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（由申请人提供）：每年，大约 25% 的美国青少年遭受约会对象的身体、心理或性虐待，许多青少年约会暴力 (TDV) 的受害者经历了一系列毁灭性后果，包括急性和慢性精神和性虐待。身体健康问题、自杀、犯罪、危险性行为、药物滥用和学业失败。此外，TDV 的肇事者在成年后遭受亲密伴侣暴力的风险也增加。与之相关的行为和关系健康结果强调了有效的 TDV 预防计划的必要性，为了获得最大利益，这些预防计划必须适时发展并促进所有青少年之间的健康关系，这就是为什么以学校为基础的计划具有巨大前景。 Fourth R 是一项基于证据的计划，将促进健康关系技能和预防 TDV 纳入现有的学校课程中。因此，我们建议对 30 名学生进行一项以学校为基础的 7 年级版 Fourth R 的整群随机试验。种族多元化的中间人全国最大学区之一的学校（即集群：15 所干预学校；15 所控制学校）。 这些学校的学生（N = 3,375）将作为分析单位，并将进行前瞻性研究（三年内每年一次），通过将干预学校的学生与对照学校的学生进行比较来确定该计划的影响。目的是确定 Fourth R 学生是否有 TDV 经历（以身体、性和心理 TDV 的犯罪和受害较少为指标）。本研究的次要目的是确定 Fourth R (1) 是否可以改善学生的情绪健康。和增加他们对健康关系技能的获取和使用，表现为解决问题、沟通和解决冲突的技能得到改善；(2) 改善与 TDV 的实施和受害相关的可改变的认知和行为相关性，表现为较少的证明合理性的态度约会暴力、物质使用减少、危险性行为减少、打斗和欺凌减少、学校联系增加、心理症状减少以及各种计划组成部分的获取和利用将受到审查。尽管这是一个普遍存在的问题，但在拟议的研究中，我们将使用严格的方法设计来测试 Fourth R 的新增强版本，这是除了克服先前 TDV 的局限性之外的极少数有前途的 TDV 预防计划之一。预防研究（例如小样本量、有限的随访时间和种族同质性），拟议的研究将是第一个在美国样本中严格评估 Fourth R 的研究，也是第一个测试新七年级版本有效性的研究第四届R. 性价比相对较高 可植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。