Impact of a School-Based Dating Violence Prevention Program Among Latino Teens: Randomized Controlled Effectiveness Trial
Jan 1, 2006
Violence between dating partners represents a significant public health problem. Approximately 20 percent of U.S. teens report dating someone who became violent with them. Victims face the threat of injury and also an elevated risk of substance abuse, poor health, sexually risky behavior, pregnancy, and suicide. Several school-based programs designed to prevent dating violence have been developed, but few have been assessed to determine what works. In particular, no study has examined the effectiveness of prevention programs for Latino teens, a large and growing group in public schools. Latinos may suffer disproportionate harms from dating violence because they may be less likely to report the problem or to seek help. A study led by RAND Corporation psychologist Lisa Jaycox assessed the effectiveness of a school-based program tailored to Latino students in inner-city public high schools. The study found that the intervention created a long-term improvement in students' knowledge of dating violence, reduced tolerance for aggressive or violent behavior, and improved teens' perceptions about getting help if they experienced dating violence. The study also found that Latino teens are most likely to turn to peers for help, and consequently, peer counselors are a promising source for assistance.
The study evaluated "Ending Violence," a three-class-session prevention program. Developed by a Los Angeles-based nonprofit group called Break the Cycle, the program focuses on the law, highlighting legal rights of victims of domestic violence and legal responsibilities of perpetrators. The teachers are bilingual, bicultural attorneys. This program has three distinctive features: it is brief (three class sessions), it is compatible with existing health curricula, and it focuses on the legal dimension of dating violence. This perspective is usually new to teens—especially Latino teens in families that have recently immigrated—who may be unfamiliar with their rights under U.S. law or how to exercise them. The program also informs students about its legal services program, in which attorneys are available to teens at no cost to help them with dating violence issues.
The evaluation was conducted in ninth-grade health classes in 11 Los Angeles Unified School District high schools. All of the school populations had more than 80 percent Latino students. Classes were assigned randomly to receive the "Ending Violence" curriculum or the standard health curriculum. A total of 2,540 students from ten schools and 110 classes participated. Researchers assessed the program's immediate impact and longer-term impact (six months later) on student knowledge and judgments about dating violence, student propensity to seek help, and the level of victimization and dating violence experienced by students after the intervention.
|Was There a Positive Change Immediately After the Program?||Did the Change Persist Six Months After the Program?|
|Knowledge about violence and about dating violence||Yes||Yes|
|Acceptance of dating violence|
|Abusive or fearful dating experiences||No||No|
|Usefulness of seeking help from|
The evaluation found that the intervention had modest but significant effects in three areas: student knowledge, attitudes about female-on-male violence, and attitudes about seeking help (see the table). Specifically,
A striking finding emerged from baseline surveys: Although students viewed various institutional sources of support as helpful, they would be far more likely to turn to informal sources, such as friends, parents, or family members, for help should they ever experience dating violence. Each student was asked to rate how helpful a particular source would be in addressing dating violence, and then was asked how likely he or she would be to talk to such a source for help. Students responded using a 5-point scale—rating a particular source's helpfulness from zero ("not at all helpful") to four ("extremely helpful"), and rating the likelihood of talking to that source from "not at all likely" to talk to the source (zero) to "extremely likely" to talk to the source (four)—see the figure.
Notably, teens expressed positive views about the helpfulness of police, teachers, priests, and lawyers, but those views did not translate into a corresponding likelihood that they would turn to these sources for help if needed. The intervention improved teens' perceptions of police, lawyers, teachers, and school nurses as helpful, but the intervention improved their likelihood of seeking help only with respect to lawyers.
To explore student views of help-seeking behavior in greater depth, the research team conducted focus groups following the intervention. The sessions also explored attitudes about giving help to peers involved in dating violence. The focus groups underscored teens' propensity to turn to peers for help rather than to formal, institutional sources. Furthermore, most teens reported that they do not confide in or trust the adults in their social network. Teens also expressed reluctance to intervene in dating violence situations and did not perceive that their help would be effective.
Survey results also showed that teens who experience or witness aggression in their family life and among peers hold less negative attitudes about dating violence, so finding opportunities for reducing aggression in teens' daily lives may be helpful. In schools, a focus on reducing school and peer aggression and violence might bolster prevention efforts aimed at dating violence. Improving legal knowledge about dating violence may be a promising prevention element and could encourage victims of dating violence to seek help.
The results also suggest that another way to strengthen interventions is to target teen attitudes about seeking and giving help. Given Latino teens' inclination to seek help from peers, a promising avenue for intervention is the use of teens as peer educators to teach other teens about identifying and preventing dating violence. In addition, these teens can act as counselors who can link students with more formal sources of support, such as attorneys, police, and school personnel.
When giving help, teens would also benefit from a better understanding of how to aid others in an abusive relationship. The surveys and focus groups showed that teens are less likely to intervene in dating violence situations if they know the perpetrator. Intervention programs can educate teens about the importance of intervening when they witness an incident of violence or abuse among their friends and the best methods of doing so. Break the Cycle is already working with teens to develop such programs.