School Health Center Healthy Adolescent Relationship Program (SHARP)
|ClinicalTrials.gov Identifier: NCT01678378|
Recruitment Status : Completed
First Posted : September 5, 2012
Last Update Posted : April 27, 2015
|Condition or disease||Intervention/treatment||Phase|
|Adolescent Relationship Abuse||Behavioral: SHARP Intervention||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||1012 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||School Health Center Healthy Adolescent Relationship Program|
|Study Start Date :||September 2012|
|Actual Primary Completion Date :||July 2013|
|Actual Study Completion Date :||July 2013|
Experimental: SHARP Intervention
School health centers randomized to the SHARP Intervention will be trained to address adolescent relationship abuse with school health center clients.
Behavioral: SHARP Intervention
Providers and staff located in high school school health centers (i.e., nurse practitioners, nurses,physicians, health educators, medical assistants) will be trained to address adolescent relationship abuse with school health center clients using knowledge, skills, and resources gained through the SHARP Intervention training. The training includes strategies to help youth recognize adolescent relationship abuse among themselves and their peers, to learn strategies to increase safety (harm reduction), and to utilize adolescent relationship abuse-related resources.
No Intervention: Control
School health centers randomized to Control will provide standard of care.
- Recognition of adolescent relationship abuse [ Time Frame: 4 months ]"Recognition of abusive behaviors" -- Between-arm adjusted mean differences on a 9-item summary scale
- Intentions to positively intervene in adolescent relationship abuse among peers [ Time Frame: 4 months ]"Intentions to intervene" -- Between-arm adjusted mean differences on a 9-item summary scale
- Knowledge of violence victimization resources [ Time Frame: 4 months ]"Knowledge of resources" -- Between arm differences of summary score of single items which assess the extent to which participants are aware of places they could go for specific support services.
- Disclosure of adolescent relationship abuse to school health center providers [ Time Frame: baseline (after clinic visit) ]Between-arm adjusted differences in proportion disclosing adolescent relationship abuse (ARA) to school health providers at baseline. Comparisons restricted to subgroup of clients reporting ARA on ACASI survey at baseline.
- Uptake of adolescent relationship abuse harm reduction and utilization of resources [ Time Frame: 4 months ]Between-arm adjusted differences in proportion reporting any use of ARA resources in the 3-month period prior to the follow-up survey. Comparisons restricted to clients reporting ARA on ACASI survey at baseline.
- Adolescent relationship abuse victimization [ Time Frame: 4 months ]Between-arm adjusted differences in proportion screened positive for at least one adolescent relationship abuse (ARA) behavior, based on screening tests for reproductive coercion, intimate partner and sexual violence victimization and psychological abuse. Comparisons restricted to clients reporting ARA at baseline.
- Knowledge of harm reduction strategies [ Time Frame: 4 months ]Participants are presented with a series of harm reduction behaviors to reduce risk for ARA, and asked to what extent they are aware of these strategies and self-efficacy in enacting these behaviors based on a 7-point Likert-type scale
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01678378
|United States, California|
|Public Health Institute|
|Oakland, California, United States, 94607|
|Principal Investigator:||Sandi Goldstein||Pubic Health Institute|
|Principal Investigator:||Elizabeth Miller, MD, PhD||University of Pittsburgh, Children's Hospital of Pittsburgh of UPMC|