Study Results
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View full resultsBasic Information
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COMPLETED
NA
3028 participants
INTERVENTIONAL
2018-01-18
2023-12-07
Brief Summary
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Detailed Description
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The study will evaluate a new 7th-grade version of Fourth R, which has been rewritten to be developmentally appropriate and correspond to national health standards for this younger age. The 7th-grade version of Fourth R is innovative because it emphasizes socio-emotional learning, includes lessons on mental health, and addresses technology and cyber TDV. These additional components will strengthen the core social-emotional competencies of youth, competencies that are critical for the creation of healthy relationships and avoidance of unhealthy ones. A TDV prevention program aimed at promoting healthy relationships at this developmentally important age holds tremendous promise.
The primary aim is to determine whether Fourth R reduces students' TDV, as indexed by less perpetration and victimization of physical, sexual, and psychological TDV, relative to students in control schools.
The secondary aims are to determine whether Fourth R, relative to control, 1) improves students' \[relationship quality\], emotional well-being, and increases their acquisition and use of healthy relationship skills, as indexed by improved problem-solving, communication, and conflict resolution skills; 2) ameliorates the modifiable cognitive and behavioral correlates associated with the perpetration and victimization of TDV, as indexed by fewer attitudes justifying dating violence, decreased substance use, risky sexual behavior, fighting, and bullying, increased school connectedness, improved academic performance, and decreased psychological symptoms; and \[3) improves school climate as indexed by student, teacher, and staff reports of school environment as it relates to healthy relationships and TDV; and by reductions in school disciplinary actions related to violence, substance use, and academic failure\]. Prespecified differences by gender and ethnicity will be examined, as well as the acquisition and utilization of various program components.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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Fourth R
Fourth R: 27 lesson curriculum addressing youth risk and health promoting behaviors
Fourth R
Fourth R integrates the promotion of healthy relationship skills and prevention of teen dating violence into existing school curricula so that students receive regular course credit in health. Fourth R is grounded in social cognitive theory in which youth learn to formulate and choose behavior strategies, which translate into knowledge and practice in decision-making, non-aggressive conflict resolution skills, and self-efficacy..
Control
Control: Treatment as usual (standard health class curriculum)
No interventions assigned to this group
Interventions
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Fourth R
Fourth R integrates the promotion of healthy relationship skills and prevention of teen dating violence into existing school curricula so that students receive regular course credit in health. Fourth R is grounded in social cognitive theory in which youth learn to formulate and choose behavior strategies, which translate into knowledge and practice in decision-making, non-aggressive conflict resolution skills, and self-efficacy..
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
11 Years
15 Years
ALL
Yes
Sponsors
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The University of Texas Health Science Center, Houston
OTHER
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
NIH
The University of Texas Medical Branch, Galveston
OTHER
Responsible Party
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Principal Investigators
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Jeff R Temple, PhD
Role: PRINCIPAL_INVESTIGATOR
UTMB
Locations
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Houston Independent School District
Houston, Texas, United States
Fort Bend Independent School District
Sugar Land, Texas, United States
Countries
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References
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Temple JR, Baumler E, Wood L, Thiel M, Peskin M, Torres E. A Dating Violence Prevention Program for Middle School Youth: A Cluster Randomized Trial. Pediatrics. 2021 Nov;148(5):e2021052880. doi: 10.1542/peds.2021-052880. Epub 2021 Oct 6.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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15-0198
Identifier Type: -
Identifier Source: org_study_id