School Health Center Healthy Adolescent Relationship Program

Not Applicable

Completed

• Conditions: Adolescent Relationship Abuse
• Interventions: Behavioral: SHARP Intervention

• Registration Number: NCT01678378
• Lead Sponsor: University of Pittsburgh

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2012-08-30
• Study Start: 2012-09
• Study First Submitted QC: 2012-09-04
• Study First Posted: 2012-09-05
• Primary Completion: 2013-07
• Study Completion: 2013-07
• Status Verified: 2015-04
• Last Update Submitted: 2015-04-24
• Last Update Posted: 2015-04-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1012

Inclusion Criteria

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

Exclusion Criteria

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

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

Primary Outcome Measures

Name	Time	Method
Recognition of adolescent relationship abuse	4 months	"Recognition of abusive behaviors" -- Between-arm adjusted mean differences on a 9-item summary scale
Knowledge of violence victimization resources	4 months	"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.
Intentions to positively intervene in adolescent relationship abuse among peers	4 months	"Intentions to intervene" -- Between-arm adjusted mean differences on a 9-item summary scale

Secondary Outcome Measures

Name	Time	Method
Adolescent relationship abuse victimization	4 months	Between-arm adjusted differences in proportion screened positive for at least one adolescent relationship abuse (ARA) behavior, based on screening tests for reproductive coercion, intimate partner and sexual violence victimization and psychological abuse. Comparisons restricted to clients reporting ARA at baseline.
Knowledge of harm reduction strategies	4 months	Participants are presented with a series of harm reduction behaviors to reduce risk for ARA, and asked to what extent they are aware of these strategies and self-efficacy in enacting these behaviors based on a 7-point Likert-type scale
Disclosure of adolescent relationship abuse to school health center providers	baseline (after clinic visit)	Between-arm adjusted differences in proportion disclosing adolescent relationship abuse (ARA) to school health providers at baseline. Comparisons restricted to subgroup of clients reporting ARA on ACASI survey at baseline.
Uptake of adolescent relationship abuse harm reduction and utilization of resources	4 months	Between-arm adjusted differences in proportion reporting any use of ARA resources in the 3-month period prior to the follow-up survey. Comparisons restricted to clients reporting ARA on ACASI survey at baseline.

Trial Locations

Locations (1)

Public Health Institute; 🇺🇸 Oakland, California, United States