An RCT of Dating Matters: Effects on Teen Dating Violence and Relationship Behaviors
An RCT of Dating Matters: Effects on Teen Dating Violence and Relationship Behaviors
复制标题
DOI：
10.1016/j.amepre.2019.02.022
复制
发表时间：
2019-07-01
影响因子：
5.5
通讯作者：
Tharp, Andra Teten
中科院分区：
文献类型：
--
作者：
Niolon, Phyllis Holditch;Vivolo-Kantor, Alana M.;Tharp, Andra Teten
导语：青少年约会暴力是一个严重的公共卫生问题，缺乏有效的预防策略。本研究探讨约会事项综合预防模式与照护干预标准相比较，是否能预防消极关系行为，促进积极关系行为。研究设计：这项纵向、整群随机对照研究比较了中学阶段约会事项与照管标准的有效性。护理标准是在八年级实施的以证据为基础的青少年约会暴力预防课程(安全约会)。背景/参与者：随机抽取美国四个城市高危城区的46所中学。失去后续行动的学校被新学校取代，这些学校是独立随机的(71%的学校保留)。学生们在六年级、七年级和八年级(2012-2016)的秋季和春季进行了调查。分析样本包括实施约会事宜或照顾>标准的学校的学生；2012年或2013年秋季开始上六年级并与之约会的2岁学生(N=2,349名学生，平均年龄12岁，49%是女性，55%是黑人，非西班牙裔，28%是西班牙裔，17%是其他人)。干预：约会问题是一个全面的、多组成部分的预防模式，包括为六到八年级的学生提供课堂教学计划，对六到八年级学生的父母进行培训，教育工作者培训，青年沟通计划，以及当地卫生部门评估能力和跟踪青少年约会暴力相关政策和数据的活动。主要结果衡量标准：自我报告青少年约会暴力的实施和受害，消极冲突解决策略的使用，积极的人际关系技能被视为结果。结果：潜在小组模型对四种结果中的三种表现出显著的程序效应；约会问题专业学生报告的青少年约会暴力行为平均比关怀标准学生低8.43%，青少年约会暴力受害人数平均低9.78%，消极冲突解决策略的使用率平均低5.52%。结论：与照护干预标准相比，交友问题在减少青少年约会暴力和消极冲突解决策略等不良关系行为方面，在中学阶段表现出相对有效的效果。由爱思唯尔公司代表《美国预防医学杂志》出版。
Introduction: Teen dating violence is a serious public health problem with few effective prevention strategies. This study examines whether the Dating Matters comprehensive prevention model, compared with a standard of care intervention, prevented negative relationship behaviors and promoted positive relationship behaviors.Study design: This longitudinal, cluster-RCT compared the effectiveness of Dating Matters with standard of care across middle school. Standard of care was an evidence-based teen dating violence prevention curriculum (Safe Dates) implemented in eighth grade.Setting/participants: Forty-six middle schools in high-risk urban neighborhoods in four U.S. cities were randomized. Schools lost to follow-up were replaced with new schools, which were independently randomized (71% school retention). Students were surveyed in fall and spring of sixth, seventh, and eighth grades (2012-2016). The analysis sample includes students from schools implementing Dating Matters or standard of care for >2 years who started sixth grade in the fall of 2012 or 2013 and had dated (N=2,349 students, mean age 12 years, 49% female, and 55% black, non-Hispanic, 28% Hispanic, 17% other).Intervention: Dating Matters is a comprehensive, multicomponent prevention model including classroom-delivered programs for sixth to eighth graders, training for parents of sixth to eighth graders, educator training, a youth communications program, and local health department activities to assess capacity and track teen dating violence-related policy and data.Main outcome measures: Self-reported teen dating violence perpetration and victimization, use of negative conflict resolution strategies, and positive relationship skills were examined as outcomes. Imputation and analyses were conducted in 2017.Results: Latent panel models demonstrated significant program effects for three of four outcomes; Dating Matters students reported 8.43% lower teen dating violence perpetration, 9.78% lower teen dating violence victimization, and 5.52% lower use of negative conflict resolution strategies, on average across time points and cohorts, than standard of care students. There were no significant effects on positive relationship behaviors.Conclusions: Dating Matters demonstrates comparative effectiveness, through middle school, for reducing unhealthy relationship behaviors, such as teen dating violence and use of negative conflict resolution strategies, relative to the standard of care intervention. Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.