Clinical trial NCT01367704: Evaluation Of "Coaching Boys Into Men" (CBIM) Program
Official title: A Randomized Controlled Trial of an Adolescent Relationship Abuse Prevention Program Entitled "Coaching Boys Into Men"
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Violence
Abuse
Keywords: gender-based violence
intimate partner violence
relationship abuse
sexual harassment
sexual violence
Lead sponsor: University of Pittsburgh
Sponsor class: OTHER
Collaborators: name: Centers for Disease Control and Prevention
First posted: 2011-06-07
Enrollment: 2006
Sex: MALE
Minimum age (years): 14
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: Despite the high prevalence of adolescent relationship abuse (ARA) reported among adolescent females and substantial reports of perpetration by young males, effective prevention programs to prevent ARA are limited. Male athletes are an important target for prevention efforts given their higher rates of abuse perpetration compared to non-athlete peers as well as their social influence among their peers. This cluster-randomized school-based investigation examines the effectiveness of a program for the primary prevention of ARA. "Coaching Boys into Men" (CBIM) is a social norms theory-based program intended to alter norms that foster ARA perpetration, promote bystander intervention, and reduce ARA perpetration by engaging athletic coaches as positive role models to deliver violence prevention scripts and tools to high school age male athletes. Coaches receive a 60-minute training session to administer the intervention to their athletes via 11 lessons across a sport season. Trained high school coaches talk to their male athletes about 1) what constitutes disrespectful and harmful vs. respectful behaviors, 2) promoting more gender-equitable attitudes, and 3) modeling bystander intervention when disrespectful behaviors toward women and girls are witnessed. The current investigation evaluates the intervention in 16 urban high schools randomized either to receive the CBIM program (i.e., intervention schools, n=8) or to a control condition (n=8). Baseline computer-based surveys are collected for all intervention and control site student athletes entering grades 9 through 12 at the start of each of three sports seasons across Year 1 (Time 1). Follow up surveys are collected for these same athletes at the end of their first sports season (Time 2). Participating athletes in grades 9 - 11 at baseline are re-surveyed 12 months after Time 1 to examine the longer term effects of the CBIM intervention (Time 3; N of athletes completing all 3 waves of data collection = 1500). Primary assessment of intervention effects are based on intent-to-treat estimates, utilizing generalized linear mixed models to account for clustering arising from school randomization. Hypothesized outcomes for male athletes include a) an increase in recognition of what constitutes abusive behaviors, b) more gender-equitable attitudes, c) an increase in intentions and reports of bystander intervention regarding ARA, and through these intermediate outcomes, d) a decrease in perpetration of ARA among adolescent male athletes.

Detailed description: Additional process evaluation includes baseline and follow up surveys with coaches (from both intervention and control arms), individual interviews with coaches, as well as focus groups with students to collect coach and athlete perspectives on the relevance and local impact of the intervention program.

Eligibility criteria: School Eligibility:

Inclusion Criteria

-urban and suburban public high schools in Sacramento region with athletics program

Exclusion Criteria -private high schools, rural high schools

Coach Eligibility:

Inclusion Criteria

* coaching an athletic team at one of the participating schools (intervention or control)
* age 18 or older

Exclusion Criteria

-not coaching an athletic team at the participating schools

Athlete Eligibility:

Inclusion Criteria

* ages 14-18 (grades 9 to 12)
* student at one of the participating high schools
* able to read English
* participating in an athletic program led by a coach willing to participate in the research study

Exclusion Criteria

* outside age range
* not participating on sports team at the high school in which they are enrolled

Primary outcomes:
measure: Change From Baseline to 3 Months Using the Recognition of Abusive Behavior Scale
timeFrame: 3 months
measure: Change From Baseline to 3 Months Using the Gender Equitable Attitudes Scale
timeFrame: 3 months
measure: Change From Baseline to 3 Months Using the Intentions to Intervene Scale
timeFrame: 3 months
Secondary outcomes:
Other outcomes:
Locations:
city: Pittsburgh
country: United States
facility: Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center
state: Pennsylvania
Study officials:
affiliation: Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center
name: Elizabeth Miller, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Jones KA, Tancredi DJ, Abebe KZ, Paglisotti T, Miller E. Cases of Sexual Assault Prevented in an Athletic Coach-Delivered Gender Violence Prevention Program. Prev Sci. 2021 May;22(4):504-508. doi: 10.1007/s11121-021-01210-1. Epub 2021 Jan 22.
citation: Miller E, Tancredi DJ, McCauley HL, Decker MR, Virata MCD, Anderson HA, O'Connor B, Silverman JG. One-year follow-up of a coach-delivered dating violence prevention program: a cluster randomized controlled trial. Am J Prev Med. 2013 Jul;45(1):108-112. doi: 10.1016/j.amepre.2013.03.007.
citation: Miller E, Tancredi DJ, McCauley HL, Decker MR, Virata MC, Anderson HA, Stetkevich N, Brown EW, Moideen F, Silverman JG. "Coaching boys into men": a cluster-randomized controlled trial of a dating violence prevention program. J Adolesc Health. 2012 Nov;51(5):431-8. doi: 10.1016/j.jadohealth.2012.01.018. Epub 2012 Mar 25.