Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS-S106-8, Atlanta, GA, 30341-3717, USA.
Oak Ridge Institute for Science and Education (ORISE), 1299 Bethel Valley Rd, Oak Ridge, TN, 37830, USA.
Prev Sci. 2021 Feb;22(2):151-161. doi: 10.1007/s11121-019-01071-9.
Few comprehensive primary prevention approaches for youth have been evaluated for effects on multiple types of violence. Dating Matters®: Strategies to Promote Healthy Teen Relationships (Dating Matters) is a comprehensive teen dating violence (TDV) prevention model designed by the Centers for Disease Control and Prevention and evaluated using a longitudinal stratified cluster-randomized controlled trial to determine effectiveness for preventing TDV and promoting healthy relationship behaviors among middle school students. In this study, we examine the prevention effects on secondary outcomes, including victimization and perpetration of physical violence, bullying, and cyberbullying. This study examined the effectiveness of Dating Matters compared to a standard-of-care TDV prevention program in 46 middle schools in four high-risk urban communities across the USA. The analytic sample (N = 3301; 53% female; 50% Black, non-Hispanic; and 31% Hispanic) consisted of 6th-8th grade students who had an opportunity for exposure to Dating Matters in all three grades or the standard-of-care in 8th grade only. Results demonstrated that both male and female students attending schools implementing Dating Matters reported 11% less bullying perpetration and 11% less physical violence perpetration than students in comparison schools. Female Dating Matters students reported 9% less cyberbullying victimization and 10% less cyberbullying perpetration relative to the standard-of-care. When compared to an existing evidence-based intervention for TDV, Dating Matters demonstrated protective effects on physical violence, bullying, and cyberbullying for most groups of students. The Dating Matters comprehensive prevention model holds promise for reducing multiple forms of violence among middle school-aged youth. ClinicalTrials.gov Identifier: NCT01672541.
很少有针对青少年的综合初级预防方法被评估对多种类型的暴力有影响。约会 Matters®：促进健康青少年关系策略（约会 Matters）是一种由疾病控制和预防中心设计的综合青少年约会暴力（TDV）预防模型，使用纵向分层聚类随机对照试验进行评估，以确定其预防 TDV 和促进中学生健康关系行为的有效性。在这项研究中，我们检查了次要结果的预防效果，包括身体暴力、欺凌和网络欺凌的受害和施暴。这项研究比较了约会 Matters 与美国四个高风险城市社区的 46 所中学的标准护理 TDV 预防计划的效果。分析样本（N=3301；53%女性；50%非裔，非西班牙裔；31%西班牙裔）由 6 至 8 年级的学生组成，他们有机会在所有三个年级接触到约会 Matters 或仅在 8 年级接触到标准护理。结果表明，参加实施约会 Matters 的学校的男学生和女学生报告的欺凌行为减少了 11%，身体暴力行为减少了 11%，而比较学校的学生则没有。与标准护理相比，约会 Matters 的女学生报告的网络欺凌受害减少了 9%，网络欺凌施暴减少了 10%。与现有的 TDV 循证干预措施相比，约会 Matters 对大多数学生群体的身体暴力、欺凌和网络欺凌都显示出保护作用。约会 Matters 的综合预防模式有望减少中学生多种形式的暴力行为。临床试验标识符：NCT01672541。
