Details:

Alternative Title:
Am J Prev Med
Publisher's site:
http://dx.doi.org/10.1016/j.amepre.2017.01.020
Personal Author:
Coker, Ann L. ; Bush, Heather M. ; Cook-Craig, Patricia G. ; DeGue, Sarah A. ; Clear, Emily R. ; ... More +
Coker, Ann L. ; Bush, Heather M. ; Cook-Craig, Patricia G. ; DeGue, Sarah A. ; Clear, Emily R. ; Brancato, Candace J. ; Fisher, Bonnie S. ; Recktenwald, Eileen A. Less -
Description:
Introduction

Bystander-based programs have shown promise to reduce interpersonal violence at colleges, yet limited rigorous evaluations have addressed bystander intervention effectiveness in high schools. This study evaluated the Green Dot bystander intervention to reduce sexual violence and related forms of interpersonal violence in 26 high schools over 5 years.

Design

A cluster RCT was conducted.

Setting/participants

Kentucky high schools were randomized to intervention or control (wait list) conditions.

Intervention

Green Dot–trained educators conducted schoolwide presentations and recruited student popular opinion leaders to receive bystander training in intervention schools beginning in Year 1.

Main outcome measures

The primary outcome was sexual violence perpetration, and related forms of interpersonal violence victimization and perpetration were also measured using anonymous student surveys collected at baseline and annually from 2010 to 2014. Because the school was the unit of analysis, violence measures were aggregated by school and year and school-level counts were provided.

Results

A total of 89,707 students completed surveys. The primary, as randomized, analyses conducted in 2014–2016 included linear mixed models and generalized estimating equations to examine the condition–time interaction on violence outcomes. Slopes of school-level totals of sexual violence perpetration (condition–time, p<0.001) and victimization (condition time, p<0.001) were different over time. During Years 3–4, when Green Dot was fully implemented, the mean number of sexual violent events prevented by the intervention was 120 in Intervention Year 3 and 88 in Year 4. For Year 3, prevalence rate ratios for sexual violence perpetration in the intervention relative to control schools were 0.83 (95% CI=0.70, 0.99) in Year 3 and 0.79 (95% CI=0.67, 0.94) in Year 4. Similar patterns were observed for sexual violence victimization, sexual harassment, stalking, and dating violence perpetration and victimization.

Conclusions

Implementation of Green Dot in Kentucky high schools significantly decreased not only sexual violence perpetration but also other forms of interpersonal violence perpetration and victimization.


Subjects:
[+]
Adolescent Article Bullying Bystander Effect Cluster Analysis Crime Victims Female Humans Linear Models Male Prevalence Primary Prevention Risk Assessment Self Report Sex Offenses Students Violence
Source:
Am J Prev Med. 52(5):566-578
Pubmed ID:
28279546
Pubmed Central ID:
PMC5737001
Document Type:
Journal Article
Funding:
U01 CE001675/CE/NCIPC CDC HHS/United States
Place as Subject:
Kentucky
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:76b8835ebfc660a986960f9da0701ad25ffed88682caf46d23488ff83f5d018c
Download URL:
https://stacks.cdc.gov/view/cdc/50582/cdc_50582_DS1.pdf
File Type:

Supporting Files

• 	NIHMS897310-supplement-appendices.pdf	pdf
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  	nihms897310f1.gif	gif
  	nihms897310f1.jpg	jpeg

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