A Randomized Trial of Wise Guys: The Next Level

项目总结/摘要 性暴力（SV）是一个非常普遍的，严重的公共卫生问题，导致严重的健康， 经济和社会后果。与其他形式的暴力一样，性暴力是可以预防的。通过强奸 预防和教育（RPE）计划，疾病预防控制中心已资助各州加强SV预防工作 社区组织。然而，这些努力的证据基础是薄弱的，如何最好地预防SV 犯罪行为仍不清楚。我们的研究将严格评估一个正在进行的RPE资助的计划，明智的家伙： 下一级（WGNL），通过解决已知的风险和保护因素来解决SV犯罪， 例如强奸文化和不健康男子气概、性别陈规定型观念、 关系。WGNL基于循证的变革理论，由儿童基金会实施。 北卡罗来纳州（CHSNC），一个建立良好的社区组织， 从1990年代开始就和男人和男孩一起工作。CHS目前在许多站点实施WGNL， 男童和青年男子是性暴力犯罪的高危人群。在第一年，我们的研究团队将与CHSNC合作， 北卡罗来纳州反对性侵犯联盟，以及我们的研究咨询委员会，以确定， 完善和记录WGNL的核心组成部分和活动，并通过以下方式使其实施正规化： CHSNC人员。在第2年至第4年，我们将使用群集随机设计来随机分配WGNL 按地点和时间执行。将招募520名参与者。参与者将在 计划前（基线）、计划后即刻（2个月）和12个月随访。评价将 旨在测量WGNL对预防SV发生的主要结局的影响， 其次，防止约会暴力，欺凌，性风险行为和骚扰。我们将记录 WGNL的实施成本，为未来的研究和SV预防干预提供信息。我们提出的 研究解决了2009-2018年CDC损伤研究议程中确定的几个研究重点， 包括“评估预防SV的方法，这些方法针对高危人群， 其他健康结果”和“评价SV预防方法的有效性， 有证据，但没有评估研究证据。”我们的研究团队有着悠久的历史， 与SV预防社区的从业人员合作。我们使用的实践知情的证据 研究范式将优化研究结果向从业者社区的传播，并增加 如果发现该计划有效，则该计划可以在其他国家以忠实和可持续的方式复制 社区.

Project Summary/Abstract Sexual violence (SV) is a highly prevalent, significant public health problem resulting in serious health, economic, and social consequences. Like other forms of violence, SV is preventable. Through its Rape Prevention and Education (RPE) program, the CDC has funded states to strengthen the SV prevention efforts of community organizations. However, the evidence base for these efforts is weak, and how best to prevent SV perpetration remains unclear. Our study will rigorously evaluate an ongoing RPE-funded program, Wise Guys: The Next Level (WGNL), which addresses SV perpetration by addressing known risk and protective factors, such as rape culture and unhealthy masculinity, gender stereotyping, communication and consent in relationships. WGNL is based on an evidence-informed theory of change and is implemented by Children's Home Society of North Carolina (CHSNC), a well-established community-based organization that has been working with men and boys since the 1990s. CHS currently implements WGNL in numerous sites that serve boys and young men at high risk for SV perpetration. In Year 1, our research team will work with CHSNC and the North Carolina Coalition Against Sexual Assault, as well as our Research Advisory Board, to identify, refine, and document the core components and activities of WGNL and formalize its implementation by CHSNC personnel. In Years 2 to 4, we will use a cluster-randomized design to randomize WGNL implementation by site and time. A total of 520 participants will be enrolled. Participants will be evaluated at pre-program (baseline), immediate post-program (2-month), and 12-month follow-up. The evaluation will be designed to measure the effect of WGNL on the primary outcome of preventing SV perpetration and, secondarily, on preventing dating violence, bullying, sexual risk behavior, and harassment. We will document the implementation costs of WGNL to inform future research and SV prevention interventions. Our proposed research addresses several research priorities identified in the CDC Injury Research Agenda for 2009-2018, including “evaluating approaches to prevent SV that target high-risk populations and shared risk factors with other health outcomes” and “evaluating the effectiveness of SV prevention approaches with substantial uptake and informed by evidence, but without evaluation research evidence.” Our research team has a long history of collaboration with practitioners in the SV prevention community. Our use of a practice-informed evidence research paradigm will optimize dissemination of study results to the practitioner community, and increase the probability that this program, if found to be effective, can replicated with fidelity and sustainability in other communities.