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A Brief Intervention to Prevent Adolescent Dating Aggression Perpetration (PLR)

This study has been completed.
Sponsor:
Collaborator:
U.S. Department of Justice
Information provided by (Responsible Party):
Boston University
ClinicalTrials.gov Identifier:
NCT02080923
First received: March 4, 2014
Last updated: June 19, 2017
Last verified: June 2017
  Purpose

The proposed study is a test of the feasibility and preliminary efficacy of a brief motivational interview style intervention. The intervention will take place in the pediatric emergency department of the Boston University Medical Center by a trained interventionist and will follow an intervention manual developed by a team of dating abuse and brief intervention experts. The study will involve two randomized groups of youth age 15-19: one group will receive the intervention and the other will not. The study will compare changes in data from baseline to 3- and 6-month follow-up for those in both groups. Outcomes including dating abused related knowledge, attitudes about the use of violence to resolve conflict, and dating abuse behavior (perpetration and/or victimization) will be assessed.

The hypothesis of this study is that youth who receive the intervention will show improvements in dating abuse related knowledge, attitudes and behavior that are maintained for 6 months, while those in the control group will show no similar change.


Condition Intervention
Offensive Aggression Sexual Aggression Dating Violence Perpetration and Victimization Behavioral: Brief Motivational Interview

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
This is a brief motivational interview-style intervention. Adolescents ages 15-19 years old who visit the emergency department and screen positive for physical or sexual dating abuse perpetration participate in a ~45 minute brief intervention and receive up to three booster calls in the subsequent 6 weeks.
Masking: No masking
Primary Purpose: Prevention
Official Title: A Brief Intervention to Prevent Adolescent Dating Aggression Perpetration

Further study details as provided by Boston University:

Primary Outcome Measures:
  • Dating Aggression Perpetration [ Time Frame: 3 months or 6 months ]
    Change in the perpetration of dating aggression from baseline to follow-up.

  • Intentions to use physical violence during next partner conflict [ Time Frame: 3 months or 6 months ]
    Change in the intention to use acts of physical violence during the next conflict with a dating partner


Secondary Outcome Measures:
  • Knowledge and Attitudes about Dating Aggression [ Time Frame: 3 months or 6 months ]
    Change in Knowledge and Attitudes about Dating Aggression from baseline to the three month follow-up


Other Outcome Measures:
  • Program Cost-effectiveness [ Time Frame: up to 18 months ]
    Costs are the value of resources used before and during implementation to deliver the intervention.


Enrollment: 220
Actual Study Start Date: April 2014
Study Completion Date: June 13, 2017
Primary Completion Date: June 13, 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Brief Motivational Interview
Health-related counseling that takes place in as little as one hour or up to a few sessions.
Behavioral: Brief Motivational Interview
The intervention is exclusively focused on Adolescent Dating Aggression and will always be delivered by a human interventionist. It is theory-based and its success as an intervention method for substance abuse and several other health-related issues is well established.
No Intervention: Standard Care
Participant will receive information about dating abuse in a handout and referrals to a national domestic violence hotline.

Detailed Description:

Emergency departments offer a unique setting through which we can reach adolescents who have perpetrated Adolescent Dating Aggression (ADA). The Project READY (Reducing Aggression in Dating Relationships for Youth) brief intervention manual and training was developed by Dr. Emily Rothman, who is a former shelter worker, batterer intervention counselor, and dating violence expert, with input from research experts in brief intervention, an expert in adolescent batterer intervention, psychologists, low-income youth of color from the Start Strong Initiative, and others, with funding from the National Institutes of Health (NIH). The READY intervention intercepts youth who utilize an urban emergency department for non-acute health care needs (e.g., cuts, sprains), provides them with tailored feedback about their relationship behavior, and uses motivational interviewing techniques and prepared worksheets to move them forward on a readiness-to-change continuum towards non-violent and respectful relationship behavior. For example, after being provided with information about acts considered unhealthy in a relationship, a participant is asked to generate a list of "pros and cons" about what he or she does to solve conflicts with partners, brainstorm alternatives that he or she would use, list reasons why the alternatives might not work in the moment, and troubleshoot those potential problems. Participants are then offered a menu of referrals and invited to select those that they would use (e.g., free mental health and substance abuse counseling, sexual health testing, gang prevention resources).

The randomized controlled trial (RCT) research study will build upon our completed small-scale feasibility pilot project, which was conducted in 2012- 13. For the proposed study, we will recruit a sample large enough to evaluate whether the intervention improves ADA-related knowledge, positively changes ADA-related attitudes and behavioral intentions, and reduces self-reported perpetration behavior after 3- and 6-month follow-up periods. The study will enroll youth ages 15-19 years old. Notably, the setting for this intervention test will be an urban pediatric emergency department that primarily serves low income youth.

  Eligibility

Ages Eligible for Study:   15 Years to 19 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • must be a patient of the Pediatric Emergency Department or adolescent outpatient center at the Boston University Medical Center
  • must be 15-19 years old
  • have used at least one form of physical or sexual aggression against a dating or sexual partner in the past three months
  • English-speaking

Exclusion Criteria:

  • patient's reason for visit to the healthcare center is an acute mental health problem
  • patient is a prisoner or juvenile detainee
  • patient is determined to be a potentially lethal dating abuse offender based on a lethality checklist
  • patient has cognitive or psychiatric limitations that render him/her unable to complete the eligibility form independently
  • currently attending a batterer intervention program
  • receiving care for violent trauma victimization
  • appears intoxicated or high on drugs at the time of eligibility screening, or has informed medical staff that they are
  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: NCT02080923

Locations
United States, Massachusetts
Boston University School of Public Health
Boston, Massachusetts, United States, 02118
Sponsors and Collaborators
Boston University
U.S. Department of Justice
Investigators
Principal Investigator: Emily F Rothman, MS, ScD Boston University
  More Information

Additional Information:
Responsible Party: Boston University
ClinicalTrials.gov Identifier: NCT02080923     History of Changes
Other Study ID Numbers: H-31501
2013-VA-CX-0001 ( Other Grant/Funding Number: Sponsor Name: National Institute of Justice )
Study First Received: March 4, 2014
Last Updated: June 19, 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Boston University:
Adolescent
Adolescent Behavior
Age Factors
Courtship
Randomized Control Trial
Female
Male
Minority Groups/statistics & numerical data
Risk-Taking
Sex Factors
Sexual Behavior/statistics & numerical data
Substance-Related Disorders/epidemiology
Urban Population/statistics & numerical data
Violence/statistics & numerical data
Dating Violence
Dating Aggression
Perpetration

Additional relevant MeSH terms:
Aggression
Behavioral Symptoms

ClinicalTrials.gov processed this record on July 25, 2017