Green Dot across the Bluegrass: Evaluation of a primary prevention intervention t

蓝草上的绿点：初级预防干预措施的评估

• 批准号: 7930705
• 负责人: Ann L Coker
• 金额: $ 40万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7930705
• 关键词: Green; Dot; across; Bluegrass; Evaluation

DESCRIPTION (provided by applicant): Problem Statement: While rates of lifetime forced sexual intercourse have increased in Kentucky over the past five years among high school students, Kentucky is working to reduce this trend. Through CDC assistance, Kentucky Association of Sexual Assault Programs, Inc. (KASAP) is ready to implement the "Green Dot" bystander intervention program for primary prevention of sexual violence (SV). Importance: We now have the unique and time-sensitive opportunity to evaluate a statewide bystander intervention which will be implemented by KASAP Educators across Kentucky through high schools beginning in 2010. Green Dot empowers students to actively question peer support for SV and become change agents who can play a significant role in ending SV. Innovation: While several bystander intervention programs have been implemented, few been empirically evaluated and none have been evaluated on a statewide basis using the same intervention protocol. Purpose: To evaluate the statewide application of Green Dot among high schools students. We hypothesize that students in high schools with Green Dot will over time report lower rates of SV compared with students in comparable high schools randomized not to have Green Dot. This reduction in SV will be mediated through a reduction in social norms supporting SV and an increase in bystander behaviors. Specific Aims: To prospectively determine whether relative to students in high schools without Green Dot, those in schools with Green Dot (Aim 1) report lower rates of SV, (Aim 2) a greater frequency of bystander behaviors, and (Aim 3) fewer social norms supporting SV. Finally because Green Dots draws on social diffusion of innovation theory we propose (Aim 4) to determine how Green Dot influences bystander behaviors in the first and second order social networks of students who do and do not receive Green Dot training. Methods: A population-based controlled intervention trial will be used to test the efficacy of Green Dot. Both panel and web-based cohort survey methods will be used to provide baseline and prospective data on student's attitudes supporting SV, bystander behaviors and SV experiences. Setting: In each of the 13 KASAP regions, 2 demographically comparable high schools with at least 200 students per grade will be recruited to participate in Green Dot either as the intervention or control site. Schools will be randomly assigned to the intervention. Study Population: All students in participating high schools will be invited to complete anonymous panel surveys beginning spring 2010 through 2014; we anticipate that 6500 students in Green Dot and 6500 in control schools will complete surveys each year. We estimate that 650 students receiving Green Dot training and 650 students not so trained will complete the web-surveys, (2011-2014). External sources of data to document SV will be obtained from high schools. Implications for Prevention: This state-wide, population-based, multi-site controlled intervention trial will provide an empirical test of a promising intervention, which, if proven effective, could result in the primary prevention of SV and a reduction in the health and academic consequences of SV. PUBLIC HEALTH RELEVANCE: Determining whether a promising primary prevention intervention to reduce sexual violence perpetration is effective in reducing violence in a real world setting (high schools across Kentucky) can result in an important opportunity to prevent the short and longer term health consequences of sexual violence. Sexual violence, defined to include physically forced sexual activity, coerced sexual activity, and sexual harassment, is common (~25%), has health and academic consequences and is preventable; thus this form of violence can be a high impact target for primary prevention efforts.

描述(由申请人提供)： 问题陈述：尽管肯塔基州的高中生在过去五年中终生被迫发生性行为的比例有所上升，但肯塔基州正在努力减少这一趋势。通过疾控中心的援助，肯塔基州性侵犯计划协会(KASAP)准备实施“绿点”旁观者干预计划，以初步预防性暴力(SV)。重要：我们现在有一个独特的和时间敏感的机会来评估全州范围的旁观者干预，该干预将由Kasap教育工作者从2010年开始在肯塔基州的高中实施。绿点使学生能够积极质疑同伴对SV的支持，并成为变革的推动者，在结束SV方面发挥重要作用。创新：虽然已经实施了几个旁观者干预项目，但很少有项目是经验性评估的，没有一个项目是在全州范围内使用相同的干预方案进行评估的。目的：评估绿点计划在全州高中生中的应用情况。我们假设，随着时间的推移，绿点高中的学生报告的SV率将低于随机选择不患有绿点高中的学生。SV的减少将通过减少支持SV的社会规范和增加旁观者行为来实现。具体目标：前瞻性地确定与没有绿点高中的学生相比，有绿点学校(目标1)的学生是否报告更低的SV率，(目标2)更频繁的旁观者行为，以及(目标3)更少的支持SV的社会规范。最后，由于绿点理论借鉴了创新的社会扩散理论，我们提出(目标4)来确定绿点如何影响接受和未接受绿点培训的学生的第一和第二级社会网络中的旁观者行为。方法：采用以人群为基础的对照干预试验，检验绿点制剂的疗效。小组和基于网络的队列调查方法将被用来提供关于学生支持SV的态度、旁观者行为和SV体验的基线和预期数据。地点：在13个卡萨普地区中的每一个地区，将招募2所人口统计上相当的高中，每个年级至少有200名学生，作为干预或对照地点参加绿点项目。学校将被随机分配到干预行动中。研究人群：从2010年春季到2014年，所有参与调查的高中学生都将被邀请完成匿名小组调查；我们预计绿点学校的6500名学生和对照学校的6500名学生每年将完成调查。我们估计，接受绿点培训的650名学生和未接受培训的650名学生将完成网络调查，(2011-2014)。记录SV的外部数据来源将从高中获得。预防意义：这项全州范围、以人群为基础的多点受控干预试验将对一种有前景的干预措施进行实证测试，如果被证明有效，可能导致SV的一级预防，并减少SV的健康和学术后果。 公共卫生相关性： 确定一项旨在减少性暴力行为的有希望的初级预防干预措施在减少现实世界环境(肯塔基州各地的高中)中的暴力行为方面是否有效，是否可以带来防止性暴力行为的短期和长期健康后果的重要机会。性暴力的定义包括身体强迫的性行为、强迫的性行为和性骚扰，这种暴力很常见(约25%)，对健康和学术有影响，是可以预防的；因此，这种形式的暴力可以成为初级预防工作的高影响目标。