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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article"><?properties manuscript?><front><journal-meta><journal-id journal-id-type="nlm-journal-id">101159262</journal-id><journal-id journal-id-type="pubmed-jr-id">30202</journal-id><journal-id journal-id-type="nlm-ta">J Womens Health (Larchmt)</journal-id><journal-id journal-id-type="iso-abbrev">J Womens Health (Larchmt)</journal-id><journal-title-group><journal-title>Journal of women's health (2002)</journal-title></journal-title-group><issn pub-type="ppub">1540-9996</issn><issn pub-type="epub">1931-843X</issn></journal-meta><article-meta><article-id pub-id-type="pmid">31622189</article-id><article-id pub-id-type="pmc">6863086</article-id><article-id pub-id-type="doi">10.1089/jwh.2019.8104</article-id><article-id pub-id-type="manuscript">HHSPA1058687</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Using a Community Preventive Services Task Force Recommendation to Prevent and Reduce Intimate Partner Violence and Sexual Violence</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Okasako-Schmucker</surname><given-names>Devon L.</given-names></name><degrees>MPH</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Cole</surname><given-names>Krista Hopkins</given-names></name><degrees>MPH</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Finnie</surname><given-names>Ramona K.C.</given-names></name><degrees>DrPH, MPH</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Basile</surname><given-names>Kathleen C.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>DeGue</surname><given-names>Sarah</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Niolon</surname><given-names>Phyllis Holditch</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Swider</surname><given-names>Susan M.</given-names></name><degrees>PhD, RN</degrees><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Remington</surname><given-names>Patrick L.</given-names></name><degrees>MD, MPH</degrees><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><collab>Community Preventive Services Task Force</collab><xref rid="FN1" ref-type="author-notes">*</xref></contrib></contrib-group><aff id="A1"><label>1</label>Community Guide Office, Office of the Associate Director for Policy and Strategy, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.</aff><aff id="A2"><label>2</label>Cherokee Nation Assurance, Arlington, Virginia.</aff><aff id="A3"><label>3</label>Division of Violence Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.</aff><aff id="A4"><label>4</label>Department of Community, Systems and Mental Health Nursing, Rush University, Chicago, Illinois.</aff><aff id="A5"><label>5</label>School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin.</aff><author-notes><fn fn-type="other" id="FN1"><label>*</label><p id="P1">Names and affiliations of the Community Preventive Services Task Force members can be found at: <ext-link ext-link-type="uri" xlink:href="http://www.www.thecommunityguide.org/task-force/community-preventive-services-task-force-members">www.thecommunityguide.org/task-force/community-preventive-services-task-force-members</ext-link>.</p></fn><corresp id="CR1">Address correspondence to: <italic>Ramona K.C. Finnie, DrPH, MPH, Community Guide Branch, Division of Public Health Information Dissemination, Centers for Disease Control and Prevention (CDC), 1600 Clifton Road, MailstopV25-5, Atlanta, GA 30329</italic>, <email>vng7@cdc.gov</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>8</day><month>11</month><year>2019</year></pub-date><pub-date pub-type="ppub"><month>10</month><year>2019</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>10</month><year>2020</year></pub-date><volume>28</volume><issue>10</issue><fpage>1335</fpage><lpage>1337</lpage><!--elocation-id from pubmed: 10.1089/jwh.2019.8104--><abstract id="ABS1"><p id="P2">Intimate partner violence (IPV) and sexual violence (SV) are preventable public health problems affecting millions in the United States. The Community Preventive Services Task Force (CPSTF), an independent panel of experts that develops evidence-based recommendations based on rigorous systematic reviews, recommends interventions that aim to prevent or reduce IPV and SV among youth aged 12&#x02013;24 years. Decision makers can use these findings to select interventions appropriate for their populations, identify additional areas for research, and justify funding requests.</p></abstract><kwd-group><kwd>intimate partner violence</kwd><kwd>sexual violence</kwd><kwd>adolescent health</kwd></kwd-group></article-meta></front><body><sec id="S1"><title>Introduction</title><p id="P3">In the United States, millions of men and women across race, ethnicity, and sexual orientation are affected by intimate partner violence (IPV) (<italic>i.e.,</italic> actual or threatened physical or sexual violence (SV), stalking, or psychological aggression by a current or former intimate partner) or SV (sexual act committed or attempted by another person without freely given consent of the victim or against someone who is unable to consent or refuse).<sup><xref rid="R1" ref-type="bibr">1</xref>&#x02013;<xref rid="R3" ref-type="bibr">3</xref></sup> Serious consequences of IPV or SV can include physical injury, substance abuse, poor mental health, and chronic physical health problems.<sup><xref rid="R4" ref-type="bibr">4</xref>,<xref rid="R5" ref-type="bibr">5</xref></sup></p><p id="P4">IPV and SV often start early and disproportionately affect girls. Among high school students who reported dating in the past year, 11% of girls and 3% of boys experienced SV and 9% of girls and 7% of boys experienced physical violence by a dating partner.<sup><xref rid="R6" ref-type="bibr">6</xref></sup> And more than 15% of girls and 4% of boys in high school reported having been victims of SV by any perpetrator.<sup><xref rid="R6" ref-type="bibr">6</xref></sup> Interventions that target youth offer a unique opportunity for primary prevention&#x02014;to prevent violence before it begins by promoting attitudes, behaviors, and environments that prevent IPV and SV across the lifespan.</p><p id="P5">The Community Preventive Services Task Force (CPSTF)&#x02014;an independent panel of public health and prevention experts&#x02014;recommends primary prevention interventions aiming to prevent or reduce IPV and SV among youth. The recommendation was based on a systematic review of available evidence on interventions designed to reduce perpetration.</p><p id="P6">This article describes the CPSTF, their recommendation for IPV and SV intervention, and some of the ways this recommendation can be used to inform decisions.</p><sec id="S2"><title>The CPSTF</title><p id="P7">The CPSTF uses a rigorous replicable systematic review process to develop evidence-based recommendations and findings about the effectiveness and economics of public health programs and other services that can be carried out in communities, states, and health care settings to help save American lives and dollars, increase longevity, and improve quality of life. The findings can be used to improve health population-wide or in community settings, such as schools, worksites, community centers, faith-based organizations, health plans, public health clinics and departments, and large integrated health care systems.</p><p id="P8">Systematic reviews are conducted in accordance with the highest international standards, using a transparent methodology that accounts for the complexities of real-world public health interventions. Systematic review science teams, coordinated by Centers for Disease Control and Prevention (CDC) scientists, evaluate the strengths and limitations of all relevant high-quality evidence. Teams include CPSTF members, official liaisons, subject matter experts from federal and nonfederal agencies, practitioners, policymakers, and representatives of other stakeholders such as businesses, voluntary health organizations, and professional organizations.<sup><xref rid="R7" ref-type="bibr">7</xref></sup></p><p id="P9">CPSTF members represent a broad range of local, state, and national research, practice, and policy expertise in community preventive services, public health, health promotion, and disease prevention. They are supported by 32 Liaisons who represent the views, concerns, and needs of state and local public health departments, the U.S. Armed Forces, federal agencies, health care professionals, and other national organizations invested in America&#x02019;s health.</p><p id="P10">The CPSTF recommends use of intervention approaches for which it finds strong or sufficient evidence of effectiveness. The CPSTF recommends against using programs, services, and policies for which it finds strong or sufficient evidence that they are ineffective or harmful. The CPSTF also identifies intervention approaches that lack sufficient evidence to recommend for or against. It is important to note that a finding of insufficient evidence does not mean an intervention does not work, instead it often indicates additional research is needed.</p><p id="P11">The CPSTF has issued findings for &#x0003e;250 intervention approaches in &#x0003e;21 different topic areas. These findings, and the systematic reviews of the evidence on which they are based, are compiled in The Community Guide (<ext-link ext-link-type="uri" xlink:href="http://www.thecommunityguide.org/">www.thecommunityguide.org</ext-link>).</p></sec><sec id="S3"><title>Summary of the CPSTF IPV and SV Recommendation</title><p id="P12">The CPSTF recommends strategies and approaches for youth aged 12&#x02013;24 years that aim to prevent or reduce IPV and SV and promote healthier relationships between peers and partners. Recommended interventions provided information about the warning signs for, or consequences of, IPV and SV combined with teaching healthy relationship skills, promoting social norms that protect against violence, or creating protective environments. Interventions were implemented in schools, at home, in communities, or in a combination of settings. They targeted groups at high risk for violence or the general population, both of which could include youth who had already experienced or perpetrated IPV or SV.</p><p id="P13">Most studies included in this systematic review were conducted in the United States and implemented in middle schools, high schools, or on college campuses. Studies consistently showed decreases in IPV and SV perpetration, although effects on victimization varied. Most studies also showed an increase in bystander action within the first 6 months after intervention. Bystander action was defined as any behavior that challenged violence-supportive norms by directly or indirectly reducing the risk of violence.</p><p id="P14">Additional information about the included studies and review findings can be found online: <ext-link ext-link-type="uri" xlink:href="http://www.thecommunityguide.org/findings/violence-primary-prevention-interventions-reduce-perpetration-intimate-partner-violence-sexual-violence-among-youth">www.thecommunityguide.org/findings/violence-primary-prevention-interventions-reduce-perpetration-intimate-partner-violence-sexual-violence-among-youth</ext-link>.</p></sec><sec id="S4"><title>Using the CPSTF IPV and SV Recommendation</title><p id="P15">Decision makers, practitioners, and scientists can use CPSTF recommendations and other available resources from The Community Guide to inform decisions, fund or implement programs or policies, and guide research activities. The following examples show some of the ways decision makers can use the IPV and SV recommendation to select interventions, identify additional areas of research, and justify funding requests.</p><sec id="S5"><title>Selecting interventions</title><p id="P16">Communities or schools looking to prevent IPV and SV among youth can use the evidence-based CPSTF recommendation to inform decisions about program selection and implementation. This can save communities time and resources that would otherwise be spent looking for an intervention or developing something new, and increase chances that their efforts will effect change.</p><p id="P17">The CPSTF recommends interventions that not only provide information about IPV and SV but also include additional strategies (<italic>i.e.,</italic> teaching healthy relationship skills, promoting social norms that protect against violence, and creating protective environments). This flexibility allows communities and schools to choose intervention components that fit their environment and budget.</p><p id="P18">Schools could promote healthy relationship skills and protective environments by adopting evidence-based programs focused on communication and conflict resolution or improved safety and monitoring in areas where students feel less safe. Colleges and universities could promote social norms that protect against violence by integrating evidence-based bystander empowerment training into orientation activities. Sports teams could promote social norms protecting against violence through effective programs that mobilize men and boys as allies.<sup><xref rid="R8" ref-type="bibr">8</xref></sup> And decision makers at the state and local level can use the CPSTF recommendation to inform policy and programmatic decisions about the inclusion of youth IPV and SV prevention as part of comprehensive efforts to promote sexual health.</p><p id="P19">The CDC&#x02019;s Division of Violence Prevention developed technical packages to help states and communities use the best available evidence to prevent violence. Two of these technical packages helped inform the framework for the systematic review used as the basis for the CPSTF recommendation for programs to prevent IPV and SV: Preventing Intimate Partner Violence Across the Lifespan: A Technical Package of Programs, Policies, and Practices<sup><xref rid="R9" ref-type="bibr">9</xref></sup> and STOP SV: A Technical Package to Prevent Sexual Violence.<sup><xref rid="R10" ref-type="bibr">10</xref></sup></p></sec><sec id="S6"><title>Identifying additional areas of research</title><p id="P20">The CPSTF identified key research gaps to help implementers, researchers, and funders understand and address areas in need of increased evaluation and innovative research. Evaluations from schools and communities implementing IPV and SV interventions can help identify more accurate and consistent methods for measuring perpetration, victimization, and bystander action among youth populations, and sharpen our understanding of how program effectiveness varies by audience, exposure rates, intervention fidelity, or program duration. Innovative research is needed to expand the range of evidence-based strategies available, especially those that address risk characteristics of the social and physical environment that are related to multiple forms of violence affecting youth. CPSTF findings along with research priorities from CDC&#x02019;s Division of Violence Prevention<sup><xref rid="R11" ref-type="bibr">11</xref></sup> can be used to help guide future research.</p></sec><sec id="S7"><title>Justifying funding</title><p id="P21">Both organizations that give grants and those that apply for grants can benefit by using the CPSTF recommendation and the technical packages from CDC. Funding organizations can encourage schools and communities to implement recommended approaches to prevent violence among youth or to evaluate innovative approaches for prevention. Communities and schools can use the CPSTF recommendation to strengthen a grant proposal, and universities can use the recommendation to allocate resources or bolster grant proposals.</p></sec></sec></sec><sec id="S8"><title>Conclusion</title><p id="P22">IPV and SV are widespread, can have serious physical and psychological consequences, and often start early in life. Adolescence offers an opportunity to challenge existing social norms and promote attitudes, behaviors, and environments that prevent violence.</p><p id="P23">The CPSTF recommendation for primary prevention interventions among youth is based on the best available evidence. Decision makers can use this recommendation to select IPV and SV prevention strategies best suited to their settings and populations, justify and strengthen grant proposals and budget requests, and identify potential research questions.</p></sec></body><back><ack id="S9"><title>Acknowledgments</title><p id="P24">We thank the review coordination team for their work on the review: Leigh Buchanan (Community Guide Branch, CDC), Denise Carty (Office of Women&#x02019;s Health, CDC), Holly Wethington (Community Guide Branch, CDC), Shawna Mercer (Community Guide Branch, CDC), Jennifer Bishop-Crawford (Office of Women&#x02019;s Health, HHS), Shavon Artis Dickerson (Office of Women&#x02019;s Health, HHS), Carrie Mulford (National Institute of Justice), Tisha Titus (American College of Preventive Medicine), Cierra Olivia Thomas-Williams (Indiana Coalition Against Domestic Violence), Samia Noursi (National Institutes of Health), Della White (National Institutes of Health), and Daniel Whitaker (Georgia State University).</p><p id="P25">Funding Information</p><p id="P26">This review was supported by funds from the HHS Office of Women&#x02019;s Health. The work of Devon L. Okasako-Schmucker was supported with funds from the Oak Ridge Institute for Science and Education (ORISE).</p></ack><fn-group><fn id="FN2"><p id="P27">Disclaimer</p><p id="P28">The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the CDC.</p></fn><fn id="FN3"><p id="P29">Author Disclosure Statement</p><p id="P30">No competing financial interests exist.</p></fn></fn-group><ref-list><title>References</title><ref id="R1"><label>1.</label><mixed-citation publication-type="book"><name><surname>Smith</surname><given-names>SG</given-names></name>, <name><surname>Chen</surname><given-names>J</given-names></name>, <name><surname>Basile</surname><given-names>KC</given-names></name>, <etal/>
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