Cluster randomized trial of school-based program to prevent teen dating violence

预防青少年约会暴力的校本计划的集群随机试验

• 批准号: 9547891
• 负责人: Jeff R Temple
• 金额: $ 59.13万
• 依托单位: UNIVERSITY OF TEXAS MED BR GALVESTON
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-22 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9547891
• 关键词: Acute; Address; Adolescent; Adult; Age; Alcohol or Other Drugs use; Attitude; Behavior; Behavioral; Canada; Chronic; Cluster randomized trial; Cognitive; Communication; Competence; Development; Educational Curriculum; Educational process of instructing; Effectiveness; Emotional; Ethnic Origin; Europe; Evidence based program; Failure; Health; Intervention; Learning; Mental Health; Methodology; Outcome; Pattern; Performance; Personal Satisfaction; Prevalence; Prevention; Prevention Research; Prevention program; Problem Solving; Prospective Studies; Psyche structure; Public Health; Randomized Controlled Trials; Resistance; Resources; Risk; Risk Behaviors; Sample Size; Sampling; Schools; Sexual abuse; Site; Students; Substance abuse problem; Suicide; Technology; Teen Dating Violence; Teenagers; Testing; Time; Training; United States; Use Effectiveness; Victimization; Well in self; Youth; base; bullying; condoms; conflict resolution; cost effective; dating violence; dating violence prevention; design; emotional abuse; ethnic diversity; evidence base; experience; fighting; follow-up; gender difference; high risk sexual behavior; high school; improved; indexing; innovation; intimate partner violence; junior high school; ninth grade; peer; perpetrators; physical abuse; physical conditioning; portability; prevent; programs; psychologic; psychological symptom; public health relevance; school district; seventh grade; skills; social; systematic review; teacher; violence perpetration

 DESCRIPTION (provided by applicant): Each year, approximately 25 percent of US teenagers sustain physical, psychological, or sexual abuse by dating partners. Many victims of teen dating violence (TDV) experience a host of devastating consequences, including acute and chronic mental and physical health problems, suicidality, delinquency, risky sexual behavior, substance abuse, and academic failure. Moreover, perpetrators of TDV are at increased risk for continuing intimate partner violence in adulthood. The prevalence of TDV, as well as the adverse mental, behavioral, and relationship health outcomes associated with it, underscores the need for effective TDV prevention programs. For maximum benefit, these prevention programs must be developmentally well-timed and promote healthy relationships among all teens, which is why school-based programs hold considerable promise. One evidence-based program, the Fourth R, integrates the promotion of healthy relationship skills and prevention of TDV into existing school curricula. Thus, we propose to conduct a school-based cluster randomized trial of the 7th-grade version of Fourth R with 30 ethnically diverse middle schools (i.e., clusters: 15 intervention schools; 15 control schools) in one of the nation's largest school districts. Students (N = 3,375) in these schools will be the unit of analysis and will be studied prospectively (annually for 3 years) to determine the impact of the program by comparing students in intervention schools with those in control schools. The primary aim of this study is to determine whether Fourth R reduces students' experiences with TDV, as indexed by less perpetration and victimization of physical, sexual, and psychological TDV. The secondary aims of this study are to determine whether Fourth R (1) improves students' emotional well-being and increases their acquisition and use of healthy relationship skills, as indexed by improved problem-solving, communication, and conflict resolution skills and (2) ameliorates the modifiable cognitive and behavioral correlates associated with the perpetration and victimization of TDV, as indexed by fewer attitudes justifying dating violence, decreased substance use, decreased risky sexual behavior, decreased fighting and bullying, increased school connectedness, and decreased psychological symptoms. Prespecified differences by gender and ethnicity will be examined as well as the acquisition and utilization of various program components. Although TDV is a pervasive problem, it is largely preventable. In the proposed study, we will use a rigorous methodological design to test a new and enhanced version of Fourth R, one of the very few promising TDV prevention programs. In addition to overcoming limitations of previous TDV prevention research (e.g., small sample sizes, limited follow-up times, and ethnic homogeneity), the proposed study will be the first to rigorously evaluate Fourth R in a US sample and the first to test the effectiveness of the new 7th-grade version of Fourth R. A cost-effective and relatively portable TDV prevention program that can be embedded in US middle schools has the potential to dramatically improve the health and well-being of adolescents across the nation.

 描述（由适用提供）：每年约25％的青少年通过约会伴侣维持身体，心理或性虐待。青少年约会暴力（TDV）的许多惊喜经历了许多毁灭性的后果，包括急性和慢性心理和身体健康问题，自杀，犯罪，危险的性行为，滥用药物和学术失败。此外，TDV的肇事者在成年期间持续亲密伴侣暴力行为的风险增加。 TDV的患病率以及与之相关的不良心理，行为和关系健康成果强调了有效预防TDV计划的需求。为了获得最大的利益，必须在所有青少年之间开发良好的预防计划并促进健康的关系，这就是为什么学校的计划具有可观的承诺的原因。一个基于证据的计划，即第四R，将健康关系技能和预防TDV的促进纳入现有的学校课程。因此，我们建议在该国最大的学区之一进行7年级R的基于学校的集群随机试验（即四个种族多样化的中学：15所干预学校； 15所干预学校； 15所干预学校； 15所控制学校）。学生 （n = 3,375）在这些学校中，将是分析的单位，并将被前瞻性研究（每年3年），以通过将干预学校的学生与对照学校中的学生进行比较，以确定该计划的影响。这项研究的主要目的是确定第四r是否减少了学生对TDV的经历，这是由于持续性和可怕的身体，性和心理TDV所索引的。这项研究的次要目的是确定第四r（1）是否改善了学生的情感幸福感，并提高了他们对健康关系技能的获取和使用，这是通过改善问题解决，沟通和解决冲突技能的改善所索引的，并且（2）可以改善可修改的认知和行为相关性与竞争者的竞争和胜利的竞争者相关性，而少数是dd dd dd dd dd vers extex extex ext ext ext，不久危险的性行为减少，战斗和欺凌，增加学校联系以及改善心理症状。将检查性别和种族的预定差异，以及对各种计划组成部分的获取和利用。尽管TDV是一个普遍的问题，但基本上是可以预防的。在拟议的研究中，我们将使用严格的方法论设计来测试第四R的新版本，这是很少有承诺的TDV预防程序之一。除了克服先前的TDV预防研究的局限性（例如，样本量较小，随访时间有限和种族同质性）外，拟议的研究将是美国样本中第一个严格评估第四r的研究，也是第一个测试新的7级R.第四级R的有效性。 可以嵌入美国中学的便携式TDV预防计划有可能显着改善全国青少年的健康和福祉。