message library.

The message library was developed according to recommendations of Kreuter et al. First, tables were built for each determinant predicted in the I-Change Model awareness, attitudes, social support, social norms, models, self-efficacy, and positive and negative action plans with the message title for identification purposes , objective changes targeted by that message , origin which items in the questionnaire supplied the data that is the basis of that message , format didactic resource for message expression, such as narration, vignette, comparative table, video, etc.

After this systematic planning, the messages were elaborated by psychology students, who were told to write freely, as if they were giving advice to a friend.

This strategy was adopted to maximize the accessibility and friendly tone of the messages. Next, the messages were reviewed by researchers with expertise in the research subject.

At this stage, it was verified that the elaborated guidance covered the objectives and concepts expected of it. This process resulted in 67 messages.

In session 1, four variations were created based on attachment style and eight based on the status of violence in the current relationship.

In session 2, eleven messages were elaborated regarding awareness of dating violence, six about violent relationship models, six about non-violent relationship models, and lastly four action plans were created to cover daily life with the partner.

In session 3, six message variations were developed about social norms, three on self-efficacy, and four of action plans for conflict management.

Finally, in session 4, six messages were composed concerning attitudes, six about social support, and three for action plans to deal with dating violence.

Table 1 shows the objectives of each session and the customization variables by session. The answers to the items are used as input, generating a final classification of attachment style.

This classification becomes the variable responsible for determining which segments are used in the message subsequently presented to the participant.

Moreover, it is possible to use this previously calculated variable as input for the succeeding questionnaires. Care was taken that the combination of various messages would result in coherent texts.

The text segments were constant only within a specific set of classifications, serving as introductory, connecting, or concluding passages, whereas the remaining part was tailored based on the response of the participant to the question.

The Portuguese language requires special attention to grammatical gender. To write a text that seems reader-directed, it is necessary to use the correct gender for the participant and partner.

Since gender use occurs according to well-defined rules, it was possible to adapt the text for several possibilities. This stage involved the employment of a programmer and a UX user experience expert to conceive and implement the interaction with the SOS Dating participants.

Three pre-testing sessions were held, the first with three young people potential users, the second with three professionals working at centers for victims of domestic violence, and the third with twenty university students.

The main findings of pre-testing were related to the format and content:. The professionals noted a risk for side-effects in the guidance regarding the bidirectional violence and conflict management for participants whose relationships were already violent.

A new visual identity, aiming for greater interface elements clarity, was proposed and content readability was improved.

Tailoring adjustments were made in conflict management and actions plans regarding the status of violence in the relationship, with the purpose of preventing iatrogenic effects and boosting participant identification with the intervention.

After these adjustments, new wave of pre-testing was done with two potential users and two experts in domestic violence, which approved the aforementioned changes.

The intervention was designed to reduce victimization and perpetration of physical, sexual, and psychological violence in dating primary outcomes and to boost the quality of the romantic relationship as well as conflict management skills and help seeking secondary outcomes.

An experimental design with a pre-test evaluation and three-month follow-up will be used. A sample of youths, which will be randomly and evenly divided between the experimental and control groups, is expected.

Participants younger than 15 and older than 29 or not currently in a dating relationship will be excluded from the intervention. The randomization for the experimental and control group will be performed after the eligibility evaluation, the express agreement to participate in the intervention through the consent form, and the baseline evaluation.

The placement into one group or the other will be performed automatically by the TailorBuilder software, as has been done before in other similar interventions [ 45 , 46 ].

Several strategies will be used to advertise SOS Dating and recruiting participants: a posting on the social networks of social movements related to fighting violence against women, LGBT rights, and youth engagement; b advertising on e-mail lists of research associations and research groups interested in related topics; c informing the Federal District Ministry of Education, which is connected to public schools frequented by the target audience; and d communicating it to student health and guidance services of Brazilian public universities.

The original scale comprises twelve items and was developed by Wei et al. The items are answered on a seven-point Likert scale.

Higher scores indicate higher levels of anxiety and avoidance and thus an insecure attachment style. A five-point Likert scale is used, ranging from 1 never to 5 always.

In the study by Delatorre and Wagner [ 53 ], internal consistency levels of 0. The scale is composed of two factors. At three months after the end of the intervention, the experimental and control group participants will again respond to measurements of conflict resolution skills, victimization and perpetration of violence, and relationship quality.

Additionally, they will also fill out the Seeking Help Questionnaire. This instrument, developed by the authors, is composed of three closed questions that inquire whether the respondents sought any sort of help to deal with their affective relationship since they first entered the research website, whom they asked for help, and what the perceived efficacy of the help received was.

With the aim of evaluating the attractiveness of each session and identifying aspects for possible improvement, a usability evaluation will be done at the conclusion of each session of the intervention.

A questionnaire with both open and closed questions, which evaluate the satisfaction of the user with the guidance received and interaction with the tool will be used.

Six closed questions investigate satisfaction with the theme of the session, questions, guidance, navigation, quantity of information, and errors.

Three open questions examine satisfaction with the layout, guidance content, and suggestions for improvement. Finally, the user is asked which aspect of the Dating SOS was most attractive and which was the least attractive.

Descriptive statistics will be used to describe the characteristics of the participants in the baseline and usability data. The principal analyses will consist of intra- and intergroup comparisons between the baseline and the three-month follow-up on the outcomes of victimization and perpetration of physical, psychological, and sexual violence; quality of the romantic relationship; and conflict management skills.

Multivariate analysis of covariance will be used to examine the efficacy of the intervention on these outcomes. In addition to this, intergroup comparisons will be conducted using the t -test on the three-month follow-up outcome of seeking help.

Moderation analysis will be employed to evaluate the differential effects of the intervention based on gender, age, and sexual orientation. A significance level of 0.

Intention-to-treat analyses will be carried out, and all randomized participants will be posteriorly included regardless of having completed the intervention or not.

We believe the principal merit of the present study resides in the development of an innovative strategy based on the qualified use of the internet for education surrounding romantic relationships and the prevention of dating violence among adolescent and young Brazilians, a hitherto unaddressed need in the field.

It is hoped that studies based on Dating SOS and the intervention itself will serve, to one extent or another, to strengthen professional practices in prevention and psychotherapy as applied to dating violence, supported by a more nuanced understanding of the phenomenon.

Given the vastness of the country and its cultural diversity, it is possible this would result in a loss of cultural sensitivity for the intervention when implemented with youths in small cities, rural areas, and traditional communities, such as indigenous ones.

It is also possible that the omission of an evaluation of partner mutability, that is, how influenceable the partner is or is not by the efforts of the intervention user constitutes an important limitation.

This could be a target of future studies. In conclusion, dating violence has an elevated prevalence among Brazilian adolescents.

School-based preventive programs have been implemented, but remain isolated initiatives with insufficient reach. Health communication strategies based on scalable technologies are compelling.

Taking this into account, we developed Dating SOS, an innovative computer tailored intervention designed to prevent dating violence and improve the quality of affective-sexual relationship among Brazilian adolescents.

Its production was based on clear theoretical basis and empirical evidences derived from Brazilian context. The romantic partner changeability and a broader geographic diversity sample should be considered in the design of similar technologies.

The usability and efficacy of Dating SOS should be examined in future studies. Rio de Janeiro: Fiocruz; Google Scholar.

Rev Bras Enferm. Psicol Soc. Adolesc Saude. Psicol USP. Priolo Filho SR. Peers as agents of dating violence prevention: feasibility analysis of an intervention.

Trends Psychol. Efficacy of a bystander intervention for preventing dating violence in Brazilian adolescents: short-term evaluation.

Understanding tailoring in communicating about health. Health Educ Res. Richards D, Richardson T. Computer-based psychological treatments for depression: a systematic review and meta-analysis.

Clin Psychol Rev. Computer-tailored health interventions delivered over the web: review and analysis of key components. Patient Educ Couns.

Does tailoring matter? Meta-analytic review of tailoring print health behavior change interventions.

Psychol Bull. A meta-analysis of computer-tailored interventions for health behavior change. Prev Med. Computer-tailored dietary behaviour change interventions: a systematic review.

Teen choices, an online stage-based program for healthy, non-violent relationships: development and feasibility trial. J Sch Violence. Teen dating violence prevention: cluster-randomized trial of teen choices, an online, stage-based program for healthy, nonviolent relationships.

Psychol Violence. Systematic review of research investigating psychotherapy and information and communication technologies. Trends Psychiatry Psychother.

Psicol Estud. Gomide HP. De Vries H. An integrated approach for understanding health behavior; the I-change model as an example. Psychol Behav Sci Int J.

Ajzen I.

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