Dating Matters, Strategies To Promote Healthy Teen . PDF Free Download

2y ago

34 Views

1 Downloads

2.47 MB

38 Pages

Report/dmca

Download PDF

Transcription

National Center for Injury Prevention and ControlDating Matters, Strategies to Promote Healthy TeenRelationshipsSarah DeGue, Phyllis Niolon & The Dating Matters TeamDivision of Violence PreventionNCIPC Board of Scientific CounselorsJuly 17, 2019For BSC Use Only:Please do not distribute.

Teen Dating Violence is a Public Health problem1 in 51 in 10high school youthphysically and/orsexually victimizedby a dating partnerin last yearVagi, Olsen, Basile, & Vivolo-Kantor (2015)

Define Teen Dating ViolenceDefining TeenDating Violence(TDV) PhysicalSexualEmotional/PsychologicalStalking Current or former partners Short, casual or serious, long-term relationships Electronically or in-person perpetration

Need Early Intervention to Stop TDV Before it StartsNegative mentaland physicalhealth effects subsequent victimization andperpetration poor academic achievement depression/anxiety substance use injury sets the stage for problems infuture relationships, includingIPV/SV

Comprehensive Prevention from Development to Dissemination2009formativeresearch anddevelopment/ /demonstrationproject andevaluation2019short-termoutcomes inmiddle schoolnational roll-out(coming soon!)2020long-term outcomesin high school

A Comprehensive Teen DatingViolence Prevention Model Multiple, coordinatedprevention strategies across thesocial ecology Reduce the risk for teen datingviolence and promote healthyteen relationships Engages local public healthsector as leaders Builds on evidence-based andevidence-informed interventionsA Comprehensive Model

Youth Programs Classroom-based in middle schoolSocial-emotional learningHealthy relationship skills-basedHealth Educator or Teacher-FacilitatedDating MattersCDC-developed6th Grade (7 sessions) General healthyrelationship skills7th Grade (7 sessions) Dating relationshipsSocial media/technologySexual coercionSubstance useSafe DatesEvidence-based8th Grade (10 sessions) Effective for datingviolence at 4 years followup

Parent Programs Community-based facilitatorsIn-person or at-home sessionsParent-child communicationPositive parentingDating violence education and safetyParents Matter!for Dating MattersDating Mattersfor ParentsSafe Datesfor Families6th Grade (6 sessions)7th Grade (6 sessions)8th Grade (6 booklets)Evidence-based, CDC-Adapted In-person groupsCDC-Developed 3 in-person sessions 3 at-home sessionsEvidence-based Mailed home to parents Effective for physical datingviolence

Educator Training Free, online TDV training Teachers, school staff,coaches, mentors, otheryouth-serving professionals CEUs availableAvailable now:https://vetoviolence.cdc.gov/

i2i Youth CommunicationsProgram Reinforcesmessages withnear-peerambassadorprogram Social media Communityevents

Capacity Assessment and Planning Toolhelps communities assess their capacity toimplement Dating Mattersby surveying stakeholders identify strengths andareas for improvement incapacityAvailable now: https://vetoviolence.cdc.gov/

Interactive Guide on Informing Policyhelps local healthdepartments assess existing policiesrelated to TDV prevention address local policy gaps enhance relevant existingpoliciesAvailable now: https://vetoviolence.cdc.gov/

Using Indicator Data to Inform Teen Dating ViolencePrevention: A Guide for Local Health Departmentshelps local healthdepartments identify and use publicallyavailable indicator data to track local trends in teendating violence to identify needs and strengths conduct program evaluationComing Soon! https://vetoviolence.cdc.gov/

Comprehensive Prevention from Development to Dissemination2009/ /formativeresearch anddevelopmentdemonstrationproject andevaluation2019short-term national roll-outoutcomes in (coming soon!)middle school2020long-term outcomesin high school

The Dating Matters Demonstration Project Implemented in middleschools in four high-risk,urban communitiesfrom 2011-2016

Evaluating Dating MattersEvaluating 46 schools in high-risk, urbanneighborhoods randomized Comparison condition receivedeffective standard-of-care intervention Longitudinal--through 10th/11th grade Implementation, completed 2016 Middle school data, completed 2016 High school data, completed 2018Safe Datesonlyv.DatingMatters

Examining Middle School Outcomes Student surveys in Fall/Spring in 6th, 7th, and 8th Focused on 2 full-exposure cohorts Primary Outcomes: Published (May 2019)– TDV and Relationship Behaviors Secondary Outcomes: Under Review– Peer Violence (e.g., bullying)– Delinquency and Related Risk Factors– Peer Sexual Violence/Harassment

Analytic Sample Two “full-exposure” cohorts who had opportunity toparticipate in Dating Matters (DM) in 6th, 7th, and 8th grade Full Sample N 3,301––––53% female50% non-Hispanic black31% HispanicM age 12 For TDV Outcomes, only “daters” incl., N 2,349

Statistical Analysis Imputed missing dataMultiple Group Structural Equation modelsEight group design [Cohort (2) x Sex (2) x Condition (2)]6 time points examined, 6th grade fall to 8th grade springResults shown as average relative risk reduction across groupsand time points– % improvement on outcome for DM condition relative tocomparison condition

Study 1: Primary Outcomes Assess effects of Dating Matters compared to the standard-ofcare condition among middle school students on: TDV victimization and perpetration Use of Negative Conflict Reduction Strategies Use of Positive Relationship BehaviorsLead: Phyllis Holditch Niolon, PhD

Teen DatingViolencePerpetration

Teen DatingViolenceVictimization

Use ofNegativeConflictResolutionStrategies

Comparison of Strategies

Studies 2, 3, 4: Secondary Outcomes Assess effects of Dating Matters compared to the standard-ofcare condition among middle school students on: Bullying victimization/perpetrationCyber bullying victimization/perpetrationPhysical violence victimization/perpetrationWeapon carryingAlcohol and substance useOther delinquent behaviorsSexual harassment/violence victimization/perpetrationLeads: Alana Vivolo-Kantor, PhD; Lianne Estefan, PhD;Sarah DeGue, PhD

Dating Matters is Effective! Dating Matters model has small but significant effectscompared to standard-of-care for primary and secondaryoutcomes– Short-term follow-up; high school data to come!– Low base rates in this age group Connecting the Dots– Evidence-based strategies that address multiple healthoutcomes may be more cost-effective and sustainable forcommunities

TheMatters ToolkitTheDatingDatingMatters Toolkit comprehensiveimplementation guidance reduces costs, increasessustainability and fidelity available to all communitiesin 2019

Dating Matters Website Strategies

Dating Matters Components

Youth Programs – Ready to Get Started?

Dating Matters Training

Why are the Dating Matters Youth ProgramsImportant?

Team Up! for Dating Matters Online community of practicefor peer-to-peer TA Free mobile/desktop app Ask the Expert forum

Topics for Discussion Increasing reach and uptake at launch Balancing improvements with adherence to model, as evaluated Opportunities for future research– Implementation research– Low-cost RCT Understanding the implications of cost and cost-effectiveness

Lets Talk AboutDating MattersLet’s Talk aboutDating Matters!For more information, contact CDC1-800-CDC-INFO (232-4636)TTY: 1-888-232-6348 www.cdc.govSarah DeGue, Ph.D.Phyllis Niolon, Ph.D.CDC’s Division of Violence Preventiondatingmatters@cdc.govThe findings and conclusions in this report are those of the authors and do not necessarily represent theofficial position of the Centers for Disease Control and Prevention.

Contributing Authors: Middle School Outcome PapersPhyllis Holditch Niolon, PhDAlana Vivolo-Kantor, PhDLianne Fuino Estefan, PhDSarah DeGue, PhDAllison Tracy, PhDNatasha Latzman, PhDTodd Little, PhDKyle Lang, PhDAndra Teten Tharp, PhDVi Donna Le, MASharon Ghazarian, PhDWendy LiKamWa McIntosh, MPHBruce Taylor, PhDLinda JohnsonHenrietta Kuoh, MPHTessa Burton, MPHBeverly Fortson, PhDElizabeth Mumford, PhDShannon Nelson, MAHannah Joseph, MALinda Anne Valle, PhD

Dating Matters, Strategies to Promote Healthy Teen Relationships Sarah DeGue, Phyllis Niolon & The Dating Matters Team Division of Violence Prevention. NCIPC Board of Scientific Counselors. July 17, 2019. For BSC Use Only: Please do not