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A Dating Violence Prevention Program for Middle School Youth: A Cluster Randomized Trial
Jeff R Temple1, Elizabeth Baumler2, Leila Wood2
1Center for Violence Prevention, University of Texas Medical Branch, Galveston, Texas jetemple@utmb.edu.
Pediatrics
|October 7, 2021
Summary
The Fourth R intervention reduced physical adolescent relationship abuse (ARA) perpetration in middle school students. However, the program did not significantly impact substance misuse, bullying, or fighting.
Area of Science:
- Public Health
- Adolescent Health
- Educational Interventions
Background:
- Adolescent relationship abuse (ARA) is a significant public health concern.
- Early intervention programs are crucial for addressing harmful behaviors in middle school students.
Purpose of the Study:
- To evaluate the effectiveness of the classroom-based "Fourth R" curriculum in reducing physical ARA.
- To assess the intervention's impact on substance misuse, bullying, and fighting among middle schoolers.
Main Methods:
- A cluster randomized controlled trial was conducted with 24 Texas middle schools.
- Schools were matched and randomly assigned to either the intervention or control group.
- The "Fourth R" curriculum, consisting of 21 lessons, was delivered by teachers over one year.
Main Results:
- Students in intervention schools were less likely to report perpetrating physical ARA (14.9%) compared to control schools (18.3%).
- The intervention showed a statistically significant reduction in physical ARA perpetration (aOR=0.66, P=0.05).
- No significant differences were found in substance misuse, bullying, or fighting between the groups.
Conclusions:
- The middle school version of the "Fourth R" program effectively reduces physical ARA perpetration.
- The intervention did not demonstrate significant effects on bullying, peer fighting, or substance misuse.
- Further long-term research is needed to assess sustained benefits, particularly through high school transition.
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