Violence
Conditions
Keywords
adolescent behavior, intimate partner violence, youth risk behavior, violence prevention, teen dating violence
Brief summary
This study is a school-based trial of the 7th grade version of Fourth R, a promising teen dating violence prevention program, with 24 ethnically diverse middle schools in one of the nation's largest school districts to determine the impact of the program by comparing students in intervention schools with those in control schools.
Detailed description
The prevalence of teen dating violence (TDV), as well as the adverse mental, physical, and relationship health outcomes associated with it, underscores the need for effective TDV prevention programs, of which there are few. The study will evaluate a new 7th-grade version of Fourth R, which has been rewritten to be developmentally appropriate and correspond to national health standards for this younger age. The 7th-grade version of Fourth R is innovative because it emphasizes socio-emotional learning, includes lessons on mental health, and addresses technology and cyber TDV. These additional components will strengthen the core social-emotional competencies of youth, competencies that are critical for the creation of healthy relationships and avoidance of unhealthy ones. A TDV prevention program aimed at promoting healthy relationships at this developmentally important age holds tremendous promise. The primary aim is to determine whether Fourth R reduces students' TDV, as indexed by less perpetration and victimization of physical, sexual, and psychological TDV, relative to students in control schools. The secondary aims are to determine whether Fourth R, relative to control, 1) improves students' \[relationship quality\], emotional well-being, and increases their acquisition and use of healthy relationship skills, as indexed by improved problem-solving, communication, and conflict resolution skills; 2) ameliorates the modifiable cognitive and behavioral correlates associated with the perpetration and victimization of TDV, as indexed by fewer attitudes justifying dating violence, decreased substance use, risky sexual behavior, fighting, and bullying, increased school connectedness, improved academic performance, and decreased psychological symptoms; and \[3) improves school climate as indexed by student, teacher, and staff reports of school environment as it relates to healthy relationships and TDV; and by reductions in school disciplinary actions related to violence, substance use, and academic failure\]. Prespecified differences by gender and ethnicity will be examined, as well as the acquisition and utilization of various program components.
Interventions
Fourth R integrates the promotion of healthy relationship skills and prevention of teen dating violence into existing school curricula so that students receive regular course credit in health. Fourth R is grounded in social cognitive theory in which youth learn to formulate and choose behavior strategies, which translate into knowledge and practice in decision-making, non-aggressive conflict resolution skills, and self-efficacy..
Sponsors
Study design
Eligibility
Inclusion criteria
* Attending 7th grade health class in Houston area middle schools
Exclusion criteria
* n/a
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Perpetration of Physical Teen Dating Violence (TDV) | 1 year | Determine whether Fourth R reduces students' TDV, as indexed by less perpetration of physical TDV, relative to students in control schools. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Reporting Alcohol/Marijuana Use | 1 year | Provides the number of participants reporting alcohol/marijuana use. |
| Number of Participants Reporting Physical Fights | 1 year | Provides the number of participants reporting physical fights. |
| Bully Perpetration | 1 year | Bully perpetration was measured on a scale from 1 to 5, where higher on the scale indicates increased perpetration. |
Countries
United States
Contacts
UTMB
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Intervention Group The students who participated in the Fourth R. The Fourth R, is a classroom-based curriculum delivered by existing teachers and consists of 21 lessons on injury prevention, substance use, and growth and development. | 1,237 |
| Intervention Group The students who participated in the Fourth R. The Fourth R, is a classroom-based curriculum delivered by existing teachers and consists of 21 lessons on injury prevention, substance use, and growth and development. | 12 |
| Control Group The students who received the standard health class curriculum. | 1,531 |
| Control Group The students who received the standard health class curriculum. | 12 |
| Total | 2,792 |
Baseline characteristics
| Characteristic | Control Group | Total | Intervention Group |
|---|---|---|---|
| Age, Customized Categorical Age 12 years or Under | 573 Participants | 1131 Participants | 558 Participants |
| Age, Customized Categorical Age 13 years | 799 Participants | 1398 Participants | 599 Participants |
| Age, Customized Categorical Age 14 years | 147 Participants | 220 Participants | 73 Participants |
| Age, Customized Categorical Age 15 years | 5 Participants | 9 Participants | 4 Participants |
| Age, Customized Categorical Age Unknown/non Response | 7 Participants | 10 Participants | 3 Participants |
| Living Situation 1 parent and 1 stepparent | 194 Participants | 335 Participants | 141 Participants |
| Living Situation Father only | 30 Participants | 46 Participants | 16 Participants |
| Living Situation Grandparent(s) | 44 Participants | 74 Participants | 30 Participants |
| Living Situation Living with both parents | 903 Participants | 1672 Participants | 769 Participants |
| Living Situation Mother only | 304 Participants | 524 Participants | 220 Participants |
| Living Situation Other/unknown | 56 Participants | 117 Participants | 61 Participants |
| Number of schools with small (versus large) territory | 7 number of study schools | 13 number of study schools | 6 number of study schools |
| Number of Sexually Experienced Participants | 65 Participants | 111 Participants | 46 Participants |
| Parent Education College graduate | 632 Participants | 1206 Participants | 574 Participants |
| Parent Education Did not graduate from high school | 158 Participants | 245 Participants | 87 Participants |
| Parent Education Finished high school or GED | 158 Participants | 263 Participants | 105 Participants |
| Parent Education Some college or training | 145 Participants | 254 Participants | 109 Participants |
| Parent Education Unknown | 438 Participants | 800 Participants | 362 Participants |
| Physical Dating Violence (DV) Perpetration Non Response | 38 Participants | 73 Participants | 35 Participants |
| Physical Dating Violence (DV) Perpetration No Physical DV Perpetration | 1330 Participants | 2423 Participants | 1093 Participants |
| Physical Dating Violence (DV) Perpetration Physical DV Perpetration | 163 Participants | 272 Participants | 109 Participants |
| Race/Ethnicity, Customized Race/Ethnicity American Indian | 15 Participants | 29 Participants | 14 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Asian | 158 Participants | 389 Participants | 231 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Hispanic | 623 Participants | 1025 Participants | 402 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Multiple | 71 Participants | 129 Participants | 58 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Non-Hispanic Black | 367 Participants | 709 Participants | 342 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Non-Hispanic White | 135 Participants | 200 Participants | 65 Participants |
| Race/Ethnicity, Customized Race/Ethnicity Unknown/Other | 162 Participants | 287 Participants | 125 Participants |
| Schools with >50% economically disadvantaged | 7 number of study schools | 15 number of study schools | 8 number of study schools |
| Seventh-grade student enrollment, mean (SD) | 363 7th grade students STANDARD_DEVIATION 148 | 353.5 7th grade students STANDARD_DEVIATION 135.62 | 344 7th grade students STANDARD_DEVIATION 122 |
| Sex/Gender, Customized Sex Female | 739 Participants | 1394 Participants | 655 Participants |
| Sex/Gender, Customized Sex Male | 792 Participants | 1373 Participants | 581 Participants |
| Sex/Gender, Customized Sex Unknown/ Non Response | 0 Participants | 1 Participants | 1 Participants |
| Study School with >500 students | 11 Study School | 22 Study School | 11 Study School |
| Total Student Enrollment in Study School, mean (SD) | 1052 Students enrollment STANDARD_DEVIATION 405 | 1060.5 Students enrollment STANDARD_DEVIATION 348.15 | 1069 Students enrollment STANDARD_DEVIATION 280 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 1,237 | 0 / 1,531 |
| other Total, other adverse events | 0 / 1,237 | 0 / 1,531 |
| serious Total, serious adverse events | 0 / 1,237 | 0 / 1,531 |
Outcome results
Number of Participants With Perpetration of Physical Teen Dating Violence (TDV)
Determine whether Fourth R reduces students' TDV, as indexed by less perpetration of physical TDV, relative to students in control schools.
Time frame: 1 year
Population: Main study outcome was analyzed on the subset of students who reported having had a boyfriend or girlfriend in the last 12 months at the 1 year follow up
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Intervention Group | Number of Participants With Perpetration of Physical Teen Dating Violence (TDV) | 58 Participants |
| Control Group | Number of Participants With Perpetration of Physical Teen Dating Violence (TDV) | 103 Participants |
Bully Perpetration
Bully perpetration was measured on a scale from 1 to 5, where higher on the scale indicates increased perpetration.
Time frame: 1 year
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Group | Bully Perpetration | 1.23 score on a scale | Standard Deviation 0.46 |
| Control Group | Bully Perpetration | 1.21 score on a scale | Standard Deviation 0.45 |
Number of Participants Reporting Alcohol/Marijuana Use
Provides the number of participants reporting alcohol/marijuana use.
Time frame: 1 year
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Intervention Group | Number of Participants Reporting Alcohol/Marijuana Use | 122 Participants |
| Control Group | Number of Participants Reporting Alcohol/Marijuana Use | 204 Participants |
Number of Participants Reporting Physical Fights
Provides the number of participants reporting physical fights.
Time frame: 1 year
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Intervention Group | Number of Participants Reporting Physical Fights | 227 Participants |
| Control Group | Number of Participants Reporting Physical Fights | 283 Participants |