Dating Matters: Strategies to Promote Healthy Teen Relationships (DM)

This study is not yet open for participant recruitment. (see Contacts and Locations)
Verified August 2012 by Centers for Disease Control and Prevention
Sponsor:
Collaborators:
NORC at the University of Chicago
Ogilvy Public Relations
Alameda County Public Health Department
Baltimore City Health Department
Broward County Health Department
Chicago Department of Public Health
Information provided by (Responsible Party):
Centers for Disease Control and Prevention
ClinicalTrials.gov Identifier:
NCT01672541
First received: August 20, 2012
Last updated: August 24, 2012
Last verified: August 2012
  Purpose

The Dating Matters: Strategies to Promote Healthy Teen Relationships Initiative intends to promote respectful, nonviolent dating relationships among adolescents living in high-risk, urban communities. CDC has developed a comprehensive approach to promoting respectful, non-violent relationships based on current evidence based and evidence informed strategies. This comprehensive approach includes: school-based curricula for 6th, 7th, and 8th grade students; separate parent programs for parents of 6th, 7th, and 8th grade students; a communications campaign involving social media and near-peer brand ambassadors; an online training about dating violence for educators; policy assessment at the school or community level; and development and validation of school and community level indicators of teen dating violence. Additionally, schools assigned to the comprehensive condition will also receive intensive training and technical assistance to support implementation of these components. Among 4 U.S. sites, 44 schools will be randomly assigned to implement either the Dating Matters comprehensive approach or the "standard of care" approach, which we are operationalizing as Safe Dates, a an evidence based student curriculum for 8th graders. We hypothesize that the comprehensive approach will be more effective than the standard approach at preventing the perpetration and victimization of teen dating violence over time and at promoting positive relationship behaviors over time.


Condition Intervention
Teen Dating Violence
Healthy Dating Relationship Behaviors
Behavioral: Dating Matters Comprehensive Approach
Behavioral: Standard of Care Safe Dates Approach

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Randomized Controlled Trial of the "Dating Matters: Strategies to Promote Healthy Teen Relationships" Comprehensive Approach

Further study details as provided by Centers for Disease Control and Prevention:

Primary Outcome Measures:
  • Perpetration of dating violence [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self-report of perpetration of physical, sexual, and psychological violence and/or stalking against a dating partner

  • Victimization of dating violence [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self- report of victimization of physical, sexual, and psychological violence and/or stalking from a dating partner

  • Engagement in healthy relationship behaviors [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self-report of engagement in healthy relationship behaviors (i.e., good communication, conflict management, etc) with a dating partner


Secondary Outcome Measures:
  • Attitudes toward the acceptability of dating violence [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self report of attitudes toward TDV; Parent self report of attitudes toward TDV; Educator report of students's attitudes toward TDV (2x/year the first year, 1x/year after that)

  • Knowledge about teen dating violence [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self report of knowledge of facts about TDV; Parent self report of knowledge of facts about TDV

  • Attitudes toward gender roles [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self-report of attitudes toward male and female gender roles (2x/year through 12th grade, so up to 6 years for those who start the study in 6th grade) Parent self-report of attitudes toward male and female gender roles (2x/year for up to 3 years)

  • Knowledge Regarding Available Resources [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self-report of awareness of community and national resources for helping teenagers in abusive and violent relationships

  • Positive parenting behaviors [ Time Frame: 2 times per year, for up to 6 years ] [ Designated as safety issue: No ]
    Student report of of parent's engagement in positive parenting behaviors, such as praise; of parental monitoring of dating (e.g., parent knows the people the student dates); of general parental monitoring behaviors (e.g., parent knows where student goes out at night) (up to 6 years); Parent report of: of general monitoring behaviors; of monitoring of child's dating; of engagement in positive parenting behaviors toward child; of involvement in child's life and activities, of use of positive discipline techniques toward the child, of use of corporal punishment of the child, and of consistency of discipline toward the child (up to 3 years)

  • Perpetration of sexual harassment [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self report of engagement in sexual harassment behaviors toward others, in person and online

  • Victimization of sexual harassment [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self report of victimization of sexual harrasment by others, in person and online

  • School climate [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student report of school climate and safety (2x/ year up to 6 years); Educator report of school climate and safety (2x/year first year, 1x per year after); Student self-report of social support from a teacher or other adult in school

  • Engagement in risky behaviors [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self report of engagement in risky behaviors such as risky sex, substance use, aggression, and delinquency

  • Student mental health [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self-report of depressive and anxious symptomology.

  • Student prosocial behaivor [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self report of engagment in prosocial behavior such as helping others, sharing.

  • Parental attitudes toward and rules about dating [ Time Frame: 2 times per year for up to 3 years ] [ Designated as safety issue: No ]
    Parent report about their attitudes toward their child dating, any rules they have for their child about dating, and their communication with their child about those rules

  • Parent-child communication about risk behaviors [ Time Frame: 2 times per year for up to 3 years ] [ Designated as safety issue: No ]
    Parent report about the extent to which parent and child communicate about topics such as dating, drugs, sex and sexually transmitted infections

  • Parent relationship quality [ Time Frame: 2 times per year for up to 3 years ] [ Designated as safety issue: No ]
    Parent report on communication and satisfaction with communication between him or her and his or her partner Parent self-report of satisfaction with relationship with partner

  • Parent engagement in Intimate Partner Violence (IPV) [ Time Frame: 2 times per year for up to 3 years ] [ Designated as safety issue: No ]
    Parent report of perpetration or victimization of IPV

  • Dating Violence and sexual harassment visibility in school [ Time Frame: 2 times per year first year, 1 time per year for 3 more years ] [ Designated as safety issue: No ]
    Educator self-report of witnessing dating violence and seuxal harassment in thie school.

  • Educator ability to address teen dating violence [ Time Frame: 2 times per year first year, 1 time per year for 3 more years ] [ Designated as safety issue: No ]
    Educator report of views toward teen dating violence prevention and confidence in discussing the issue with students Educator report of knowledge of and responsibility to intervene when witnessing teen dating violence and harassment

  • Issues faced by youth [ Time Frame: 2 times per year first year, 1 time per year for 3 more years ] [ Designated as safety issue: No ]
    Educator report of the most common issues (e.g., drugs) faced by students in the school

  • Parent ability to detect TDV [ Time Frame: 2 times per year for up to 3 years ] [ Designated as safety issue: No ]
    Parent self-report in confidence in ability to detect teen dating violence perpetration and victimization in child

  • Exposure to the communications campaign [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self-report of awareness of the communication campaign, including whether the student has heard of and participated in the i2i campaign activities.


Other Outcome Measures:
  • Demographic variables [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    • Student self-report of demographic factors, such as age, gender, race/ethnicity, household composition, and relationship history;
    • Parent self-report of demographic factors, such as age, gender, race/ethnicity, household composition, total family income, educational attainment, and relationship history;
    • Educator self-report of demographic factors, such as race/ethnicity and gender

  • Experience delivering prevention programs [ Time Frame: 2 times per year first year, 1 time per year for 3 more years ] [ Designated as safety issue: No ]
    Educator self-report of experience delivering prevention programs, such as teen dating violence and harassment prevention programs

  • Religiosity [ Time Frame: 2 times per year for up to 3 years ] [ Designated as safety issue: No ]
    Parent self-report of attendance at religious services and importance of religious beliefs

  • Student extra curricular activities [ Time Frame: 2 times per year for up to 3 years ] [ Designated as safety issue: No ]
    Parent report of student engagement in extra-curricular activities

  • Housing stability [ Time Frame: 2 times per year for up to 3 years ] [ Designated as safety issue: No ]
    Parent report of stability of housing for both parent and student (e.g., how long lived in the same neighborhood)

  • Neighborhood cohesion [ Time Frame: 2 times per year for up to 3 years ] [ Designated as safety issue: No ]
    Parent report of characteristics of the neighborhood, such as the extent to which individuals in the neighborhood would intervene if a youth needed help and/or was engaging in delinquent behavior

  • Gang involvement [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self report of having been initiated into a gang

  • Exposure to intimate partner violence [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self-report of witnessed (by seeing or hearing) intimate partner violence between a parent/guardian and his/her partner

  • Exposure to community violence [ Time Frame: 2 times per year for up to 6 years ] [ Designated as safety issue: No ]
    Student self-report of witnessed (by seeing or hearing) community violence, such as hearing or seeing gun shots or others being physically attacked

  • Views toward Dating Matters sustainability [ Time Frame: 2 times per year first year, 1 time per year for 3 more years ] [ Designated as safety issue: No ]
    Educator report of views regarding Dating Matters sustainability, including level of commitment to sustainability


Estimated Enrollment: 30000
Study Start Date: August 2012
Estimated Study Completion Date: June 2021
Estimated Primary Completion Date: June 2021 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Dating Matters Comprehensive Approach
Schools randomly assigned to the comprehensive approach will: implement 6th, 7th, and 8th grade student curricula in English to all the students in these grades; offer parent programs for parents of 6th, 7th, and 8th graders;implement a communications campaign involving brand ambassadors, a text message campaign, and social media campaign;encourage all educators to take an online training about teen dating violence for educators;be supported in assessing and informing local school or community policies relevant to teen dating violence.
Behavioral: Dating Matters Comprehensive Approach

The Dating Matters Comprehensive Approach includes:

6th, 7th, and 8th grade Student Curricula; Parent Programs for parents of 6th, 7th, and 8th graders; A communications campaign involving brand ambassadors, a text message campaign, and social media campaign; An online training about teen dating violence for educators; Developmental component: A guidance document for sites on assessing and informing local policies relevant to teen dating violence for comprehensive schools (likely to be substantial cross and within site variation on this component)

Active Comparator: Standard of Care Safe Dates Approach
Schools randomly assigned to the standard of care approach will implement Safe Dates as it is published in their schools 8th grade classes.
Behavioral: Standard of Care Safe Dates Approach
Safe Dates curriculum for 8th grade students

Detailed Description:

Dating Matters: Strategies to Promote Healthy Teen Relationships Initiative is intended to promote respectful, nonviolent dating relationships among adolescents living in high-risk, urban communities. The objective of this project is to develop, implement, and evaluate a comprehensive approach to promoting respectful, nonviolent teen dating relationships by utilizing current evidence-based practice and experience. The focus on high-risk, urban communities is predicated on data that suggest that the prevalence of dating violence among middle school students is higher in urban communities (O'Leary & Slep, in press). Moreover, this project aims to fill a gap in our understanding of teen dating violence (TDV) prevention because existing effective TDV prevention programs have not been identified for these high-risk settings.

CDC's comprehensive approach, the Dating Matters: Strategies to Promote Healthy Teen Relationships Initiative, includes components at multiple ecological domains, individual level, family-level and broader school/community level. Specifically, the initiative includes: (1) school-based implementation of a CDC-developed healthy relationship curriculum in the 6th and 7th grade and an adaptation of an evidence based TDV curriculum (Safe Dates) in the 8th grade; (2) implementation of a 6th (Parents Matter with added TDV content), 7th (CDC developed), and 8th (Families for Safe Dates) grade parent-curriculum; (3) an on-going communications campaign implemented throughout the initiative, which includes a Brand Ambassador adolescent program; (4) educator completion of an online training on the risk factors and warning signs of TDV; (5) policy assessment and information at a school or community level; and, (6) development and validation of school and community-level indicators of TDV. In addition to these components, the schools implementing Dating Matters will also receive additional training and technical assistance in adapting these programs with surface level adaptations to make them more culturally relevant to their specific populations.

CDC is funding the local, city, or county public health departments in Chicago, Illinois, Alameda County (Oakland), California, Broward County (Ft. Lauderdale), Florida, and Baltimore, Maryland to implement the two models of TDV prevention that will be evaluated in the outcome and implementation evaluation: the comprehensive Dating Matters initiative and the standard of care model, which is Safe Dates implemented in 8th grade. These health departments collectively have identified 44 schools in high-risk urban communities; we have randomly assigned half the schools to implement the comprehensive model with intensive technical assistance and half to implement the standard of care model with basic technical assistance. These sites were awarded September 13, 2011.

The purpose of the trial is to determine the effectiveness of the comprehensive approach (Dating Matters) compared with standard practice in TDV prevention (Safe Dates only implemented in 8th grade). Outcome measures for determining effectiveness will be derived primarily from surveys with students, parents, and school educators. However, in addition to surveys, we will also be conducting focus groups with students, curriculum implementers, and brand ambassasors, as well as surveys with brand ambassadors, as sources of process, rather than outcome, measures. These process measures may be used to improve program fidelity, improve program components, or as factors in outcome analyses.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Students, parents, and educators at the schools identified for participation in the study

Exclusion Criteria:

  • Students and educators must be able to participate in interventions and complete surveys in English: Parents must be able to participate in interventions and complete surveys in English or Spanish. Those not able to do this due to languages spoken will be excluded.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01672541

Contacts
Contact: Bruce Taylor, Ph.D. 301-634-9512 Taylor-Bruce@norc.org

Locations
United States, California
Alameda County Public Health Department Not yet recruiting
Oakland, California, United States
United States, Florida
Broward County Health Department Not yet recruiting
Fort Lauderdale, Florida, United States
United States, Illinois
Chicago Department of Public Health Not yet recruiting
Chicago, Illinois, United States
United States, Maryland
Baltimore City Health Department Not yet recruiting
Baltimore, Maryland, United States
Sponsors and Collaborators
NORC at the University of Chicago
Ogilvy Public Relations
Alameda County Public Health Department
Baltimore City Health Department
Broward County Health Department
Chicago Department of Public Health
Investigators
Principal Investigator: Phyllis H Niolon, Ph.D. Centers for Disease Control and Prevention
  More Information

Additional Information:
No publications provided

Responsible Party: Centers for Disease Control and Prevention
ClinicalTrials.gov Identifier: NCT01672541     History of Changes
Other Study ID Numbers: CDC-NCIPC-6161
Study First Received: August 20, 2012
Last Updated: August 24, 2012
Health Authority: United States: Federal Government

Keywords provided by Centers for Disease Control and Prevention:
dating violence
healthy relationship behaviors

ClinicalTrials.gov processed this record on September 18, 2014