Adolescent Behavior, Communication, Personal, Coping Skills, Emotional Abuse, Group, Peer, Violence, Domestic, Violence in Adolescence, Violence, Non-accidental, Violence, Physical, Violence, Sexual
Conditions
Brief summary
This cluster-randomized school-based study will examine the effectiveness of a teen dating violence (TDV) and sexual violence (SV) prevention program called Expect Respect for preventing serious violence perpetration among middle school students.
Detailed description
This cluster-randomized controlled school-based study will examine the effectiveness of a support group-based teen dating violence (TDV) and sexual violence (SV) prevention program on the primary prevention of serious (and potentially lethal) violence perpetration among middle school students (both male and female-identified) who have prior exposure to trauma and violence. Expect Respect gender-specific support groups are for youth with prior history of exposure to violence including witnessing domestic violence, loss of loved one to homicide, TDV, and SV. Expect Respect is a theory and research-informed program intended to alter norms condoning violence and rigid gender expectations that foster violence perpetration, promote bystander intervention, and reduce TDV/SV perpetration. Implemented by trained facilitators, the 24-session curriculum focuses on gender equity and respect, recognizing abuse and impact on self and others, regulating emotions, skills for healthy relationships, and becoming active proponents of safe and healthy relationships.
Interventions
BEHAVIORALExpect Respect
Expect Respect is a 24 session curriculum designed to support middle school students to increase skills in emotion regulation, relationship skills, communication, and positive bystander intervention behaviors.
BEHAVIORALEnhanced Usual Care
Participants will be connected via a warm referral to available individual behavioral health supports and resources in their community that can support them.
Sponsors
Centers for Disease Control and Prevention
University of Pittsburgh
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
This cluster-randomized school-based study will examine the effectiveness of a support group-based teen dating violence (TDV) and sexual violence (SV) prevention program on the primary prevention of serious (and potentially lethal) violence perpetration among middle school students (both male and female-identified) already exposed to violence. The study will be located in western Pennsylvania across 36 middle schools (anticipated number of 'clusters'), randomized either to receive the Expect Respect program (i.e., intervention schools, n=18) or to an enhanced usual care condition (n=18 schools).
Eligibility
Sex/Gender
ALL
Age
11 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
* Participants must be in grades 7-8 * Participants must be referred by school personnel * Participants must speak English
Exclusion criteria
* Not in 7th- 8th grade * Not referred to the group by school personnel * Does not speak English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in self-reported recent (past 3 months) violence perpetration at End of Program | End of program (average 24-30 weeks after baseline, Time 2 - primary endpoint) | Summary score of violence perpetration likely to result in serious injury or death (physical and sexual TDV - 4 items, SV - 5 items, threats with a weapon - 1 item, and physical fighting - 1 item), calculated as one point for each behavior endorsed and then summed (possible range: 0-11). |
| Change from baseline in self-reported recent (past 3 months) violence perpetration at one year after baseline | One year after baseline (Time 3) | Summary score of violence perpetration likely to result in serious injury or death (physical and sexual TDV - 4 items, SV - 5 items, threats with a weapon - 1 item, and physical fighting - 1 item), calculated as one point for each behavior endorsed and then summed (possible range: 0-11). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in frequency of weapon carrying at End of Program | End of program (average 24-30 weeks after baseline, Time 2 - primary endpoint) | Number of times carrying a weapon in past 30 days (self-reported) |
| Change from baseline in frequency of weapon carrying at one year after baseline | One year after baseline (Time 3) | Number of times carrying a weapon in past 30 days (self-reported) |
| Change from baseline in positive bystander behaviors at End of Program | End of program (average 24-30 weeks after baseline, Time 2 - primary endpoint) | Past 3 month positive bystander behavior in participants when witnessing disrespectful and harmful behavior among peers comparing baseline and follow up summary scores. Participants report if they have witnessed each of 9 peers' abusive behaviors in the past 3 months and if witnessed, how they responded (whether they intervened to interrupt the behavior, provided support to the person being harmed). One point is given for reporting at least 1 positive intervention for each abusive behavior witnessed; points are added to create a summary score (possible range: 0-9). |
| Change from baseline in positive bystander behaviors at one year after baseline | One year after baseline (Time 3) | Past 3 month positive bystander behavior in participants when witnessing disrespectful and harmful behavior among peers comparing baseline and follow up summary scores. Participants report if they have witnessed each of 9 peers' abusive behaviors in the past 3 months and if witnessed, how they responded (whether they intervened to interrupt the behavior, provided support to the person being harmed). One point is given for reporting at least 1 positive intervention for each abusive behavior witnessed; points are added to create a summary score (possible range: 0-9). |
Countries
United States
Outcome results
None listed