YES: Innovative Discussion for Engagement, Achievement, and Service
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 512
- 试验地点
- 2
- 主要终点
- Change in Bystander behaviors
研究概览
简要总结
The purpose of this study is to evaluate the efficacy of YES-IDEAS (YES: Innovative Discussion for Engagement, Achievement, and Service)compared to regular after school programming in increasing youth empowerment, promoting positive behaviors, and decreasing youth violence.
Through the evidence-based YES (Youth Empowerment Solutions) program, youth design and implement projects to help improve their communities. In the current study, investigators adapted the existing YES curriculum to empower youth from diverse backgrounds to reduce violent behavior. The adapted curriculum, YES-IDEAS, focus on middle school students.
The investigators test the effects of YES-IDEAS curriculum on youths' sense of empowerment, attitudes, and violent behavior. They designed the study to be a group-randomized trial in after-school programs across multiple middle schools in south-east Michigan, but issues that arose due to the COVID-19 pandemic and other practical issues with the schools we modified the design to be a matched control group design at the school level. Matching variables included size, geographic locations, race/ethnicity, free/reduced lunch status. Dose-response and sustainability of YES-IDEAS effects are also examined.
详细描述
Youth violence is a significant public health concern, as over 20% report being in a fight, 19% reported bullying someone, and 16% reported weapon carriage. Violent victimization among youth includes mental health sequelae in addition to the physical injury caused by violent behavior.
Positive development can be achieved by engaging youth in community improvement activities designed to empower them to avoid risky behaviors. Building on prior research and guided by previous studies of empowerment processes, the investigators developed an afterschool violence prevention program for middle-school students called Youth Empowerment Solutions (YES) for Peaceful Communities. Prior studies have described how YES engages youth in assessing neighborhood assets and liabilities for violence prevention and designing and implementing neighborhood or school projects to reduce violence. Results from prior YES evaluations found the YES program reduced violent behavior and increased positive behaviors in a comparison group design through the process of empowering youth to think critically about their community, develop plans for change, and implement their plans (i.e., program effects were mediated through empowered outcomes).
The existing YES curriculum was adapted to empower youth from various backgrounds to address to address bullying and promote positive behaviors as a way to reduce violent behavior. YES for Engaging Youth for Innovative Discussion for Engagement, Achievement and Service (YES-IDEAS) will focus on middle school students because this is a developmental period when independence from parents begins, their own ideas about peer relationships are formative, and when bullying behavior is at its peak. Empowering children to address violence at this critical developmental period may enable them to resist negative attitudes and behaviors. Working with an advisory board of experts and youth, we will develop and integrate lessons that address these behaviors into the existing YES curriculum.
The study includes two phases: 1) adapting YES and 2) testing YES IDEAS effects. Phase 1 included piloting and evaluating curriculum revisions through testing new modules and obtaining feedback from youth and teachers. Phase 2 tests the effects of YES IDEAS using a matched control trial in after-school programs across multiple middle schools across south-east Michigan. The investigators examine the effects of the curriculum on individual youths' sense of empowerment, attitudes, and violent behavior. Finally, dose-response and sustainability of YES IDEAS effects are examined.
The Specific Aims are:
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 10 Years 至 15 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Students enrolled in afterschool programs at multiple middle schools in Counties across south-east Michigan
- •Students in 6th through 8th grade
- •Students who assent
排除标准
- •Non-students
- •Students who do not assent or whose parents notify us of their refusal
研究组 & 干预措施
YES IDEAS
Students participate in the YES IDEAS program.
干预措施: YES IDEAS (Behavioral)
Control
Students participate in the regular after-school programming.
结局指标
主要结局
Change in Bystander behaviors
时间窗: Baseline (0 months), End of Program (3 months), 6 months, 9 months, 12 months
6 items on a 2-point scale from 0 (no) to 1 (yes) assess youths' bystander behaviors. A sample item is "Have you called out someone who says something bad about another race or makes a racial joke?" Higher scores indicate youth engage in more positive bystander behaviors. Items were adapted for the current study from Salmivalli et al., 1996.
Change in Social connections across diverse groups
时间窗: Baseline (0 months), End of Program (3 months), 6 months, 9 months, 12 months
8 items on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) assess youths' social connections across diverse groups of people. A sample item is: "I can be friends with someone from a different racial group." Higher scores indicate more social connections across diverse groups. Items were developed for the current study.
Change in Violence Perpetration
时间窗: Baseline (0 months), End of Program (3 months), 6 months, 9 months, 12 months
6 items on a 4 point Likert scale ranging from 1 (never) to 4 (3 or more times) assess the frequency of physical violence perpetration in the past 30 days. A sample item is "In the past 30 days, how often have you hit someone with your fists or beat up someone?" A higher score indicates more instances of violence perpetration in the past 30 days. Items were adapted for the current study from Hurd et al. (2011).
Change in Targeted Aggression
时间窗: Baseline (0 months), End of Program (3 months), 6 months, 9 months, 12 months
5 items on a 6-point Likert Scale ranging from 1 (never) to 6 (5 or more times) measure frequency of aggression targeted toward specific group in the past 30 days. A sample item includes "In the past 30 days, how often have you told lies or spread false rumors about someone because of their race?" Higher scores indicate more instances of targeted aggression perpetration. Items were adapted for the current study from the Multisite Violence Prevention Project (2004) and Brondolo et al. (2005).
Change in Prosocial behaviors
时间窗: Baseline (0 months), End of Program (3 months), 6 months, 9 months, 12 months
3 items on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) measure students' prosocial behavior. A sample item is "I am kind to other people." Higher scores indicate more prosocial behavior. Items were adapted for the current study from Nielsen et al., 2015.
Change in Social action for promoting equity
时间窗: Baseline (0 months), End of Program (3 months), 6 months, 9 months, 12 months
3 items on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) assess students' behaviors related to social action for promoting equity. A sample item is "I ask questions if people aren't being treated fairly." Higher scores mean more social action. Items were developed for the current study.
Change in Self Efficacy for Inclusion, Diversity, Equity, Acceptance, Solidarity
时间窗: Baseline (0 months), End of Program (3 months), 6 months, 9 months, 12 months
5 items on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) measure youths' beliefs about their abilities to promote inclusion, diversity, equity, acceptance, and solidarity. A sample item is "I can accept all different types of people." Higher scores indicate more self-efficacy. Items were developed for the current study.
Change in Privilege awareness
时间窗: Baseline (0 months), End of Program (3 months), 6 months, 9 months, 12 months
4 items on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) measure youths' privilege awareness. A sample item is "Not all racial or ethnic groups have the same chance to get ahead in life." Higher scores indicate greater privilege awareness. Items were developed for the current study.
Change in Recognizing strengths in people
时间窗: Baseline (0 months), End of Program (3 months), 6 months, 9 months, 12 months
3 items on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) assess youths' recognition of strengths in people. A sample item is "Everyone has something to offer." Higher scores indicate more recognition of strengths in people. Items were developed for the current study.
次要结局
未报告次要终点
研究者
Marc A. Zimmerman
Marshall H Becker Collegiate Professor of Public Health, Center Director, Institute of Firearm Research, Professor of Health Behavior and Health Education, School of Public Health and Professor of Psychology, College of Literature, Science, and the Arts
University of Michigan