Green Dot across the Bluegrass: Evaluation of a primary prevention intervention t

蓝草上的绿点：初级预防干预措施的评估

• 批准号: 7930705
• 负责人: Ann L Coker
• 金额: $ 40万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7930705
• 关键词: Green; Dot; across; Bluegrass; Evaluation

DESCRIPTION (provided by applicant): Problem Statement: While rates of lifetime forced sexual intercourse have increased in Kentucky over the past five years among high school students, Kentucky is working to reduce this trend. Through CDC assistance, Kentucky Association of Sexual Assault Programs, Inc. (KASAP) is ready to implement the "Green Dot" bystander intervention program for primary prevention of sexual violence (SV). Importance: We now have the unique and time-sensitive opportunity to evaluate a statewide bystander intervention which will be implemented by KASAP Educators across Kentucky through high schools beginning in 2010. Green Dot empowers students to actively question peer support for SV and become change agents who can play a significant role in ending SV. Innovation: While several bystander intervention programs have been implemented, few been empirically evaluated and none have been evaluated on a statewide basis using the same intervention protocol. Purpose: To evaluate the statewide application of Green Dot among high schools students. We hypothesize that students in high schools with Green Dot will over time report lower rates of SV compared with students in comparable high schools randomized not to have Green Dot. This reduction in SV will be mediated through a reduction in social norms supporting SV and an increase in bystander behaviors. Specific Aims: To prospectively determine whether relative to students in high schools without Green Dot, those in schools with Green Dot (Aim 1) report lower rates of SV, (Aim 2) a greater frequency of bystander behaviors, and (Aim 3) fewer social norms supporting SV. Finally because Green Dots draws on social diffusion of innovation theory we propose (Aim 4) to determine how Green Dot influences bystander behaviors in the first and second order social networks of students who do and do not receive Green Dot training. Methods: A population-based controlled intervention trial will be used to test the efficacy of Green Dot. Both panel and web-based cohort survey methods will be used to provide baseline and prospective data on student's attitudes supporting SV, bystander behaviors and SV experiences. Setting: In each of the 13 KASAP regions, 2 demographically comparable high schools with at least 200 students per grade will be recruited to participate in Green Dot either as the intervention or control site. Schools will be randomly assigned to the intervention. Study Population: All students in participating high schools will be invited to complete anonymous panel surveys beginning spring 2010 through 2014; we anticipate that 6500 students in Green Dot and 6500 in control schools will complete surveys each year. We estimate that 650 students receiving Green Dot training and 650 students not so trained will complete the web-surveys, (2011-2014). External sources of data to document SV will be obtained from high schools. Implications for Prevention: This state-wide, population-based, multi-site controlled intervention trial will provide an empirical test of a promising intervention, which, if proven effective, could result in the primary prevention of SV and a reduction in the health and academic consequences of SV. PUBLIC HEALTH RELEVANCE: Determining whether a promising primary prevention intervention to reduce sexual violence perpetration is effective in reducing violence in a real world setting (high schools across Kentucky) can result in an important opportunity to prevent the short and longer term health consequences of sexual violence. Sexual violence, defined to include physically forced sexual activity, coerced sexual activity, and sexual harassment, is common (~25%), has health and academic consequences and is preventable; thus this form of violence can be a high impact target for primary prevention efforts.

描述（由申请人提供）： 问题声明：尽管在过去五年中，肯塔基州的终身性行为发生率在高中学生中有所提高，但肯塔基州仍在努力减少这一趋势。通过CDC援助，肯塔基州性侵犯计划协会（KASAP）准备实施“绿色点”旁观者干预计划，以预防性暴力（SV）。重要性：我们现在有一个独特且具有时间敏感的机会来评估全州旁观者的干预措施，该干预措施将由肯塔基州的Kasap教育工作者从2010年开始实施。绿点使学生积极质疑同伴对SV的支持并成为可以在结束SV中发挥重要作用的变革推动者。创新：尽管已经实施了一些旁观者干预计划，但很少有经验评估，并且没有使用相同的干预协议在全州范围内评估。目的：评估绿点在高中学生中的全州应用。我们假设，随着时间的推移，与可比的高中学生相比，绿色点的高中学生将报告的SV率较低，而随机分配给不具有绿色点的学生。 SV的减少将通过减少支持SV的社会规范和旁观者行为的增加来介导。具体目的：为了前瞻性确定是否相对于没有绿色点的学生中的学生是否相对于绿色点的学校（AIM 1）报告SV的率较低，（AIM 2）旁观者行为的频率更高，并且（AIM 3）支持SV的社会规范较少。最后，因为绿色点借鉴了创新理论的社会传播，我们提出（目标4），以确定绿点如何影响旁观者的行为，而旁观者的行为在第一和二阶的社交网络中，这些学生的社交网络会和不接受绿色点培训。方法：基于人群的对照干预试验将用于测试绿点的功效。面板和基于Web的队列调查方法都将用于提供有关支持SV，旁观者行为和SV体验的学生态度的基准和前瞻性数据。设置：在13个KASAP地区中的每个地区，将招募2所具有人口统计学的高中，每年至少有200名学生作为干预站点参加绿点。学校将被随机分配给干预措施。研究人群：从2010年至2014年开始，将邀请所有参加高中的学生完成匿名小组调查；我们预计，每年有6500名绿色点和6500名在控制学校的学生将完成调查。我们估计有650名接受绿色点培训的学生和650名未经培训的学生将完成网络服务，（2011- 2014年）。用于记录SV的外部数据来源将从高中获得。对预防的影响：这项范围内的，基于人群的多站点受控干预试验将提供有前途的干预措施的经验检验，如果证明有效，可能会导致SV的主要预防以及SV的健康和学术后果的减少。 公共卫生相关性： 确定有希望减少性暴力犯罪的有希望的初级预防干预措施是否有效地减少现实世界中的暴力（肯塔基州的高中）会带来重要的机会，以防止短期和长期的性暴力健康后果。性暴力定义为包括身体强迫性活动，强迫性活动和性骚扰是常见的（约25％），具有健康和学术后果，可以预防；因此，这种暴力形式可能是主要预防工作的高影响目标。