Project STRONG: an Online, Parent–Son Intervention for the Prevention of Dating Violence among Early Adolescent Boys
Despite broad calls for prevention programs to reduce adolescent dating violence (DV), there is a dearth of programs designed specifically for males. In fact, there are no programs that capitalize on the importance of parents in modeling and influencing the choices their sons make in future romantic...
Gespeichert in:
| Veröffentlicht in: | Prevention science 2021-02, Vol.22 (2), p.193-204 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 204 |
|---|---|
| container_issue | 2 |
| container_start_page | 193 |
| container_title | Prevention science |
| container_volume | 22 |
| creator | Rizzo, Christie J. Houck, Christopher Barker, David Collibee, Charlene Hood, Erik Bala, Kelsey |
| description | Despite broad calls for prevention programs to reduce adolescent dating violence (DV), there is a dearth of programs designed specifically for males. In fact, there are no programs that capitalize on the importance of parents in modeling and influencing the choices their sons make in future romantic relationships. To address these gaps, this study assessed the initial feasibility, acceptability, and efficacy of an online, parent–son intervention (STRONG) aimed at reducing DV among early adolescent males. One-hundred nineteen 7th- and 8th-grade boys were recruited, with a parent (90% mothers), from six urban middle schools in the Providence, RI area. Dyads were randomized to either STRONG or a waitlist comparison group. STRONG targets three primary constructs: relationship health knowledge, emotion regulation, and communication. Families randomized to the waitlist were nearly twice as likely at 3 months (OR = 1.92 [0.43–8.60]) and nearly 7 times as likely at 9 months (OR = 6.76 [0.66–69.59]) to endorse any form of DV perpetration (physical, sexual, verbal/emotional) when compared with STRONG families. STRONG also had positive effects on teens’ attitudes toward dealing with DV, their emotional awareness, and their short-term regulation skills and was associated with increased discussion of critical relationship topics. Pilot outcomes indicate that an online DV prevention program designed to engage early adolescent boys and parents is both acceptable and engaging. Findings show promise for reducing DV behaviors and theory-driven mediators. ClinicalTrials.gov Identifier: NCT03109184 |
| doi_str_mv | 10.1007/s11121-020-01168-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8876176</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2443879712</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-cd76c01c837bb911301152419b379f54d602314051502dd2578b179455f47bb53</originalsourceid><addsrcrecordid>eNp9kc1uEzEQxy0EoqXwAhyQJS4c2OLxtzlUKqUtlSoS0cLV8u560402drE3kXLjHXjDPkkd0paPAyd7Zn7znxn9EXoJZB8IUe8yAFCoCCUVAZC6ko_QLgjFKimNeFz-TJuKGy130LOc54SAFIw8RTuMGk60ULtoNU1x7psRX1x-mXw-fY9dwJMw9MG_xVOXfBhvfvy8iAGfhdGnVYn7EnQx4fHK42ny96nY4Y9u7MMMf-vj4EPjsVvEEh67NKzxYVuSuSkw_hDX-Tl60rkh-xd37x76enJ8efSpOp-cnh0dnlcNV3ysmlbJhkCjmaprA8DKnYJyMDVTphO8lYQy4ESAILRtqVC6BmW4EB0vHYLtoYOt7vWyXvh2Mz-5wV6nfuHS2kbX278rob-ys7iyWisJShaBN3cCKX5f-jzaRV_OGAYXfFxmSzlnWhkFtKCv_0HncZlCOa9QGnhBDCkU3VJNijkn3z0sA8RubLVbW22x1f6y1W62ePXnGQ8t9z4WgG2BXEph5tPv2f-RvQWJE61l</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2481412390</pqid></control><display><type>article</type><title>Project STRONG: an Online, Parent–Son Intervention for the Prevention of Dating Violence among Early Adolescent Boys</title><source>MEDLINE</source><source>PAIS Index</source><source>Sociological Abstracts</source><source>SpringerLink Journals - AutoHoldings</source><creator>Rizzo, Christie J. ; Houck, Christopher ; Barker, David ; Collibee, Charlene ; Hood, Erik ; Bala, Kelsey</creator><creatorcontrib>Rizzo, Christie J. ; Houck, Christopher ; Barker, David ; Collibee, Charlene ; Hood, Erik ; Bala, Kelsey</creatorcontrib><description>Despite broad calls for prevention programs to reduce adolescent dating violence (DV), there is a dearth of programs designed specifically for males. In fact, there are no programs that capitalize on the importance of parents in modeling and influencing the choices their sons make in future romantic relationships. To address these gaps, this study assessed the initial feasibility, acceptability, and efficacy of an online, parent–son intervention (STRONG) aimed at reducing DV among early adolescent males. One-hundred nineteen 7th- and 8th-grade boys were recruited, with a parent (90% mothers), from six urban middle schools in the Providence, RI area. Dyads were randomized to either STRONG or a waitlist comparison group. STRONG targets three primary constructs: relationship health knowledge, emotion regulation, and communication. Families randomized to the waitlist were nearly twice as likely at 3 months (OR = 1.92 [0.43–8.60]) and nearly 7 times as likely at 9 months (OR = 6.76 [0.66–69.59]) to endorse any form of DV perpetration (physical, sexual, verbal/emotional) when compared with STRONG families. STRONG also had positive effects on teens’ attitudes toward dealing with DV, their emotional awareness, and their short-term regulation skills and was associated with increased discussion of critical relationship topics. Pilot outcomes indicate that an online DV prevention program designed to engage early adolescent boys and parents is both acceptable and engaging. Findings show promise for reducing DV behaviors and theory-driven mediators. ClinicalTrials.gov Identifier: NCT03109184</description><identifier>ISSN: 1389-4986</identifier><identifier>EISSN: 1573-6695</identifier><identifier>DOI: 10.1007/s11121-020-01168-6</identifier><identifier>PMID: 32940857</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adolescent Behavior ; Adolescent boys ; Boys ; Child and School Psychology ; Couples ; Dating ; Domestic violence ; Efficacy ; Emotional regulation ; Emotions ; Families & family life ; Feasibility ; Health information ; Health Psychology ; Humans ; Internet ; Intervention ; Intimate partner violence ; Intimate Partner Violence - prevention & control ; Male ; Medicine ; Medicine & Public Health ; Middle schools ; Mothers ; Nuclear Family ; Parenting ; Parents ; Parents & parenting ; Prevention ; Prevention programs ; Primary groups ; Public Health ; Romantic relationships ; Schools ; Teenagers ; Urban schools ; Violence</subject><ispartof>Prevention science, 2021-02, Vol.22 (2), p.193-204</ispartof><rights>Society for Prevention Research 2020</rights><rights>Society for Prevention Research 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-cd76c01c837bb911301152419b379f54d602314051502dd2578b179455f47bb53</citedby><cites>FETCH-LOGICAL-c474t-cd76c01c837bb911301152419b379f54d602314051502dd2578b179455f47bb53</cites><orcidid>0000-0002-3393-9175</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11121-020-01168-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11121-020-01168-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27344,27866,27924,27925,33774,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32940857$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rizzo, Christie J.</creatorcontrib><creatorcontrib>Houck, Christopher</creatorcontrib><creatorcontrib>Barker, David</creatorcontrib><creatorcontrib>Collibee, Charlene</creatorcontrib><creatorcontrib>Hood, Erik</creatorcontrib><creatorcontrib>Bala, Kelsey</creatorcontrib><title>Project STRONG: an Online, Parent–Son Intervention for the Prevention of Dating Violence among Early Adolescent Boys</title><title>Prevention science</title><addtitle>Prev Sci</addtitle><addtitle>Prev Sci</addtitle><description>Despite broad calls for prevention programs to reduce adolescent dating violence (DV), there is a dearth of programs designed specifically for males. In fact, there are no programs that capitalize on the importance of parents in modeling and influencing the choices their sons make in future romantic relationships. To address these gaps, this study assessed the initial feasibility, acceptability, and efficacy of an online, parent–son intervention (STRONG) aimed at reducing DV among early adolescent males. One-hundred nineteen 7th- and 8th-grade boys were recruited, with a parent (90% mothers), from six urban middle schools in the Providence, RI area. Dyads were randomized to either STRONG or a waitlist comparison group. STRONG targets three primary constructs: relationship health knowledge, emotion regulation, and communication. Families randomized to the waitlist were nearly twice as likely at 3 months (OR = 1.92 [0.43–8.60]) and nearly 7 times as likely at 9 months (OR = 6.76 [0.66–69.59]) to endorse any form of DV perpetration (physical, sexual, verbal/emotional) when compared with STRONG families. STRONG also had positive effects on teens’ attitudes toward dealing with DV, their emotional awareness, and their short-term regulation skills and was associated with increased discussion of critical relationship topics. Pilot outcomes indicate that an online DV prevention program designed to engage early adolescent boys and parents is both acceptable and engaging. Findings show promise for reducing DV behaviors and theory-driven mediators. ClinicalTrials.gov Identifier: NCT03109184</description><subject>Adolescent</subject><subject>Adolescent Behavior</subject><subject>Adolescent boys</subject><subject>Boys</subject><subject>Child and School Psychology</subject><subject>Couples</subject><subject>Dating</subject><subject>Domestic violence</subject><subject>Efficacy</subject><subject>Emotional regulation</subject><subject>Emotions</subject><subject>Families & family life</subject><subject>Feasibility</subject><subject>Health information</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Internet</subject><subject>Intervention</subject><subject>Intimate partner violence</subject><subject>Intimate Partner Violence - prevention & control</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle schools</subject><subject>Mothers</subject><subject>Nuclear Family</subject><subject>Parenting</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Prevention</subject><subject>Prevention programs</subject><subject>Primary groups</subject><subject>Public Health</subject><subject>Romantic relationships</subject><subject>Schools</subject><subject>Teenagers</subject><subject>Urban schools</subject><subject>Violence</subject><issn>1389-4986</issn><issn>1573-6695</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc1uEzEQxy0EoqXwAhyQJS4c2OLxtzlUKqUtlSoS0cLV8u560402drE3kXLjHXjDPkkd0paPAyd7Zn7znxn9EXoJZB8IUe8yAFCoCCUVAZC6ko_QLgjFKimNeFz-TJuKGy130LOc54SAFIw8RTuMGk60ULtoNU1x7psRX1x-mXw-fY9dwJMw9MG_xVOXfBhvfvy8iAGfhdGnVYn7EnQx4fHK42ny96nY4Y9u7MMMf-vj4EPjsVvEEh67NKzxYVuSuSkw_hDX-Tl60rkh-xd37x76enJ8efSpOp-cnh0dnlcNV3ysmlbJhkCjmaprA8DKnYJyMDVTphO8lYQy4ESAILRtqVC6BmW4EB0vHYLtoYOt7vWyXvh2Mz-5wV6nfuHS2kbX278rob-ys7iyWisJShaBN3cCKX5f-jzaRV_OGAYXfFxmSzlnWhkFtKCv_0HncZlCOa9QGnhBDCkU3VJNijkn3z0sA8RubLVbW22x1f6y1W62ePXnGQ8t9z4WgG2BXEph5tPv2f-RvQWJE61l</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Rizzo, Christie J.</creator><creator>Houck, Christopher</creator><creator>Barker, David</creator><creator>Collibee, Charlene</creator><creator>Hood, Erik</creator><creator>Bala, Kelsey</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7TQ</scope><scope>7U3</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8BJ</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FQK</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>JBE</scope><scope>K7.</scope><scope>K9.</scope><scope>KC-</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2L</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3393-9175</orcidid></search><sort><creationdate>20210201</creationdate><title>Project STRONG: an Online, Parent–Son Intervention for the Prevention of Dating Violence among Early Adolescent Boys</title><author>Rizzo, Christie J. ; Houck, Christopher ; Barker, David ; Collibee, Charlene ; Hood, Erik ; Bala, Kelsey</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-cd76c01c837bb911301152419b379f54d602314051502dd2578b179455f47bb53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adolescent Behavior</topic><topic>Adolescent boys</topic><topic>Boys</topic><topic>Child and School Psychology</topic><topic>Couples</topic><topic>Dating</topic><topic>Domestic violence</topic><topic>Efficacy</topic><topic>Emotional regulation</topic><topic>Emotions</topic><topic>Families & family life</topic><topic>Feasibility</topic><topic>Health information</topic><topic>Health Psychology</topic><topic>Humans</topic><topic>Internet</topic><topic>Intervention</topic><topic>Intimate partner violence</topic><topic>Intimate Partner Violence - prevention & control</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle schools</topic><topic>Mothers</topic><topic>Nuclear Family</topic><topic>Parenting</topic><topic>Parents</topic><topic>Parents & parenting</topic><topic>Prevention</topic><topic>Prevention programs</topic><topic>Primary groups</topic><topic>Public Health</topic><topic>Romantic relationships</topic><topic>Schools</topic><topic>Teenagers</topic><topic>Urban schools</topic><topic>Violence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rizzo, Christie J.</creatorcontrib><creatorcontrib>Houck, Christopher</creatorcontrib><creatorcontrib>Barker, David</creatorcontrib><creatorcontrib>Collibee, Charlene</creatorcontrib><creatorcontrib>Hood, Erik</creatorcontrib><creatorcontrib>Bala, Kelsey</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>PAIS Index</collection><collection>Social Services Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>Politics Collection</collection><collection>ProQuest Central Korea</collection><collection>International Bibliography of the Social Sciences</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Politics Collection</collection><collection>Criminal Justice Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Political Science Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Prevention science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rizzo, Christie J.</au><au>Houck, Christopher</au><au>Barker, David</au><au>Collibee, Charlene</au><au>Hood, Erik</au><au>Bala, Kelsey</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Project STRONG: an Online, Parent–Son Intervention for the Prevention of Dating Violence among Early Adolescent Boys</atitle><jtitle>Prevention science</jtitle><stitle>Prev Sci</stitle><addtitle>Prev Sci</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>22</volume><issue>2</issue><spage>193</spage><epage>204</epage><pages>193-204</pages><issn>1389-4986</issn><eissn>1573-6695</eissn><abstract>Despite broad calls for prevention programs to reduce adolescent dating violence (DV), there is a dearth of programs designed specifically for males. In fact, there are no programs that capitalize on the importance of parents in modeling and influencing the choices their sons make in future romantic relationships. To address these gaps, this study assessed the initial feasibility, acceptability, and efficacy of an online, parent–son intervention (STRONG) aimed at reducing DV among early adolescent males. One-hundred nineteen 7th- and 8th-grade boys were recruited, with a parent (90% mothers), from six urban middle schools in the Providence, RI area. Dyads were randomized to either STRONG or a waitlist comparison group. STRONG targets three primary constructs: relationship health knowledge, emotion regulation, and communication. Families randomized to the waitlist were nearly twice as likely at 3 months (OR = 1.92 [0.43–8.60]) and nearly 7 times as likely at 9 months (OR = 6.76 [0.66–69.59]) to endorse any form of DV perpetration (physical, sexual, verbal/emotional) when compared with STRONG families. STRONG also had positive effects on teens’ attitudes toward dealing with DV, their emotional awareness, and their short-term regulation skills and was associated with increased discussion of critical relationship topics. Pilot outcomes indicate that an online DV prevention program designed to engage early adolescent boys and parents is both acceptable and engaging. Findings show promise for reducing DV behaviors and theory-driven mediators. ClinicalTrials.gov Identifier: NCT03109184</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32940857</pmid><doi>10.1007/s11121-020-01168-6</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-3393-9175</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1389-4986 |
| ispartof | Prevention science, 2021-02, Vol.22 (2), p.193-204 |
| issn | 1389-4986 1573-6695 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8876176 |
| source | MEDLINE; PAIS Index; Sociological Abstracts; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adolescent Behavior Adolescent boys Boys Child and School Psychology Couples Dating Domestic violence Efficacy Emotional regulation Emotions Families & family life Feasibility Health information Health Psychology Humans Internet Intervention Intimate partner violence Intimate Partner Violence - prevention & control Male Medicine Medicine & Public Health Middle schools Mothers Nuclear Family Parenting Parents Parents & parenting Prevention Prevention programs Primary groups Public Health Romantic relationships Schools Teenagers Urban schools Violence |
| title | Project STRONG: an Online, Parent–Son Intervention for the Prevention of Dating Violence among Early Adolescent Boys |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T20%3A21%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Project%20STRONG:%20an%20Online,%20Parent%E2%80%93Son%20Intervention%20for%20the%20Prevention%20of%20Dating%20Violence%20among%20Early%20Adolescent%20Boys&rft.jtitle=Prevention%20science&rft.au=Rizzo,%20Christie%20J.&rft.date=2021-02-01&rft.volume=22&rft.issue=2&rft.spage=193&rft.epage=204&rft.pages=193-204&rft.issn=1389-4986&rft.eissn=1573-6695&rft_id=info:doi/10.1007/s11121-020-01168-6&rft_dat=%3Cproquest_pubme%3E2443879712%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2481412390&rft_id=info:pmid/32940857&rfr_iscdi=true |