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                            Library & Multimedia
 School Health Center Intervention for Abusive Adolescent Relationships: A Cluster RCT
NCJ Number
              248664
Journal

*Pediatrics* Volume: 135 Issue: 1 Dated: January 2015 Pages: 76-85
Author(s)
          Elizabeth Miller;
                        Sandi Goldstein;
                        Heather L. McCauley;
                        Kelley A. Jones;
                        Rebecca N. Dick;
                        Johanna Jetton;
                        Jay G. Silverman;
                        Samantha Blackburn;
                        Erica Monasterio;
                        Lisa James;
                        Daniel J. Tancredi
Date Published

January 2015
Length
              10 pages
Annotation
              This article examined evidence-based interventions to address adolescent relationship abuse in clinical settings through cluster randomized controlled trial tests of the effectiveness of a brief relationship abuse education and counseling intervention in school health centers.
Abstract
              Few evidence-based interventions address adolescent relationship abuse in clinical settings. This cluster randomized controlled trial tested the effectiveness of a brief relationship abuse education and counseling intervention in school health centers (SHCs). In 2012-2013, 11 SHCs (10 clusters) were randomized to intervention (SHC providers received training to implement) or standard-of-care control condition. Among 1,062 eligible students ages 14 to 19 years at 8 SHCs who continued participation after randomization, 1,011 completed computer-assisted surveys before a clinic visit; 939 completed surveys 3 months later (93% retention). Interventions versus control adjusted mean differences (95% confidence interval) on changes in primary outcomes were not statistically significant: recognition of abuse = 0.10 (0.02 to 0.22); intentions to intervene = 0.03 (0.09 to 0.15); and knowledge of resources = 0.18 (0.06 to 0.42). Intervention participants had improved recognition of sexual coercion compared with controls (adjusted mean difference = 0.10 [0.01 to 0.18]). In exploratory analyses adjusting for intensity of intervention uptake, intervention effects were significant for increased knowledge of relationship abuse resources and self-efficacy to use harm reduction behaviors. Among participants reporting relationship abuse at baseline, intervention participants were less likely to report such abuse at follow-up (mean risk difference = 0.17 [0.21 to 0.12]). Adolescents in intervention clinics who reported ever being in an unhealthy relationship were more likely to report disclosing this during the SHC visit (adjusted odds ratio = 2.77 [1.29 to 5.95]). This is the first evidence of the potential benefit of a SHC intervention to address abusive relationships among adolescents. (Published Abstract)
      
  
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Date Published: January 1, 2015
    
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                Adolescent abuse
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