Abstract
Teen dating violence (TDV) is a significant public health problem that can have lifelong consequences. Using a longitudinal, cluster randomized controlled trial (RCT), this study examines whether the Dating Matters comprehensive prevention model, implemented in middle school, prevented TDV and negative relationship behaviors and promoted positive relationship behaviors in high school (9th–11th grades), when compared with a standard of care intervention. Dating Matters includes programs for sixth to eighth grade youth and their parents, training for school staff, a youth communications program, and policy and data activities implemented in the community. Self-report survey data were collected from students in 46 middle schools that were randomly assigned to condition within site. Students completed two surveys (fall and spring) in each middle school grade and a single survey in the spring of each high school grade. This study examined self-reported TDV perpetration and victimization, use of negative conflict resolution strategies, and positive relationship skills in the high school follow-up. While varying patterns emerged, latent panel models demonstrated significant program effects for all outcomes. Dating Matters students reported 19% reduced risk for TDV perpetration, 24% reduced risk for TDV victimization, 7% reduced risk for use of negative conflict strategies, and 3% more use of positive relationship skills, on average across time and cohort, than standard of care students. On average, Dating Matters, implemented in middle school, continued to be more effective at reducing TDV perpetration, TDV victimization, and use of negative conflict resolution strategies in high school than an evidence-based comparison program.
Trial Registration: clinicaltrials.gov Identifier: NCT01672541.
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Notes
See Niolon et al. (2019) for more details on the model components and background. Dating Matters is available at https://vetoviolence.cdc.gov/apps/dating-matters-toolkit.
Number of days between the student’s birthdate and November 22 of each student’s Grade 6 year. This can be interpreted as the student’s age, relative to his/her grade mates, regardless of cohort.
Model fit was poor when a chi-square difference test against a model with freely estimated means resulted in a p value of less than .20.
Due to equality constraints on parameters, effect sizes across cohort or sex can be identical. When one RRR is provided for two significant effects, those estimates were identical.
The use of positive relationship skills in a dating relationship was reverse coded for analysis so effects are consistently interpreted as reduction in risk.
References
Basile, K. C., Clayton, H. B., DeGue, S., Gilford, J. W., Vagi, K. J., Suarez, N. A., . . . Lowry, R. (2020). Interpersonal violence victimization among high school students—Youth risk behavior survey, United States, 2019. MMWR supplements, 69(1), 28. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7440202/pdf/su6901a4.pdf
Breiding, M. J., Basile, K. C., Smith, S. G., Black, M. C., & Mahendra, R. R. (2015). Intimate partner violence surveillance: Uniform definitions and recommended data elements, Version 2.0. In. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention
Capaldi, D. M., Knoble, N. B., Shortt, J. W., & Kim, H. K. (2012). A systematic review of risk factors for intimate partner violence. Partner Abuse, 3(2), 231–280.
De La Rue, L., Polanin, J. R., Espelage, D. L., & Pigott, T. D. (2017). A meta-analysis of school-based interventions aimed to prevent or reduce violence in teen dating relationships. Review of Educational Research, 87(1), 7–34. https://doi.org/10.3102/0034654316632061
DeGue, S., Niolon, P. H., Estefan, L. F., Tracy, A. J., Le, V. D., Vivolo-Kantor, A. M., . . . Lang, K. M. (2021). Effects of Dating Matters® on sexual violence and sexual harassment outcomes among middle school youth: A cluster-randomized controlled trial. Prevention science, 22(2), 175–185.
Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Schellinger, K. B. (2011). The impact of enhancing students’ social and emotional learning: A meta-analysis of school-based universal interventions. Child Development, 82(1), 405–432.
Ellickson, P. L., Bell, R. M., & McGuigan, K. (1993). Preventing adolescent drug use: Long-term results of a junior high program. American Journal of Public Health, 83(6), 856–861.
Estefan, L. F., Vivolo-Kantor, A. M., Niolon, P. H., Le, V. D., Tracy, A. J., Little, T. D., . . . Lang, K. M. (2021). Effects of the dating matters® comprehensive prevention model on health-and delinquency-related risk behaviors in middle school youth: A cluster-randomized controlled trial. Prevention science, 22(2), 163–174.
Exner-Cortens, D., Eckenrode, J., Bunge, J., & Rothman, E. (2017). Revictimization after adolescent dating violence in a matched, national sample of youth. Journal of Adolescent Health, 60(2), 176–183. https://doi.org/10.1016/j.jadohealth.2016.09.015
Exner-Cortens, D., Eckenrode, J., & Rothman, E. (2013). Longitudinal associations between teen dating violence victimization and adverse health outcomes. Pediatrics, 131(1), 71–78.
Foshee, V. A., Bauman, K. E., Arriaga, X. B., Helms, R. W., Koch, G. G., & Linder, G. F. (1998). An evaluation of Safe Dates, an adolescents dating violence prevention program. American Journal of Public Health, 88, 45–50.
Foshee, V. A., Bauman, K. E., Ennett, S. T., Linder, G. F., Benefield, T., & Suchindran, C. (2004a). Assessing the long-term effects of the Safe Dates program and a booster in preventing and reducing adolescent dating violence victimization and perpetration. American Journal of Public Health, 94(4), 619–624. https://doi.org/10.2105/AJPH.94.4.619
Foshee, V. A., Benefield, T. S., Ennett, S. T., Bauman, K. E., & Suchindran, C. (2004b). Longitudinal predictors of serious physical and sexual dating violence victimization during adolescence. Preventive Medicine, 39(5), 1007–1016. https://doi.org/10.1016/j.ypmed.2004.04.014
Hale, D. R., Fitzgerald-Yau, N., & Viner, R. M. (2014). A systematic review of effective interventions for reducing multiple health risk behaviors in adolescence. American journal of public health, 104(5), e19-e41. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987586/pdf/AJPH.2014.301874.pdf
Kurdek, L. A. (1994). Conflict resolution styles in gay, lesbian, heterosexual nonparent, and heterosexual parent couples. Journal of Marriage and Family, 56(3), 705–722. https://doi.org/10.2307/352880
Little, T. D. (2013). Longitudinal structural equation modeling. Guilford Press.
Little, T. D., Bontempo, D., Rioux, C., & Tracy, A. (2021). On the merits of longitudinal multiple group modelling: an alternative to multilevel modelling for intervention evaluations. International Journal of Research & Method in Education, 1–13.
Miller Gaubert, J., Gubits, D., Principe Alderson, D., Knox, V. (2012). The supporting healthy marriage evaluation: Final implementation findings: OPRE Report 20122–12. Washington, DC.: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.
Niolon, P. H., Taylor, B. G., Latzman, N. E., Vivolo-Kantor, A. M., Valle, L. A., & Tharp, A. T. (2016). Lessons learned in evaluating a multisite, comprehensive teen dating violence prevention strategy: Design and challenges of the evaluation of dating matters: Strategies to promote healthy teen relationships. Psychology of Violence, 6(3), 452–458. https://doi.org/10.1037/vio0000043
Niolon, P. H., Vivolo-Kantor, A. M., Tracy, A. J., Latzman, N. E., Little, T. D., DeGue, S., . . . Tharp, A. T. (2019). An RCT of Dating Matters: Effects on teen dating violence and relationship behaviors. American Journal of Preventive Medicine, 57(1), 13–23. doi:https://doi.org/10.1016/j.amepre.2019.02.022
Offenhauer, P., & Buchalter, A. (2011). Teen dating violence: A literature review and annotated bibliography. Library of Congress.
Piolanti, A., & Foran, H. M. (2021). Efficacy of interventions to prevent physical and sexual dating violence among adolescents: a systematic review and meta-analysis. JAMA Pediatrics.
Teten Tharp, A., Burton, T., Freire, K., Hall, D., Harrier, S., Latzman, N., . . . Vagi, K. (2011). Dating Matters™: Strategies to promote healthy teen relationships. Journal of Women’s Health, 20, 1–5. doi:https://doi.org/10.1089/jwh.2011.3177
Vivolo-Kantor, A. M., Niolon, P. H., Estefan, L. F., Le, V. D., Tracy, A. J., Latzman, N. E., . . . Tharp, A. T. (2021). Middle school effects of the Dating Matters® comprehensive teen dating violence prevention model on physical violence, bullying, and cyberbullying: A cluster-randomized controlled trial. Prevention science, 22(2), 151–161.
Wincentak, K., Connolly, J., & Card, N. (2017). Teen dating violence: A meta-analytic review of prevalence rates. Psychology of Violence, 7(2), 224.
Wolfe, D. A., Crooks, C. V., Jaffe, P., Chiodo, D., Hughes, R., Ellis, W., . . . Donner, A. (2009). A school-based program to prevent adolescent dating violence: A cluster randomized trial. Archives of Pediatric and Adolescent Medicine, 163, 692–699. doi:https://doi.org/10.1001/archpediatrics.2009.69
Wolfe, D. A., Scott, K., Reitzel-Jaffe, D., Wekerle, C., Grasley, C., & Straatman, A. L. (2001). Development and validation of the conflict in adolescent dating relationships inventory. Psychological Assessment, 13, 277.
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Funding for the entire initiative was provided by the National Center for Injury Prevention and Control at the CDC.
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Roles in each of the following categories is listed below: Design and conduct of the study: Scientists from the funding organization (PHN, LFE, SD, AMV-K, NL, AT) and its contractors (BT) were responsible for the design and conduct of the study. Collection, management, analysis, and interpretation of the data: Scientists from the funding organization (all CDC authors) were involved in all aspects. Contractors of the funding organization (AJT, TDL, DB, BT) were involved in one or more aspects of data collection, management, analysis and interpretation. Preparation, review, or approval of the manuscript: Scientists from the funding organization (all CDC authors) and its contractors (all other authors) were involved in the preparation, review, and approval of the manuscript. Additionally, clearance officials from the National Center for Injury Prevention and control have approved the manuscript for preparation. Decision to submit the manuscript for publication: Scientists from the funding organization (all CDC authors) and its contractors (all other authors) were involved in the decision to submit the manuscript for publication, with the support of leadership from the National Center for Injury Prevention and Control.
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Procedures and materials were approved by multiple IRBs, including the CDC’s (Protocol # 6161), and the Office of Management and Budget (OMB #0920–0941). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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The study used active parental consent in three sites and passive parental permission in one site for study participation and youth completed informed assent before participating in the surveys.
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None of the authors have conflicts of interest or financial disclosures. All CDC authors worked for the funding organization during the majority of their participation on the project. Dr. Taylor was funded by CDC through a contract to assist with research design and collect all data (Contract #200-211-40998. Statisticians were funded through a staffing contract (Tracy) and IPAs (Little, Bontempo).
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Dr. Andra Tharp is now at the U.S. Air Force Sexual Assault Prevention and Response Office. We are deeply saddened to note that Dr. Daniel Bontempo passed away during the final preparation of this manuscript for publication. He was an amazing colleague and friend to the Dating Matters team, and his deep statistical expertise, dry sense of humor, kindness, and collegial spirit will be sorely missed.
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Niolon, P.H., Estefan, L.F., DeGue, S. et al. High School Follow-Up of the Dating Matters® RCT: Effects on Teen Dating Violence and Relationship Behaviors. Prev Sci (2024). https://doi.org/10.1007/s11121-024-01648-z
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DOI: https://doi.org/10.1007/s11121-024-01648-z