A School-Based Program to Prevent Adolescent Dating Violence

David A. Wolfe · Claire V. Crooks · Peter G. Jaffe · Debbie Chiodo · Ray Hughes · Wendy E. Ellis +2 more

472 citations0/0 files storedArchives of Pediatrics and Adolescent Medicine

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Intimate Partner and Family Violence Bullying, Victimization, and Aggression Child Abuse and Trauma

Abstract

OBJECTIVE: To determine whether an interactive curriculum that integrates dating violence prevention with lessons on healthy relationships, sexual health, and substance use reduces physical dating violence (PDV). DESIGN: Cluster randomized trial with 2.5-year follow-up; prespecified subgroup analyses by sex. SETTING: Grade 9 health classes. PARTICIPANTS: A total of 1722 students aged 14-15 from 20 public schools (52.8% girls). Intervention A 21-lesson curriculum delivered during 28 hours by teachers with additional training in the dynamics of dating violence and healthy relationships. Dating violence prevention was integrated with core lessons about healthy relationships, sexual health, and substance use prevention using interactive exercises. Relationship skills to promote safer decision making with peers and dating partners were emphasized. Control schools targeted similar objectives without training or materials. MAIN OUTCOME MEASURES: The primary outcome at 2.5 years was self-reported PDV during the previous year. Secondary outcomes were physical peer violence, substance use, and condom use. Analysis was by intention-to-treat. RESULTS: The PDV was greater in control vs intervention students (9.8% vs 7.4%; adjusted odds ratio, 2.42; 95% confidence interval, 1.00-6.02; P = .05). A significant group x sex interaction effect indicated that the intervention effect was greater in boys (PDV: 7.1% in controls vs 2.7% in intervention students) than in girls (12.1% vs 11.9%). Main effects for secondary outcomes were not statistically significant; however, sex x group analyses showed a significant difference in condom use in sexually active boys who received the intervention (114 of 168; 67.9%) vs controls (65 of 111 [58.6%]) (P < .01). The cost of training and materials averaged CA$16 per student. CONCLUSION: The teaching of youths about healthy relationships as part of their required health curriculum reduced PDV and increased condom use 2.5 years later at a low per-student cost.

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References

2002The world report on violence and health 2003World Report on Violence and Health.2001Dating Violence Against Adolescent Girls and Associated Substance Use, Unhealthy Weight Control, Sexual Risk Behavior, Pregnancy, and Suicidality 2002El informe mundial sobre la violencia y la salud.1999Family violence in Canada: A statistical profile 2001Development and validation of the Conflict in Adolescent Dating Relationships Inventory.2003Costs of Intimate Partner Violence Against Women in the United States 1999Dating violence in mid-adolescence Theory, significance, and emerging prevention initiatives

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2014From work with men and boys to changes of social norms and reduction of inequities in gender relations: a conceptual shift in prevention of violence against women and girls 2014Prevention of violence against women and girls: what does the evidence say?2013Beyond Correlates: A Review of Risk and Protective Factors for Adolescent Dating Violence Perpetration 2014Addressing Intimate Partner Violence and Sexual Violence Among Adolescents: Emerging Evidence of Effectiveness

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