“Coaching Boys into Men”: A Cluster-Randomized Controlled Trial of a Dating Violence Prevention Program
Dating violence (DV)—physical, sexual, and psychological aggression in adolescent romantic relationships—is prevalent among youth. Despite broad calls for primary prevention, few programs with demonstrated effectiveness exist. This cluster-randomized trial examined the effectiveness of a DV perpetra...
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| Vydané v: | Journal of adolescent health Ročník 51; číslo 5; s. 431 - 438 |
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| Hlavní autori: | , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
New York, NY
Elsevier Inc
01.11.2012
Elsevier |
| Predmet: | |
| ISSN: | 1054-139X, 1879-1972, 1879-1972 |
| On-line prístup: | Získať plný text |
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| Abstract | Dating violence (DV)—physical, sexual, and psychological aggression in adolescent romantic relationships—is prevalent among youth. Despite broad calls for primary prevention, few programs with demonstrated effectiveness exist. This cluster-randomized trial examined the effectiveness of a DV perpetration prevention program targeting coaches and high school male athletes.
The unit of randomization was the high school (16 schools), and the unit of analysis was the athlete (N = 2,006 students). Primary outcomes were intentions to intervene, recognition of abusive behaviors, and gender-equitable attitudes. Secondary outcomes explored bystander behaviors and abuse perpetration. Regression models for clustered, longitudinal data assessed between-arm differences in over-time changes in mean levels of continuous outcomes in 1,798 athletes followed up at 3 months.
Intervention athletes' changes in intentions to intervene were positive compared with control subjects, resulting in an estimated intervention effect of .12 (95% CI: .003, .24). Intervention athletes also reported higher levels of positive bystander intervention behavior than control subjects (.25, 95% CI: .13, .38). Changes in gender-equitable attitudes, recognition of abusive behaviors, and DV perpetration were not significant. Secondary analyses estimated intervention impacts according to intensity of program implementation. Compared with control subjects, athletes exposed to full-intensity implementation of the intervention demonstrated improvements in intentions to intervene (.16, 95% CI: .04, .27), recognition of abusive behaviors (.13, 95% CI: .003, .25), and positive bystander intervention (.28, 95% CI: .14, .41).
This cluster-randomized controlled trial supports the effectiveness of a school athletics-based prevention program as one promising strategy to reduce DV perpetration. |
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| AbstractList | Dating violence (DV)—physical, sexual, and psychological aggression in adolescent romantic relationships—is prevalent among youth. Despite broad calls for primary prevention, few programs with demonstrated effectiveness exist. This cluster-randomized trial examined the effectiveness of a DV perpetration prevention program targeting coaches and high school male athletes.
The unit of randomization was the high school (16 schools), and the unit of analysis was the athlete (N = 2,006 students). Primary outcomes were intentions to intervene, recognition of abusive behaviors, and gender-equitable attitudes. Secondary outcomes explored bystander behaviors and abuse perpetration. Regression models for clustered, longitudinal data assessed between-arm differences in over-time changes in mean levels of continuous outcomes in 1,798 athletes followed up at 3 months.
Intervention athletes' changes in intentions to intervene were positive compared with control subjects, resulting in an estimated intervention effect of .12 (95% CI: .003, .24). Intervention athletes also reported higher levels of positive bystander intervention behavior than control subjects (.25, 95% CI: .13, .38). Changes in gender-equitable attitudes, recognition of abusive behaviors, and DV perpetration were not significant. Secondary analyses estimated intervention impacts according to intensity of program implementation. Compared with control subjects, athletes exposed to full-intensity implementation of the intervention demonstrated improvements in intentions to intervene (.16, 95% CI: .04, .27), recognition of abusive behaviors (.13, 95% CI: .003, .25), and positive bystander intervention (.28, 95% CI: .14, .41).
This cluster-randomized controlled trial supports the effectiveness of a school athletics-based prevention program as one promising strategy to reduce DV perpetration. Abstract Purpose Dating violence (DV)—physical, sexual, and psychological aggression in adolescent romantic relationships—is prevalent among youth. Despite broad calls for primary prevention, few programs with demonstrated effectiveness exist. This cluster-randomized trial examined the effectiveness of a DV perpetration prevention program targeting coaches and high school male athletes. Methods The unit of randomization was the high school (16 schools), and the unit of analysis was the athlete (N = 2,006 students). Primary outcomes were intentions to intervene, recognition of abusive behaviors, and gender-equitable attitudes. Secondary outcomes explored bystander behaviors and abuse perpetration. Regression models for clustered, longitudinal data assessed between-arm differences in over-time changes in mean levels of continuous outcomes in 1,798 athletes followed up at 3 months. Results Intervention athletes' changes in intentions to intervene were positive compared with control subjects, resulting in an estimated intervention effect of .12 (95% CI: .003, .24). Intervention athletes also reported higher levels of positive bystander intervention behavior than control subjects (.25, 95% CI: .13, .38). Changes in gender-equitable attitudes, recognition of abusive behaviors, and DV perpetration were not significant. Secondary analyses estimated intervention impacts according to intensity of program implementation. Compared with control subjects, athletes exposed to full-intensity implementation of the intervention demonstrated improvements in intentions to intervene (.16, 95% CI: .04, .27), recognition of abusive behaviors (.13, 95% CI: .003, .25), and positive bystander intervention (.28, 95% CI: .14, .41). Conclusion This cluster-randomized controlled trial supports the effectiveness of a school athletics-based prevention program as one promising strategy to reduce DV perpetration. Purpose: Dating violence (DV) -- physical, sexual, and psychological aggression in adolescent romantic relationships -- is prevalent among youth. Despite broad calls for primary prevention, few programs with demonstrated effectiveness exist. This cluster-randomized trial examined the effectiveness of a DV perpetration prevention program targeting coaches and high school male athletes. Methods: The unit of randomization was the high school (16 schools), and the unit of analysis was the athlete (N = 2,006 students). Primary outcomes were intentions to intervene, recognition of abusive behaviors, and gender-equitable attitudes. Secondary outcomes explored bystander behaviors and abuse perpetration. Regression models for clustered, longitudinal data assessed between-arm differences in over-time changes in mean levels of continuous outcomes in 1,798 athletes followed up at 3 months. Results: Intervention athletes' changes in intentions to intervene were positive compared with control subjects, resulting in an estimated intervention effect of .12 (95% CI: .003, .24). Intervention athletes also reported higher levels of positive bystander intervention behavior than control subjects (.25, 95% CI: .13, .38). Changes in gender-equitable attitudes, recognition of abusive behaviors, and DV perpetration were not significant. Secondary analyses estimated intervention impacts according to intensity of program implementation. Compared with control subjects, athletes exposed to full-intensity implementation of the intervention demonstrated improvements in intentions to intervene (.16, 95% CI: .04, .27), recognition of abusive behaviors (.13, 95% CI: .003, .25), and positive bystander intervention (.28, 95% CI: .14, .41). Conclusions: This cluster-randomized controlled trial supports the effectiveness of a school athletics-based prevention program as one promising strategy to reduce DV perpetration. [Copyright The Society for Adolescent Medicine; published by Elsevier Inc.] Dating violence (DV)--physical, sexual, and psychological aggression in adolescent romantic relationships--is prevalent among youth. Despite broad calls for primary prevention, few programs with demonstrated effectiveness exist. This cluster-randomized trial examined the effectiveness of a DV perpetration prevention program targeting coaches and high school male athletes.PURPOSEDating violence (DV)--physical, sexual, and psychological aggression in adolescent romantic relationships--is prevalent among youth. Despite broad calls for primary prevention, few programs with demonstrated effectiveness exist. This cluster-randomized trial examined the effectiveness of a DV perpetration prevention program targeting coaches and high school male athletes.The unit of randomization was the high school (16 schools), and the unit of analysis was the athlete (N = 2,006 students). Primary outcomes were intentions to intervene, recognition of abusive behaviors, and gender-equitable attitudes. Secondary outcomes explored bystander behaviors and abuse perpetration. Regression models for clustered, longitudinal data assessed between-arm differences in over-time changes in mean levels of continuous outcomes in 1,798 athletes followed up at 3 months.METHODSThe unit of randomization was the high school (16 schools), and the unit of analysis was the athlete (N = 2,006 students). Primary outcomes were intentions to intervene, recognition of abusive behaviors, and gender-equitable attitudes. Secondary outcomes explored bystander behaviors and abuse perpetration. Regression models for clustered, longitudinal data assessed between-arm differences in over-time changes in mean levels of continuous outcomes in 1,798 athletes followed up at 3 months.Intervention athletes' changes in intentions to intervene were positive compared with control subjects, resulting in an estimated intervention effect of .12 (95% CI: .003, .24). Intervention athletes also reported higher levels of positive bystander intervention behavior than control subjects (.25, 95% CI: .13, .38). Changes in gender-equitable attitudes, recognition of abusive behaviors, and DV perpetration were not significant. Secondary analyses estimated intervention impacts according to intensity of program implementation. Compared with control subjects, athletes exposed to full-intensity implementation of the intervention demonstrated improvements in intentions to intervene (.16, 95% CI: .04, .27), recognition of abusive behaviors (.13, 95% CI: .003, .25), and positive bystander intervention (.28, 95% CI: .14, .41).RESULTSIntervention athletes' changes in intentions to intervene were positive compared with control subjects, resulting in an estimated intervention effect of .12 (95% CI: .003, .24). Intervention athletes also reported higher levels of positive bystander intervention behavior than control subjects (.25, 95% CI: .13, .38). Changes in gender-equitable attitudes, recognition of abusive behaviors, and DV perpetration were not significant. Secondary analyses estimated intervention impacts according to intensity of program implementation. Compared with control subjects, athletes exposed to full-intensity implementation of the intervention demonstrated improvements in intentions to intervene (.16, 95% CI: .04, .27), recognition of abusive behaviors (.13, 95% CI: .003, .25), and positive bystander intervention (.28, 95% CI: .14, .41).This cluster-randomized controlled trial supports the effectiveness of a school athletics-based prevention program as one promising strategy to reduce DV perpetration.CONCLUSIONThis cluster-randomized controlled trial supports the effectiveness of a school athletics-based prevention program as one promising strategy to reduce DV perpetration. |
| Author | Decker, Michele R. Stetkevich, Nicholas Moideen, Feroz Brown, Ernest W. Miller, Elizabeth Tancredi, Daniel J. Anderson, Heather A. McCauley, Heather L. Virata, Maria Catrina D. Silverman, Jay G. |
| Author_xml | – sequence: 1 givenname: Elizabeth surname: Miller fullname: Miller, Elizabeth email: elizabeth.miller@chp.edu organization: Division of Adolescent Medicine, Children's Hospital of Pittsburgh/University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania – sequence: 2 givenname: Daniel J. surname: Tancredi fullname: Tancredi, Daniel J. organization: Department of Pediatrics, UC Davis School of Medicine, Sacramento, California – sequence: 3 givenname: Heather L. surname: McCauley fullname: McCauley, Heather L. organization: Division of Adolescent Medicine, Children's Hospital of Pittsburgh/University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania – sequence: 4 givenname: Michele R. surname: Decker fullname: Decker, Michele R. organization: Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland – sequence: 5 givenname: Maria Catrina D. surname: Virata fullname: Virata, Maria Catrina D. organization: Division of Adolescent Medicine, Children's Hospital of Pittsburgh/University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania – sequence: 6 givenname: Heather A. surname: Anderson fullname: Anderson, Heather A. organization: Division of Adolescent Medicine, Children's Hospital of Pittsburgh/University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania – sequence: 7 givenname: Nicholas surname: Stetkevich fullname: Stetkevich, Nicholas organization: Department of Pediatrics, UC Davis School of Medicine, Sacramento, California – sequence: 8 givenname: Ernest W. surname: Brown fullname: Brown, Ernest W. organization: WEAVE, Inc, Sacramento, California – sequence: 9 givenname: Feroz surname: Moideen fullname: Moideen, Feroz organization: Futures Without Violence, San Francisco, California – sequence: 10 givenname: Jay G. surname: Silverman fullname: Silverman, Jay G. organization: Division of Global Public Health, Department of Medicine, University of California San Diego School of Medicine, La Jolla, California |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26506877$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/23084163$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | 2012 Society for Adolescent Health and Medicine Society for Adolescent Health and Medicine 2015 INIST-CNRS Copyright © 2012 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. |
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| Keywords | Teen dating violence Sexual harassment Assaultive behavior Prevention and control Sexual violence prevention Violence Bystander intervention Sexual abuse Adolescent relationship abuse Gender-based violence Sexual assault Coaching Male Victimology Prevention Intimate partner violence Sex offense Public health Human Sanitary program Controlled therapeutic trial Sexual behavior disorder Adolescent Dating behavior Social behavior disorder |
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| Snippet | Dating violence (DV)—physical, sexual, and psychological aggression in adolescent romantic relationships—is prevalent among youth. Despite broad calls for... Abstract Purpose Dating violence (DV)—physical, sexual, and psychological aggression in adolescent romantic relationships—is prevalent among youth. Despite... Dating violence (DV)--physical, sexual, and psychological aggression in adolescent romantic relationships--is prevalent among youth. Despite broad calls for... Purpose: Dating violence (DV) -- physical, sexual, and psychological aggression in adolescent romantic relationships -- is prevalent among youth. Despite broad... |
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| SubjectTerms | Adolescent Adolescent relationship abuse Adolescents Adult Aggression Assaultive behavior Athletes Attitudes Biological and medical sciences Bystander intervention Bystanders Gender Identity Gender violence Gender-based violence High School Students High schools Humans Interpersonal Relations Intervention Longitudinal Studies Male Males Medical sciences Pediatrics Peer Group Prevention Prevention and control Preventive programmes Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Regression Analysis Research Subjects Sexual abuse Sexual assault Sexual harassment Sexual violence prevention Students Teen dating violence Trials Urban Population Victimology Violence Violence - prevention & control |
| Title | “Coaching Boys into Men”: A Cluster-Randomized Controlled Trial of a Dating Violence Prevention Program |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S1054139X12000523 https://www.clinicalkey.es/playcontent/1-s2.0-S1054139X12000523 https://dx.doi.org/10.1016/j.jadohealth.2012.01.018 https://www.ncbi.nlm.nih.gov/pubmed/23084163 https://www.proquest.com/docview/1114705838 https://www.proquest.com/docview/1283644322 https://www.proquest.com/docview/1283741050 |
| Volume | 51 |
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