Search

Youth who witness parental intimate partner violence (IPV) are at increased risk of teen dating violence (DV). This analysis of secondary data investigated whether a bystander intervention program, Green Dot, was effective at reducing physical and psychological DV victimization and perpetration among youth who had and had not previously witnessed parental IPV. The parent RCT assigned 13 schools to control and 13 schools to the Green Dot intervention. Responses from 71,797 individual surveys that were completed by high school students were analyzed across three phases of a 5-year cluster randomized control trial. Multigroup path analyses revealed that students in intervention schools who witnessed parental IPV had a reduction in psychological (p < .001) and physical DV (p < .01) perpetration and psychological DV victimization (p < .01) in Phase 2 of the intervention, while those who did not witness parental IPV had a significant reduction in psychological DV victimization (p < .01). Individuals in the intervention received more training (p < .001), which was associated with lower levels of violence acceptance (p < .001). Violence acceptance was positively associated with DV victimization and perpetration (p < .001), especially for individuals who previously witnessed parental IPV. Green Dot is an effective program at reducing DV victimization and perpetration among the high-risk group of youth who previously witnessed parental IPV, largely operating through violence acceptance norms. This underscores the bystander intervention approach as both a targeted and universal prevention program., Author(s): Annelise Mennicke [sup.1] , Heather M. Bush [sup.2] , Candace J. Brancato [sup.2] , Ann L. Coker [sup.2] Author Affiliations: (1) grid.266859.6, 0000 0000 8598 2218, University of North [...]

Many bystander programs to prevent violence have been developed and evaluated in college populations. An exception is the randomized controlled trial of Green Dot, found effective in reducing violence rates and violence acceptance in 26 high-schools (2010-2014). In 'Life's Snapshot', 10,727 seniors were recruited from these same schools with the goal of determining the longer-term efficacy of bystander training. Students in intervention schools could have up to three years of Green Dot exposure. Seniors from intervention versus control schools had significantly lower scores (p <0.01) indicating less violence acceptance or sexism for two of five measures. Seniors' self-reports of bystander training received confirmed these findings. These cross-sectional analyses suggest that some reductions in violence acceptance associated with bystander programming may be maintained into early adulthood.

To investigate sex differences in associations between sexual violence victimization (SVV), sexual violence perpetration (SVP), and binge drinking and/or alcohol problems among high school students. While SVV has been linked to problem alcohol use among young women, little research has addressed the unique associations of SVV and SVP on alcohol use/problems within both sexes. A cross-sectional analysis of 16,992 high school students' self-reports of past-year SVP and SVV was used where SVV/SVP was defined by three tactics (sexual coercion, drug/alcohol-facilitated or incapacitated sex, and physically forced sex). Alcohol measures included past-month binge drinking and past-year alcohol problems. Rates of SVV were twice as high in females (21.2% vs. 13.3%), and SVP rates were twice as high in males (10.9% vs. 5.2%). SVV and SVP were each associated with an increased rate of current binge drinking and problem alcohol use for both sexes, across increasing numbers of SV tactics and within each of three tactics. After controlling for demographic and other risk factors including SVP, drug/alcohol-facilitated or incapacitated SVV was more strongly linked to binge drinking and alcohol problems among females. SVP was more strongly linked to binge drinking and alcohol problems among males (adjusting for SVV and other covariates). No sex differences emerged in associations between coerced or physically forced SVV/SVP and alcohol-related outcomes. Both SVV and SVP are associated with an increased likelihood of binge drinking and alcohol problems for males and females. Important sex differences emerged when SV tactics are considered., Author(s): Christal L. Badour [sup.1], Samuel C. Bell [sup.2], Emily R. Clear [sup.3], Heather M. Bush [sup.4], Ann L. Coker [sup.5] Author Affiliations: (1) grid.266539.d, 0000 0004 1936 8438, Department [...]

As mandated by the 2013 Campus Sexual Violence Elimination Act, bystander programs to reduce sexual and intimate partner violence are being adopted in college communities throughout the United States. However, little is currently known about how bystander programs are selected, implemented and experienced by staff and students. In the Multi-College Bystander Efficacy Evaluation (mcBEE) project, we seek to evaluate the relative efficacy of bystander programs at multiple college campuses. In this paper, we describe our mixed methods strategies as a critical first step in achieving our overall goal. We are employing a multi-phase mixed methods triangulation design to gather qualitative and quantitative data on bystander programming and intervention components at 24 college campuses. Specific methods include website reviews of campus programming and staff (Phase 1), web-based key informant surveys (Phase 2), and key informant interviews (Phase 3) over the four-year study period. To date, Phase 1 of data collection is complete and Phases 2 and 3 are ongoing. Survey and key informant interview data will shed light on campus decision-making processes for the adoption of bystander programs and provide program implementation, dose, and fidelity data over time. Data from each phase is being integrated to determine specific bystander intervention components at each campus that will inform analyses measuring relative program efficacy. This paper outlines the protocol and methods for a large-scale evaluation of college-based bystander program efficacy using a multi-phase mixed methods design with multiple forms of data triangulation., Author(s): Danielle Davidov [sup.1], Heather M. Bush [sup.2], Emily R. Clear [sup.2], Ann L. Coker [sup.3] Author Affiliations: (1) grid.268154.c, 0000 0001 2156 6140, School of Public Health, West Virginia [...]

This methods paper describes the fractional factorial design within the context of an evaluation of campus bystander programming. Prior evaluations include relative program comparisons, but do not reflect campus implementation of specific aspects of prevention programming. Campuses use combinations of programs, delivered across modalities, audiences, intensity, and degrees of requirement. Bystander program evaluation, in a natural experiment, must consider combinations of these components. This evaluation offers a novel application of the fractional factorial framework, considering combinations of program components, as implemented, within a multi-campus quasi-experimental design. Leveraging qualitative data, cluster analysis provides an initial identification of bystander program component combinations, mapped to experimental conditions. SAS v9.4 PROC FACTEX constructs possible fractional factorial designs to estimate main effects. From key informant interviews, primary program components are determined: delivery method, level of skill-building, degree of requirement, and intended audience. A total of seven combinations are identified. Using presence or absence of program components, a partial factorial structure is identified, where component clusters comprised seven of the 2.sup.4 = 16 possible combinations. The smallest number of experimental conditions necessary for estimating these effects is determined with PROC FACTEX. Resulting designs indicate the necessary experimental conditions for determining bystander program component effectiveness available within this study. Our fractional factorial approach offers a novel strategy for planning an evaluation of several bystander program component combinations. This paper provides foundational elements needed to implement a bystander evaluation design, with the requisite emphasis on program components and relevant combinations, while optimizing number of participating campuses., Author(s): Heather M. Bush [sup.1] , Danielle Davidov [sup.2] , Candace J. Brancato [sup.3] , Emily R. Clear [sup.3] , Ann L. Coker [sup.4] Author Affiliations: (1) grid.266539.d, 0000 0004 [...]

The Centers for Disease Control and Prevention provided funding (U01 CE002668) to evaluate bystander program efficacy to reduce gender-based violence on college campuses (Aim 1) and to create a mentoring network (Aim 2) for young campus-based researchers interested in violence intervention or prevention (VIP). While an evaluation of this mentoring program is ongoing, our purpose here was to document the strategies used to create, implement, and begin evaluation of this national multi-college mentoring network. As each public college was recruited into this evaluation named multi-college Bystander Efficacy Evaluation (mcBEE), each college was invited to nominate a researcher interested in receiving mentorship as a mcBEE fellow. Senior faculty with active VIP research careers were recruited as mentors. Mentorship occurred through annual meetings over time (2015-2019), weekly to bimonthly calls or video conferencing with 2-3 other fellows, and a mentor forming a group with 3-4 mentees, termed a hive. The initial focus of hive meetings was 1) creating and maintaining an active daily writing practice and 2) developing productivity plans, to include research, personal, and professional goals. Manuscript and grant writing feedback was provided throughout the network electronically or 'live' workshops. Annual surveys were implemented to investigate program efficacy. Our mcBEE team was able to successfully assemble a national network of VIP fellows and provide small group and individualized mentoring. Our ultimate goal was that of supporting our fellows' own trajectories in gender-based VIP research, teaching, administration, or service. Evaluation of our fellow and mentor cohort is ongoing (2015-2019)., Author(s): Ann L. Coker [sup.1], Danielle Davidov [sup.2], Heather M. Bush [sup.3], Emily R. Clear [sup.3] Author Affiliations: (1) grid.266539.d, 0000 0004 1936 8438, College of Medicine, University of Kentucky, [...]

This paper offers lessons learned in evaluating the reauthorization of the Violence Against Women Act (2013 (See CR9)) requirement that colleges receiving Title IX funds provide bystander programming to reduce sexual violence. To conduct this evaluation a national college consortium was created [multi college bystander efficacy evaluation (mcBEE)]. Through this consortium 24 public colleges were recruited and their choices regarding bystander programming options were queried. Concurrently, rates of violence perpetration and victimization were measured over 4 years among undergraduate students at each college. Description and details of experiences in recruiting colleges into a college consortium, addressing regulatory compliance, approaches to selecting and launching college-wide surveys to undergraduate students across several large campuses, and strategies to communicate findings and data back to each recruited campus are presented. Suggestions for future consortium building include budgeting sufficient time to recruit colleges, manage regulatory processes, and ensure adequate response rates through short surveys and enticing incentives. In building a national consortium, lessons such as flexibility, networking, and communication contributed to mcBEE's success., Author(s): Emily R. Clear [sup.1], Ann L. Coker [sup.2], Heather M. Bush [sup.1], Candace J. Brancato [sup.1], Danielle Davidov [sup.3] Author Affiliations: (1) grid.266539.d, 0000 0004 1936 8438, College of [...]

Costs of providing the Green Dot bystander-based intervention, shown to be effective in the reduction of sexual violence among Kentucky high school students, were estimated based on data from a large cluster-randomized clinical trial. Rape Crisis Center Educators were trained to provide Green Dot curriculum to students. Implementing Green Dot in schools (N = 13) randomized to the intervention, over five years, cost $1.6 M and included start-up ($58 K) and ongoing implementation ($1.55 M). Costs for adding a school ($25,510) were calculated based on the final year, where no start-up costs were incurred. Knowing the $25,510 cost estimate for adding Green Dot may be particularly useful for high school administrators or school boards when they were making economic decisions based on strong evidence of program effectiveness to reduce violence.

Bystander intervention programs have established efficacy to increase bystander behaviors to prevent interpersonal violence (IPV). Little research has investigated intervention efficacy among latent risk classes among high school students. Data from a five-year randomized control trial were used to conduct multigroup path analyses to assess the association between type of training received and bystander outcomes moderated by risk groups identified via latent profile analysis (LPA). LPA was used to identify risk based on six indicators related to violence exposure, association with aggressive friends, and alcohol use. Bystander training received was the primary independent variable characterized as: no training, overview speech alone, or skills training. Outcomes included (a) observed bystander behaviors; (b) reactive bystander behaviors; or (c) proactive bystander behaviors. Three risk groups were identified via LPA: low risk, moderate risk witnesses of IPV, and highest risk victims and perpetrators. Of the bystander trainings received, overview speeches only increased reactive bystander behaviors among low risk students. The skills training was effective at increasing most bystander outcomes among all risk groups, with the largest effect sizes observed among the highest risk victims and perpetrators profile. Findings suggest that tailoring or modifying bystander training based on the risk profiles of youth may lead to greater potential to increase bystander behaviors to reduce risk of violence. Specifically, overview speech trainings should be targeted to low risk youth, while skills training primarily delivered to higher risk youth. These skills trainings could incorporate content related to trauma-informed care as well as associations with alcohol use, which may enhance their effectiveness further. [ABSTRACT FROM AUTHOR]

Background: In 2013, President Obama lifted the federal ban on gun violence research. The current study provides one of the first reports to estimate household gun ownership as reported by youth. Methods: In this cohort study of 3,006 high school seniors from 24 schools, we examined the frequency of household guns ownership. Results: About 65% reported having at least 1 gun in their household. White males were more likely to have a gun and to have more guns than other demographically characterized groups. After adjustment for race and sex, those of higher income, who lived in suburban or rural areas, identified as being exclusively attracted to the opposite sex, and in a romantic relationship, were more likely to have a gun in their household. Having a gun was not associated with increasing symptoms of depression or current poor physical or mental health. Conclusions: Whereas we cannot determine gun types or reasons for having a gun, this research indicates that high school seniors are aware of and may have access to guns for use other than their intended purpose. Household gun ownership among students at higher risk for violence may pose safety challenges for communities and schools.

Bystander-based violence prevention interventions have shown efficacy to reduce dating violence and sexual violence acceptance at the individual level yet no large randomized controlled trial (RCT) has evaluated this effect at the high-school level and over time. This rigorous cluster-randomized controlled trial addresses this gap by evaluating intervention effectiveness at both school and individual levels. Kentucky high schools were randomized to intervention or control conditions. In intervention schools educators provided school-wide 'Green Dot' presentations and bystander training with student popular opinion leaders. Each spring from 2010 to 2014; 73,044 students completed anonymous surveys with no missing data on relevant outcomes. Dating violence and sexual violence acceptance were the primary outcomes for this analysis. At the school level, slopes from linear mixed models using averaged school-level dating violence acceptance (condition-time, p < 0.001) and sexual violence acceptance (condition-time interaction, p < 0.001) differed indicating a significant reduction in the violence acceptance in the intervention relative to control schools over time and specifically in years 3 and 4 when 'Green Dot' was fully implemented. Analyses based on student's self-reported receipt of 'Green Dot' training by condition confirmed the school level finding of significant reductions in both dating violence and sexual violence acceptance in years 3 and 4 for both males and females. In this RCT we find evidence that the bystander-based violence prevention intervention 'Green Dot' works, as hypothesized and as implemented, to reduce acceptance of dating violence and sexual violence at the school and individual levels., Author(s): Ann L. Coker [sup.1] , Heather M. Bush [sup.2] , Candace J. Brancato [sup.2] , Emily R. Clear [sup.2] , Eileen A. Recktenwald [sup.3] Author Affiliations: (Aff1) 0000 0004 [...]

Bystander interventions are recognized as "promising" programming to reduce sexual violence. Gaps in current evaluations include limited follow-up post-training (beyond 24 months) and knowledge of additional bystander training during follow-up. In this prospective cohort study, nested in a cluster randomized controlled trial (RCT), three cohorts of high school (HS) seniors were recruited (Fall 2013-2015) and followed through Spring 2018 (n = 1,831). Training was based on their school cluster RCT assignment and receipt of additional Green Dot (GD) training after HS. Training was hypothesized to be associated with lower scores indicating less acceptance of violence or sexism. Sixty percent reported GD training after HS (68.7% of 986 in intervention and 50% of 845 in control conditions). No significant differences (p <.05) were observed by GD training for four of the five violence acceptance or sexism attitudinal measures at recruitment or final surveys. For "ambivalent sexism" alone was there a significant reduction in scale scores over time in the intervention versus control condition. Additional GD training after the RCT significantly reduced neither violence acceptance nor sexism scores over time. GD training does not appear to have a consistent longer-term impact on reducing violence acceptance and sexism. [ABSTRACT FROM AUTHOR]