Jaime Maria Catrina D, McCauley Heather L, Tancredi Daniel J, Nettiksimmons Jasmine, Decker Michele R, Silverman Jay G, O'Connor Brian, Stetkevich Nicholas, Miller Elizabeth
Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA University of Pittsburgh School of Medicine, PA, USA
Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA University of Pittsburgh School of Medicine, PA, USA.
J Interpers Violence. 2015 Apr;30(7):1090-111. doi: 10.1177/0886260514539847. Epub 2014 Jul 11.
Adolescent relationship abuse (ARA) is a significant public health problem. Coaching Boys Into Men (CBIM) is an evidence-based ARA prevention program that trains coaches to deliver violence prevention messages to male athletes. Assessing acceptability and impact of CBIM on coaches may inform prevention efforts that involve these important adults in health promotion among youth. As part of a two-armed cluster-randomized controlled trial of CBIM in 16 high schools in Northern California, coaches completed baseline and postseason surveys (n = 176) to assess their attitudes and confidence delivering the program. Coaches in the intervention arm also participated in interviews (n = 36) that explored program acceptability, feasibility, and impact. Relative to controls, intervention coaches showed increases in confidence intervening when witnessing abusive behaviors among their athletes, greater bystander intervention, and greater frequency of violence-related discussions with athletes and other coaches. Coaches reported the program was easy to implement and valuable for their athletes. Findings illustrate the value of exploring attitudinal and behavioral changes among ARA prevention implementers, and suggest that coaches can gain confidence and enact behaviors to discourage ARA among male athletes. Coaches found the program to be feasible and valuable, which suggests potential for long-term uptake and sustainability.
青少年关系虐待（ARA）是一个重大的公共卫生问题。“引导男孩成为男人”（CBIM）是一项基于证据的ARA预防项目，该项目培训教练向男运动员传达预防暴力的信息。评估CBIM对教练的可接受性和影响，可能会为在青少年健康促进工作中让这些重要成年人参与其中的预防工作提供信息。作为在北加利福尼亚16所高中进行的CBIM双臂整群随机对照试验的一部分，教练们完成了基线调查和赛季后调查（n = 176），以评估他们对实施该项目的态度和信心。干预组的教练还参与了访谈（n = 36），探讨了项目的可接受性、可行性和影响。与对照组相比，干预组教练在目睹运动员中的虐待行为时进行干预的信心有所增强，旁观者干预更多，与运动员及其他教练进行与暴力相关讨论的频率更高。教练们报告说该项目易于实施且对他们的运动员很有价值。研究结果说明了探索ARA预防实施者态度和行为变化的价值，并表明教练可以获得信心并采取行动来劝阻男运动员中的ARA行为。教练们认为该项目可行且有价值，这表明该项目具有长期采用和可持续性的潜力。
