School Health Center Healthy Adolescent Relationship Program

NCT01678378 | Completed DMC

• 1 other identifier: 12020646
• Study Type: interventional
• Target: 1,012
• Locations: 1 country
• Sites: 1

Brief Summary

This community-partnered participatory study will work within high school health centers (SHCs) to test, via a 2-armed cluster randomized controlled trial, a multi-level intervention to reduce adolescent relationship abuse (ARA) among adolescents ages 14-19. The goal of this study is to examine the effectiveness of the School Health Center Healthy Adolescent Relationships Program (SHARP) intervention in SHCs on individual SHC clients, the SHC clinic environment, and the schools in which the SHCs are located. Evaluation of the intervention will involve random assignment of eight comparable SHCs in the Greater Bay Area of California that provide comprehensive health services, to either intervention or control sites. Adolescent females and males ages 14-19 seeking care at any of these SHCs (N=1200) will be assessed via audio computer-assisted survey instrument (ACASI) at baseline and 16-20 weeks follow-up to examine intervention effects on knowledge and self-efficacy regarding ARA, harm reduction and ARA-related resources as well as intentions to intervene with peers. For youth reporting recent ARA victimization, the investigators will assess for increases in ARA disclosure, resource utilization, as well as reduction in ARA victimization.

Conditions

Adolescent Relationship Abuse

Keywords

Adolescent; Intervention; Female; Male; Interpersonal Relations; School Health Services; Community-Based Participatory Research; Randomized Controlled Trial; Health Care Provider; Training Program; Harm Reduction; Prevention; Reproductive Coercion; Tech-Based Abuse; Social Environment; Sexual Partners

Outcome Measures

Primary Outcomes (3)

• Recognition of adolescent relationship abuse

  "Recognition of abusive behaviors" -- Between-arm adjusted mean differences on a 9-item summary scale

  4 months

• Intentions to positively intervene in adolescent relationship abuse among peers

  "Intentions to intervene" -- Between-arm adjusted mean differences on a 9-item summary scale

  4 months

• Knowledge of violence victimization resources

  "Knowledge of resources" -- Between arm differences of summary score of single items which assess the extent to which participants are aware of places they could go for specific support services.

  4 months

Secondary Outcomes (4)

• Disclosure of adolescent relationship abuse to school health center providers

  baseline (after clinic visit)

• Uptake of adolescent relationship abuse harm reduction and utilization of resources

  4 months

• Adolescent relationship abuse victimization

  4 months

• Knowledge of harm reduction strategies

  4 months

Study Arms (2)

SHARP Intervention

EXPERIMENTAL

School health centers randomized to the SHARP Intervention will be trained to address adolescent relationship abuse with school health center clients.

Behavioral: SHARP Intervention

Control

NO INTERVENTION

School health centers randomized to Control will provide standard of care.

Interventions

SHARP Intervention BEHAVIORAL

Providers and staff located in high school school health centers (i.e., nurse practitioners, nurses,physicians, health educators, medical assistants) will be trained to address adolescent relationship abuse with school health center clients using knowledge, skills, and resources gained through the SHARP Intervention training. The training includes strategies to help youth recognize adolescent relationship abuse among themselves and their peers, to learn strategies to increase safety (harm reduction), and to utilize adolescent relationship abuse-related resources.

SHARP Intervention

Eligibility Criteria

• Age: 14 Years - 19 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• age 14-19
• receiving services at one of the eight SHARP Intervention school health centers
• able to read English or Spanish

You may not qualify if:

• clients not of the specified age range
• clients who are intoxicated or otherwise not able to provide their own consent

Sponsors & Collaborators

• University of Pittsburgh: lead

Study Sites (1)

Public Health Institute

Oakland, California, 94607, United States

Location

Related Publications (4)

• Miller E, Goldstein S, McCauley HL, Jones KA, Dick RN, Jetton J, Silverman JG, Blackburn S, Monasterio E, James L, Tancredi DJ. A school health center intervention for abusive adolescent relationships: a cluster RCT. Pediatrics. 2015 Jan;135(1):76-85. doi: 10.1542/peds.2014-2471. Epub 2014 Dec 22.

  PMID: 25535265 RESULT

• Dick RN, McCauley HL, Jones KA, Tancredi DJ, Goldstein S, Blackburn S, Monasterio E, James L, Silverman JG, Miller E. Cyber dating abuse among teens using school-based health centers. Pediatrics. 2014 Dec;134(6):e1560-7. doi: 10.1542/peds.2014-0537. Epub 2014 Nov 17.

  PMID: 25404724 RESULT

• McCauley HL, Dick RN, Tancredi DJ, Goldstein S, Blackburn S, Silverman JG, Monasterio E, James L, Miller E. Differences by sexual minority status in relationship abuse and sexual and reproductive health among adolescent females. J Adolesc Health. 2014 Nov;55(5):652-8. doi: 10.1016/j.jadohealth.2014.04.020. Epub 2014 Jun 21.

  PMID: 24962502 RESULT

• Hill AL, Jones KA, McCauley HL, Tancredi DJ, Silverman JG, Miller E. Reproductive Coercion and Relationship Abuse Among Adolescents and Young Women Seeking Care at School Health Centers. Obstet Gynecol. 2019 Aug;134(2):351-359. doi: 10.1097/AOG.0000000000003374.

  PMID: 31306331 DERIVED

Related Links

• U.S. Department of Justice Final Report

MeSH Terms

Conditions

Harm Reduction

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Sandi Goldstein

  Pubic Health Institute

  PRINCIPAL INVESTIGATOR

• Elizabeth Miller, MD, PhD

  University of Pittsburgh, Children's Hospital of Pittsburgh of UPMC

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 30, 2012
• First Posted: September 5, 2012
• Study Start: September 1, 2012
• Primary Completion: July 1, 2013
• Study Completion: July 1, 2013
• Last Updated: April 27, 2015

Record last verified: 2015-04

Locations

US (1)