Clinical trial NCT03994016: Evaluation of the WiseGuyz Program for Adolescent Boys
Official title: Preventing Adolescent Dating Violence Through Gender-Transformative Healthy Relationships Promotion: The WiseGuyz Program
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Violence, Gender-Based
Keywords: Adolescent dating violence
Positive mental health
Sexual health
Lead sponsor: University of Calgary
Sponsor class: OTHER
Collaborators: name: Public Health Agency of Canada (PHAC)
First posted: 2019-06-21
Enrollment: 437
Sex: MALE
Minimum age (years): 13
Maximum age (years): 16
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: WiseGuyz' integrated and sequential curriculum is comprised of four core modules and 20 sessions per module. Sessions are a mix of targeted education, group discussion, and skills development (e.g., role play). The sequence of the modules is critical as each module builds into the next. The modules are:

Module 1: Healthy Relationships (6 sessions) Module 2: Sexual Health (5 sessions) Module 3: Gender, Sexuality and the Media (5 sessions) Module 4: Advocacy and Leadership (4 sessions)
Primary purpose: PREVENTION

Brief summary: Adolescent dating violence (ADV) is a pressing public health problem in North America, and strategies to prevent perpetration are needed. To this end, a substantial body of research demonstrates the importance of applying a gender lens to target root causes of ADV. To date, however, there has been limited research on how to specifically engage boys in ADV prevention. As such, this protocol describes the evaluation of a program called WiseGuyz, a community-facilitated, gender-transformative healthy relationships program for mid-adolescent (\~ages 13-15) male-identified youth. WiseGuyz aims to reduce male-perpetrated ADV, and improve mental and sexual health, by helping participants identify and deconstruct male gender role norms, and explore healthier, more inclusive ways of being a guy in the world. The primary goal of this evaluation is to explore the impact of WiseGuyz on ADV outcomes among mid-adolescent male-identified youth, using a mixed-methods, longitudinal, quasi-experimental design with a matched comparison group.

Detailed description: Study Design and Overview:

In this project, the investigators will examine the association between participation in the WiseGuyz program and ADV outcomes. The investigators will use a mixed-methods, quasi-experimental design with pre-test, post-test and one-year follow-up surveys, engaging participants from two Western Canadian school divisions. Through focus groups with youth participants, the investigators will contextualize quantitative survey data, to deepen understanding of how WiseGuyz may promote the prevention of ADV.

Participants:

The investigators plan to recruit approximately 700-800 grade nine male-identified youth in 7 participating schools.

Procedures:

The investigators will make presentations on the research project to all grade 9 youth at participating schools. Any male-identified youth in grade 9 is welcome to participate, regardless of their involvement with WiseGuyz. Interested participants will need to provide signed parent/guardian consent (paper or electronic) and themselves complete an assent form to participate in the research. Quantitative data will be collected in three cohorts (Cohort One - pre-test: October 2019; post-test: May 2020; one-year follow-up: May 2021; Cohort Two - pre-test: October 2021; post-test: May 2022; one-year follow-up: May 2023; Cohort Three - pre-test: October 2022; post-test: May 2023; one-year follow-up: May 2024). An additional cohort needed to be added due to COVID-19 related study disruptions in 2019-20, 2020-21, and 2021-22.

The investigators will gather qualitative focus group data from approximately 60 WiseGuyz participants immediately post-intervention. Cohort One focus groups will occur in May 2020, Cohort Two focus groups will occur in May 2021. The investigators will also interview school leadership in Spring 2021. \*note: due to COVID-19 disruptions, focus groups/interviews will only occur with Cohort 3 in Spring 2023\*

To understand program implementation, implementation tracking data will be collected at the start of the program year, immediately following each WiseGuyz session, at the end of each WiseGuyz module, and at the end of the program year. The investigators will collect these data from October 2019-May 2023.

Eligibility criteria: Inclusion Criteria:

* all participants need to be enrolled in the 9th grade in 2019-20, 2021-22 or 2022-23 in order to participate (study length extended due to COVID-19 disruptions in 2019-20, 2020-21 and 2021-22).

Exclusion Criteria:

* individuals who are not male-identified and not in the 9th grade at one of the participating schools in 2019-20, 2021-22 or 2022-23 will not be invited to participate.

Primary outcomes:
measure: Bystander intervention behaviours for violence prevention
timeFrame: Cohort 1: up to 12 months; Cohort 2: up to 12 months
Secondary outcomes:
measure: Adolescent dating violence perpetration
timeFrame: Cohort 1: 12 months; Cohort 2: 12 months
measure: Positive mental health
timeFrame: Cohort 1: 12 months; Cohort 2: 12 months
measure: Bullying perpetration
timeFrame: Cohort 1: 12 months; Cohort 2: 12 months
measure: Friendship closeness
timeFrame: Cohort 1: 12 months; Cohort 2: 12 months
measure: Homophobic name-calling
timeFrame: Cohort 1: 12 months; Cohort 2: 12 months
measure: Sexual health self-efficacy
timeFrame: Cohort 1: up to 12 months; Cohort 2: up to 12 months
measure: Adherence to male role norms
timeFrame: Cohort 1: Immediate post-test; Cohort 2: Immediate post-test
measure: Attitudes towards sexual minorities
timeFrame: Cohort 1: Immediate post-test; Cohort 2: immediate post-test
measure: Dating abuse awareness
timeFrame: Cohort 1: Immediate post-test; Cohort 2: Immediate post-test
measure: Intentions to intervene with peers
timeFrame: Cohort 1: Immediate post-test; Cohort 2: Immediate post-test
measure: Help-seeking
timeFrame: Cohort 1: Immediate post-test; Cohort 2: Immediate post-test
Other outcomes:
Locations:
city: Calgary
country: Canada
facility: University of Calgary
state: Alberta
Study officials:
affiliation: University of Calgary
name: Deinera Exner-Cortens, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Exner-Cortens D, Hurlock D, Wright A, Carter R, Krause, P. Preliminary evaluation of a gender-transformative healthy relationships program for adolescent boys [published online ahead of print January 31, 2019]. Psychol Men Masculin. doi:10.1037/men0000204
citation: Claussen C. Men engaging boys in healthy masculinity through school-based sexual health education [published online ahead of print August 10, 2018]. Sex Education. doi:10.1080/14681811.2018.1506914
citation: Claussen C. The WiseGuyz Program: Sexual health education as a pathway to supporting changes in endorsement of traditional masculinity ideologies. The Journal of Men's Studies. 25(2): 150-167, 2016.