Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Atlanta, GA30341, S106-10, USA.
TJFACT Inc, Contractor for the Division of Violence Prevention, Atlanta, GA, USA.
Prev Sci. 2024 May;25(4):603-615. doi: 10.1007/s11121-024-01648-z. Epub 2024 Mar 8.
Teen dating violence (TDV) is a significant public health problem that can have lifelong consequences. Using a longitudinal, cluster randomized controlled trial (RCT), this study examines whether the Dating Matters comprehensive prevention model, implemented in middle school, prevented TDV and negative relationship behaviors and promoted positive relationship behaviors in high school (9th-11th grades), when compared with a standard of care intervention. Dating Matters includes programs for sixth to eighth grade youth and their parents, training for school staff, a youth communications program, and policy and data activities implemented in the community. Self-report survey data were collected from students in 46 middle schools that were randomly assigned to condition within site. Students completed two surveys (fall and spring) in each middle school grade and a single survey in the spring of each high school grade. This study examined self-reported TDV perpetration and victimization, use of negative conflict resolution strategies, and positive relationship skills in the high school follow-up. While varying patterns emerged, latent panel models demonstrated significant program effects for all outcomes. Dating Matters students reported 19% reduced risk for TDV perpetration, 24% reduced risk for TDV victimization, 7% reduced risk for use of negative conflict strategies, and 3% more use of positive relationship skills, on average across time and cohort, than standard of care students. On average, Dating Matters, implemented in middle school, continued to be more effective at reducing TDV perpetration, TDV victimization, and use of negative conflict resolution strategies in high school than an evidence-based comparison program.Trial Registration: clinicaltrials.gov Identifier: NCT01672541.
青少年约会暴力（TDV）是一个严重的公共卫生问题，可能会产生终身影响。本研究采用纵向、集群随机对照试验（RCT），考察了在中学实施的约会 Matters 综合预防模式是否能预防高中（9 至 11 年级）的 TDV 和负面关系行为，并促进积极的关系行为，与标准护理干预相比。约会 Matters 包括针对六至八年级青少年及其父母的项目、学校工作人员培训、青年沟通项目，以及在社区实施的政策和数据活动。从随机分配到特定条件的 46 所中学的学生中收集了自我报告调查数据。学生在每个中学年级完成两次调查（秋季和春季），并在每个高中年级的春季完成一次调查。本研究考察了高中随访中自我报告的 TDV 实施和受害、消极冲突解决策略的使用以及积极的关系技能。虽然出现了不同的模式，但潜在的面板模型显示了所有结果的显著项目效果。与标准护理学生相比，约会 Matters 学生报告的 TDV 实施风险降低了 19%，TDV 受害风险降低了 24%，消极冲突策略的使用风险降低了 7%，积极的关系技能的使用增加了 3%，平均而言，跨越时间和队列。总体而言，在中学实施的约会 Matters 继续在高中时更有效地减少 TDV 实施、TDV 受害和消极冲突解决策略的使用，比基于证据的比较方案更有效。试验注册：clinicaltrials.gov 标识符：NCT01672541。
