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School Based Program to Prevent Teen Dating Violence

Cluster Randomized Trial of School Based Program to Prevent Teen Dating Violence

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02909673
Acronym
CRT
Enrollment
3028
Registered
2016-09-21
Start date
2018-01-18
Completion date
2023-12-07
Last updated
2026-08-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Violence

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

BEHAVIORALFourth R

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

The University of Texas Health Science Center, Houston
Lead SponsorOTHER
The University of Texas Medical Branch, Galveston
CollaboratorOTHER
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
CollaboratorNIH

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
11 Years to 15 Years
Healthy volunteers
Yes

Inclusion criteria

* Attending 7th grade health class in Houston area middle schools

Exclusion criteria

* n/a

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Perpetration of Physical Teen Dating Violence (TDV)1 yearDetermine whether Fourth R reduces students' TDV, as indexed by less perpetration of physical TDV, relative to students in control schools.

Secondary

MeasureTime frameDescription
Number of Participants Reporting Alcohol/Marijuana Use1 yearProvides the number of participants reporting alcohol/marijuana use.
Number of Participants Reporting Physical Fights1 yearProvides the number of participants reporting physical fights.
Bully Perpetration1 yearBully perpetration was measured on a scale from 1 to 5, where higher on the scale indicates increased perpetration.

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORJeff R Temple, PhD

UTMB

Participant flow

Participants by arm

ArmCount
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
Total2,792

Baseline characteristics

CharacteristicControl GroupTotalIntervention Group
Age, Customized
Categorical Age
12 years or Under
573 Participants1131 Participants558 Participants
Age, Customized
Categorical Age
13 years
799 Participants1398 Participants599 Participants
Age, Customized
Categorical Age
14 years
147 Participants220 Participants73 Participants
Age, Customized
Categorical Age
15 years
5 Participants9 Participants4 Participants
Age, Customized
Categorical Age
Unknown/non Response
7 Participants10 Participants3 Participants
Living Situation
1 parent and 1 stepparent
194 Participants335 Participants141 Participants
Living Situation
Father only
30 Participants46 Participants16 Participants
Living Situation
Grandparent(s)
44 Participants74 Participants30 Participants
Living Situation
Living with both parents
903 Participants1672 Participants769 Participants
Living Situation
Mother only
304 Participants524 Participants220 Participants
Living Situation
Other/unknown
56 Participants117 Participants61 Participants
Number of schools with small (versus large) territory7 number of study schools13 number of study schools6 number of study schools
Number of Sexually Experienced Participants65 Participants111 Participants46 Participants
Parent Education
College graduate
632 Participants1206 Participants574 Participants
Parent Education
Did not graduate from high school
158 Participants245 Participants87 Participants
Parent Education
Finished high school or GED
158 Participants263 Participants105 Participants
Parent Education
Some college or training
145 Participants254 Participants109 Participants
Parent Education
Unknown
438 Participants800 Participants362 Participants
Physical Dating Violence (DV) Perpetration
Non Response
38 Participants73 Participants35 Participants
Physical Dating Violence (DV) Perpetration
No Physical DV Perpetration
1330 Participants2423 Participants1093 Participants
Physical Dating Violence (DV) Perpetration
Physical DV Perpetration
163 Participants272 Participants109 Participants
Race/Ethnicity, Customized
Race/Ethnicity
American Indian
15 Participants29 Participants14 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Asian
158 Participants389 Participants231 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Hispanic
623 Participants1025 Participants402 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Multiple
71 Participants129 Participants58 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Non-Hispanic Black
367 Participants709 Participants342 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Non-Hispanic White
135 Participants200 Participants65 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Unknown/Other
162 Participants287 Participants125 Participants
Schools with >50% economically disadvantaged7 number of study schools15 number of study schools8 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 Participants1394 Participants655 Participants
Sex/Gender, Customized
Sex
Male
792 Participants1373 Participants581 Participants
Sex/Gender, Customized
Sex
Unknown/ Non Response
0 Participants1 Participants1 Participants
Study School with >500 students11 Study School22 Study School11 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 typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1,2370 / 1,531
other
Total, other adverse events
0 / 1,2370 / 1,531
serious
Total, serious adverse events
0 / 1,2370 / 1,531

Outcome results

Primary

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

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Intervention GroupNumber of Participants With Perpetration of Physical Teen Dating Violence (TDV)58 Participants
Control GroupNumber of Participants With Perpetration of Physical Teen Dating Violence (TDV)103 Participants
p-value: 0.0595% CI: [0.43, 1]Regression, Logistic
Secondary

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

ArmMeasureValue (MEAN)Dispersion
Intervention GroupBully Perpetration1.23 score on a scaleStandard Deviation 0.46
Control GroupBully Perpetration1.21 score on a scaleStandard Deviation 0.45
Secondary

Number of Participants Reporting Alcohol/Marijuana Use

Provides the number of participants reporting alcohol/marijuana use.

Time frame: 1 year

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Intervention GroupNumber of Participants Reporting Alcohol/Marijuana Use122 Participants
Control GroupNumber of Participants Reporting Alcohol/Marijuana Use204 Participants
Secondary

Number of Participants Reporting Physical Fights

Provides the number of participants reporting physical fights.

Time frame: 1 year

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Intervention GroupNumber of Participants Reporting Physical Fights227 Participants
Control GroupNumber of Participants Reporting Physical Fights283 Participants

Source: ClinicalTrials.gov · Data processed: Aug 24, 2026