Trial Outcomes & Findings for Evaluation of Green Dot a Primary Prevention Intervention (NCT NCT01878097)

NCT ID: NCT01878097

Last Updated: 2019-03-15

Results Overview

Students self report of sexual assault perpetration averaged at the school level and adjusted for baseline and number of students. Adjustments were made by including baseline measure and number of students as a covariate in the model. Data will be collected at baseline and annually for 4 years.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

89707 participants

Primary outcome timeframe

up to 5 years follow up from baseline intervention

Results posted on

2019-03-15

Participant Flow

A total of 89,707 students completed surveys. However, due to anonymous response, it is not possible to know the number of unique students who completed surveys within the study period. Two schools within each of the 13 regions were selected by the Rape Crisis Centers for simple randomization to each condition in this cluster RCT (n=26).

46 demographically similar public high schools were identified as willing participate in the trial. Two schools were excluded by researchers because these were too small (\<100 per grade). Among the remaining 36 schools, two schools within each of the 13 regions were selected and randomized (n=26).

Unit of analysis: High schools

Participant milestones

Participant milestones
Measure
Green Dot Bystander Training
13 receiving Green Dot intervention Green Dot Bystander Intevention: Intervention allocated at the school level
Control
13 high school receiving no bystander training (no intervention)
Implementation Year 1
STARTED
11742 13
9866 12
Baseline
STARTED
10725 13
10081 13
Baseline
COMPLETED
8228 13
8281 13
Baseline
NOT COMPLETED
2497 0
1800 0
Implementation Year 1
COMPLETED
8540 13
7317 12
Implementation Year 1
NOT COMPLETED
3202 0
2549 0
Implementation Year 2
STARTED
11567 13
9611 12
Implementation Year 2
COMPLETED
8286 13
6770 12
Implementation Year 2
NOT COMPLETED
3281 0
2841 0
Implementation Year 3
STARTED
10540 13
9750 12
Implementation Year 3
COMPLETED
7046 13
6770 12
Implementation Year 3
NOT COMPLETED
3494 0
2980 0
Implementation Year 4
STARTED
10585 12
9614 12
Implementation Year 4
COMPLETED
6981 12
6607 12
Implementation Year 4
NOT COMPLETED
3604 0
3007 0

Reasons for withdrawal

Reasons for withdrawal
Measure
Green Dot Bystander Training
13 receiving Green Dot intervention Green Dot Bystander Intevention: Intervention allocated at the school level
Control
13 high school receiving no bystander training (no intervention)
Baseline
Surveys not fully completed
2497
1800
Implementation Year 1
Surveys not fully completed
3202
2549
Implementation Year 2
Surveys not fully completed
3281
2841
Implementation Year 3
Surveys not fully completed
3494
2980
Implementation Year 4
Surveys not fully completed
3604
3007

Baseline Characteristics

Evaluation of Green Dot a Primary Prevention Intervention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Green Dot Bystander Training
n=13 Schools
26 high schools: 13 receiving Green Dot intervention and 13 no intervention Green Dot Bystander Intevention: Intervention allocated at the school level
Control Training
n=13 Schools
Total
n=26 Schools
Total of all reporting groups
Age, Customized
Year in School: First Year
31.1 Percentage of Participants per School
STANDARD_DEVIATION 5.54 • n=5 Participants
30.37 Percentage of Participants per School
STANDARD_DEVIATION 3.3 • n=7 Participants
30.69 Percentage of Participants per School
STANDARD_DEVIATION 4.48 • n=5 Participants
Age, Customized
Year in School: Sophomore
27.99 Percentage of Participants per School
STANDARD_DEVIATION 3.95 • n=5 Participants
26.72 Percentage of Participants per School
STANDARD_DEVIATION 3.69 • n=7 Participants
27.35 Percentage of Participants per School
STANDARD_DEVIATION 3.8 • n=5 Participants
Age, Customized
Year in School: Junior
25.2 Percentage of Participants per School
STANDARD_DEVIATION 5.95 • n=5 Participants
26.37 Percentage of Participants per School
STANDARD_DEVIATION 4.52 • n=7 Participants
25.78 Percentage of Participants per School
STANDARD_DEVIATION 5.21 • n=5 Participants
Age, Customized
Year in School: Senior
15.54 Percentage of Participants per School
STANDARD_DEVIATION 9.94 • n=5 Participants
16.45 Percentage of Participants per School
STANDARD_DEVIATION 7.96 • n=7 Participants
16 Percentage of Participants per School
STANDARD_DEVIATION 8.83 • n=5 Participants
Sex/Gender, Customized
Female
54.56 Percentage of Participants per School
STANDARD_DEVIATION 3.2 • n=5 Participants
54.11 Percentage of Participants per School
STANDARD_DEVIATION 2.98 • n=7 Participants
54.33 Percentage of Participants per School
STANDARD_DEVIATION 3.04 • n=5 Participants
Sex/Gender, Customized
Male
45.44 Percentage of Participants per School
STANDARD_DEVIATION 3.2 • n=5 Participants
45.89 Percentage of Participants per School
STANDARD_DEVIATION 2.98 • n=7 Participants
45.67 Percentage of Participants per School
STANDARD_DEVIATION 3.04 • n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1.08 Percentage of Participants per School
STANDARD_DEVIATION 0.56 • n=5 Participants
1.13 Percentage of Participants per School
STANDARD_DEVIATION 0.27 • n=7 Participants
1.11 Percentage of Participants per School
STANDARD_DEVIATION 0.43 • n=5 Participants
Race/Ethnicity, Customized
Asian
1.44 Percentage of Participants per School
STANDARD_DEVIATION 1.59 • n=5 Participants
1.2 Percentage of Participants per School
STANDARD_DEVIATION 1.08 • n=7 Participants
1.32 Percentage of Participants per School
STANDARD_DEVIATION 1.33 • n=5 Participants
Race/Ethnicity, Customized
Black or African American
8.03 Percentage of Participants per School
STANDARD_DEVIATION 10.77 • n=5 Participants
6.47 Percentage of Participants per School
STANDARD_DEVIATION 8.65 • n=7 Participants
7.25 Percentage of Participants per School
STANDARD_DEVIATION 9.6 • n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino/Latina
3.16 Percentage of Participants per School
STANDARD_DEVIATION 2.99 • n=5 Participants
1.31 Percentage of Participants per School
STANDARD_DEVIATION 0.92 • n=7 Participants
2.23 Percentage of Participants per School
STANDARD_DEVIATION 2.37 • n=5 Participants
Race/Ethnicity, Customized
White
82.51 Percentage of Participants per School
STANDARD_DEVIATION 17.06 • n=5 Participants
87.22 Percentage of Participants per School
STANDARD_DEVIATION 11.93 • n=7 Participants
84.86 Percentage of Participants per School
STANDARD_DEVIATION 14.62 • n=5 Participants
Race/Ethnicity, Customized
Other
3.78 Percentage of Participants per School
STANDARD_DEVIATION 3.28 • n=5 Participants
2.67 Percentage of Participants per School
STANDARD_DEVIATION 2.21 • n=7 Participants
3.23 Percentage of Participants per School
STANDARD_DEVIATION 2.8 • n=5 Participants

PRIMARY outcome

Timeframe: up to 5 years follow up from baseline intervention

Population: Anonymous survey data collected over 5 years and sorted by intervention. To complete ITT analysis, schools that dropped out were included in analysis using imputed data.

Students self report of sexual assault perpetration averaged at the school level and adjusted for baseline and number of students. Adjustments were made by including baseline measure and number of students as a covariate in the model. Data will be collected at baseline and annually for 4 years.

Outcome measures

Outcome measures
Measure
Green Dot Bystander Training
n=13 Schools
Phase one and two.
Control
n=13 Schools
No bystander intervention
Average Number of Sexual Assault Events Used (Perpetrated) Per School.
Year 1
518 Number of events per school
Interval 430.0 to 605.0
420 Number of events per school
Interval 353.0 to 486.0
Average Number of Sexual Assault Events Used (Perpetrated) Per School.
Year 2
485 Number of events per school
Interval 406.0 to 563.0
472 Number of events per school
Interval 353.0 to 552.0
Average Number of Sexual Assault Events Used (Perpetrated) Per School.
Year 3
292 Number of events per school
Interval 218.0 to 365.0
459 Number of events per school
Interval 392.0 to 526.0
Average Number of Sexual Assault Events Used (Perpetrated) Per School.
Year 4
308 Number of events per school
Interval 224.0 to 392.0
370 Number of events per school
Interval 316.0 to 424.0

PRIMARY outcome

Timeframe: Data will be collected at baseline and annually for 4 years.

Population: anonymous survey data collected over 5 years and sorted by intervention. To keep ITT analysis, all schools were included and data were imputed for schools that dropped out.

Students self report of sexual assault victimization averaged at the school level and adjusted for baseline and number of students. Adjustments made by including baseline measure and number of students as covariates in models. Data will be collected at baseline and annually for 4 years.

Outcome measures

Outcome measures
Measure
Green Dot Bystander Training
n=13 Schools
Phase one and two.
Control
n=13 Schools
No bystander intervention
Average Number of Sexual Assaults Experienced (Victimization) Events Per School.
Year 1
300 Number of events per school
Interval 234.0 to 367.0
211 Number of events per school
Interval 160.0 to 262.0
Average Number of Sexual Assaults Experienced (Victimization) Events Per School.
Year 2
292 Number of events per school
Interval 227.0 to 357.0
269 Number of events per school
Interval 218.0 to 320.0
Average Number of Sexual Assaults Experienced (Victimization) Events Per School.
Year 3
161 Number of events per school
Interval 100.0 to 223.0
281 Number of events per school
Interval 215.0 to 348.0
Average Number of Sexual Assaults Experienced (Victimization) Events Per School.
Year 4
157 Number of events per school
Interval 100.0 to 214.0
245 Number of events per school
Interval 193.0 to 297.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Data will be collected at baseline and annually for 4 years.

Illinois Rape Myth Acceptance Scale measure students' beliefs about rape which may indicate social norms supporting sexual violence. The scale consists of 22 questions scored 1 -5. Were 1 is "strongly agree" and 5 is "strongly disagree". The higher the cumulative score, the more likely the participant is to accept rape myths. 5-item Acceptance of General Dating Violence Scale was used to measure norms supporting dating violence. Scores will range from 1-6, were the higher the score the more likely the participant was to reject dating violence as normal.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Data will be collected at baseline and annually for 4 years.

7 item survey measuring self-reports of students actively engaging their peers in behaviors that may prevent violence. Response options: 0 times, 1-2 times, 3-5 times, 6-9 times, 10 or more times, didn't see or hear someone doing this Above items repeated to measure student observing others doing these behaviors. Data will be presented as the total number of interventions were the bigger the number the more likely the bystander was to intervene on behalf of the victim.

Outcome measures

Outcome data not reported

Adverse Events

GreenDot

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Ann Coker

University of Kentucky

Phone: 859-323-6758

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place