TY - JOUR
T1 - "coaching boys into men"
T2 - A cluster-randomized controlled trial of a dating violence prevention program
AU - Miller, Elizabeth
AU - Tancredi, Daniel J.
AU - McCauley, Heather L.
AU - Decker, Michele R.
AU - Virata, Maria Catrina D.
AU - Anderson, Heather A.
AU - Stetkevich, Nicholas
AU - Brown, Ernest W.
AU - Moideen, Feroz
AU - Silverman, Jay G.
N1 - Funding Information:
This study was funded by the Centers for Disease Control and Prevention (CDC) (grant number CE001561-01 ). The study sponsor did not have any influence on study design, data collection, analysis, interpretation, manuscript preparation, or decision to submit for publication. The views expressed in this manuscript are solely the responsibility of the authors, and do not represent the views of the CDC.
PY - 2012/11
Y1 - 2012/11
N2 - 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.
AB - 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.
KW - Adolescent relationship abuse
KW - Assaultive behavior
KW - Bystander intervention
KW - Gender-based violence
KW - Prevention and control
KW - Sexual abuse
KW - Sexual assault
KW - Sexual harassment
KW - Sexual violence prevention
KW - Teen dating violence
KW - Violence
UR - http://www.scopus.com/inward/record.url?scp=84867743100&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84867743100&partnerID=8YFLogxK
U2 - 10.1016/j.jadohealth.2012.01.018
DO - 10.1016/j.jadohealth.2012.01.018
M3 - Article
C2 - 23084163
AN - SCOPUS:84867743100
SN - 1054-139X
VL - 51
SP - 431
EP - 438
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 5
ER -