Thakore Rachel V, Apfeld Jordan C, Johnson Ronald K, Sathiyakumar Vasanth, Jahangir A Alex, Sethi Manish K
The Vanderbilt Orthopaedic Institute, Center for Health Policy, Vanderbilt University, Nashville, TN, USA. Email:
J Inj Violence Res. 2015 Jul;7(2):45-53. doi: 10.5249/jivr.v7i2.565. Epub 2014 Mar 23.
Violence has recently been reported among a primarily young, minority population in Nashville, Tennessee. School-based programs have been proven as effective methods of reducing violent behavior, beliefs, and actions that lead to violence among adolescents.
Investigators implemented a rigorous search for an appropriate school-based violence prevention program for Metropolitan Nashville middle school students utilizing a systematic review and discussion group with victims of violence. 27 programs nation-wide were reviewed and 2 discussion groups with African American males under the age of 25 admitted to a level 1 trauma center for assault-related injuries were conducted. Our findings led to a single, evidence-based conflict resolution program. In conjunction with educators, we evaluated the program's effectiveness in a pilot study in a Nashville middle school with high rates of violence.
122 students completed the conflict resolution program and described their behavior and experiences with violence in a pre-test/post-test self-rate questionnaire. Results showed a significant decrease in violent behavior and an increase in students' competencies to deal with violence (p less than 0.05).
This study shows that a reduction in violent behavior and beliefs among middle school students can be achieved through the implementation of a targeted violence intervention program. A larger-scale intervention is needed to develop more conclusive evidence of effectiveness.
最近有报道称田纳西州纳什维尔市的主要是年轻的少数族裔人群中存在暴力行为。基于学校的项目已被证明是减少导致青少年暴力行为、信念和行动的有效方法。
研究人员通过系统综述以及与暴力受害者进行讨论组，对适合纳什维尔市中学生的基于学校的暴力预防项目进行了严格搜索。对全国范围内的27个项目进行了审查，并与25岁以下因与袭击相关的伤害而入住一级创伤中心的非裔美国男性进行了2次讨论组。我们的研究结果产生了一个单一的、基于证据的冲突解决项目。我们与教育工作者一起，在一所暴力发生率高的纳什维尔中学进行的一项试点研究中评估了该项目的有效性。
122名学生完成了冲突解决项目，并在一份前测/后测自评问卷中描述了他们的暴力行为和经历。结果显示暴力行为显著减少，学生应对暴力的能力有所提高（p小于0.05）。
本研究表明，通过实施有针对性的暴力干预项目，可以减少中学生的暴力行为和信念。需要进行更大规模的干预，以得出更确凿的有效性证据。
