Expect Respect Middle School Randomized Trial

Adolescent Behavior Clinical Trial

Official title:

Expect Respect Middle School: Preventing Serious and Lethal Violence Among Youth With Prior Violence Exposure

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04095429
• Other study ID #: STUDY18080006
• Secondary ID: R01CE002981
• Status: Completed
• Phase: N/A
• Start date: October 3, 2019
• Est. completion date: August 31, 2022

Study information

• Verified date: September 2022
• Source: University of Pittsburgh
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This cluster-randomized school-based study will examine the effectiveness of a teen dating violence (TDV) and sexual violence (SV) prevention program called Expect Respect for preventing serious violence perpetration among middle school students.

Description:

This cluster-randomized controlled school-based study will examine the effectiveness of a support group-based teen dating violence (TDV) and sexual violence (SV) prevention program on the primary prevention of serious (and potentially lethal) violence perpetration among middle school students (both male and female-identified) who have prior exposure to trauma and violence. Expect Respect gender-specific support groups are for youth with prior history of exposure to violence including witnessing domestic violence, loss of loved one to homicide, TDV, and SV.

Expect Respect is a theory and research-informed program intended to alter norms condoning violence and rigid gender expectations that foster violence perpetration, promote bystander intervention, and reduce TDV/SV perpetration. Implemented by trained facilitators, the 24-session curriculum focuses on gender equity and respect, recognizing abuse and impact on self and others, regulating emotions, skills for healthy relationships, and becoming active proponents of safe and healthy relationships.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 635
• Est. completion date: August 31, 2022
• Est. primary completion date: August 17, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 11 Years to 15 Years

Eligibility

Inclusion Criteria:

• Participants must be in grades 7-8

• Participants must be referred by school personnel

• Participants must speak English

Exclusion Criteria:

• Not in 7th- 8th grade

• Not referred to the group by school personnel

• Does not speak English

Related Conditions & MeSH terms

• Adolescent Behavior
• Communication, Personal
• Coping Skills
• Emotional Abuse
• Group, Peer
• Violence in Adolescence
• Violence, Domestic
• Violence, Non-accidental
• Violence, Physical
• Violence, Sexual

Intervention

Behavioral:
• Expect Respect
Expect Respect is a 24 session curriculum designed to support middle school students to increase skills in emotion regulation, relationship skills, communication, and positive bystander intervention behaviors.
• Enhanced Usual Care
Participants will be connected via a warm referral to available individual behavioral health supports and resources in their community that can support them.

Locations

Country	Name	City	State
United States	University of Pittsburgh	Pittsburgh	Pennsylvania

Sponsors (2)

Lead Sponsor	Collaborator
University of Pittsburgh	Centers for Disease Control and Prevention

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change from baseline in self-reported recent (past 3 months) violence perpetration at End of Program	Summary score of violence perpetration likely to result in serious injury or death (physical and sexual TDV - 4 items, SV - 5 items, threats with a weapon - 1 item, and physical fighting - 1 item), calculated as one point for each behavior endorsed and then summed (possible range: 0-11).	End of program (average 24-30 weeks after baseline, Time 2 - primary endpoint)
Primary	Change from baseline in self-reported recent (past 3 months) violence perpetration at one year after baseline	Summary score of violence perpetration likely to result in serious injury or death (physical and sexual TDV - 4 items, SV - 5 items, threats with a weapon - 1 item, and physical fighting - 1 item), calculated as one point for each behavior endorsed and then summed (possible range: 0-11).	One year after baseline (Time 3)
Secondary	Change from baseline in frequency of weapon carrying at End of Program	Number of times carrying a weapon in past 30 days (self-reported)	End of program (average 24-30 weeks after baseline, Time 2 - primary endpoint)
Secondary	Change from baseline in frequency of weapon carrying at one year after baseline	Number of times carrying a weapon in past 30 days (self-reported)	One year after baseline (Time 3)
Secondary	Change from baseline in positive bystander behaviors at End of Program	Past 3 month positive bystander behavior in participants when witnessing disrespectful and harmful behavior among peers comparing baseline and follow up summary scores. Participants report if they have witnessed each of 9 peers' abusive behaviors in the past 3 months and if witnessed, how they responded (whether they intervened to interrupt the behavior, provided support to the person being harmed). One point is given for reporting at least 1 positive intervention for each abusive behavior witnessed; points are added to create a summary score (possible range: 0-9).	End of program (average 24-30 weeks after baseline, Time 2 - primary endpoint)
Secondary	Change from baseline in positive bystander behaviors at one year after baseline	Past 3 month positive bystander behavior in participants when witnessing disrespectful and harmful behavior among peers comparing baseline and follow up summary scores. Participants report if they have witnessed each of 9 peers' abusive behaviors in the past 3 months and if witnessed, how they responded (whether they intervened to interrupt the behavior, provided support to the person being harmed). One point is given for reporting at least 1 positive intervention for each abusive behavior witnessed; points are added to create a summary score (possible range: 0-9).	One year after baseline (Time 3)