Evaluation of the Close to Home Program in California: Assessing the Impact of Community Mobilization to Prevent Sexual Violence at the Individual, Social Network, and Community Levels
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 953
- 试验地点
- 3
- 主要终点
- Dating Violence Victimization- Coaching Boys into Men Modified Dating Violence Victimization/Perpetration Scale
研究概览
简要总结
Investigators propose to rigorously evaluate the Close to Home (C2H) model via a cluster-matched control trial across 18 diverse communities (9 C2H, 9 control) in California via collection and analyses of social network, school-based and social media data. Close to Home is a primary prevention community mobilization model implemented in 10 communities across California that engages community members across multiple sectors and social networks to strengthen community connections and shift social norms regarding sexual violence (SV), but has never been rigorously evaluated. C2H moves beyond criminal justice, lobbying, or school-based curricular approaches, taking a true community-level and community-led approach. This is a five-year project, funded by the Centers for Disease Control and Prevention (CDC) for 3 years with competitive awards for years 4 and 5, and is conducted in partnership with the California Department of Public Health (CDPH) and ValorUs (formerly CALCASA). The University of California, San Diego (UCSD) and CDPH partnership is uniquely poised to conduct the first rigorous evaluation of C2H in California at this time.
详细描述
Investigators propose to rigorously evaluate the Close to Home (C2H) model via a cluster-matched control trial across 18 diverse communities (9 C2H, 9 control) in California via collection and analyses of social network, school-based and social media data. Analyses of these data will provide evidence at the individual, interpersonal and community levels of the effectiveness of this community mobilization approach to reduce sexual violence (SV) incidence. California is uniquely poised to conduct this research, given a) the multiple, diverse of communities implementing C2H; b) California Department of Public Health (CDPH)'s 10-year commitment to building capacity to support local implementation of this model, and c) CDPH's ongoing partnership on RPE evaluation with University of California San Diego's Center on Gender Equity and Health, a center with the highest levels of expertise in evaluation of SV prevention programs, and the science of social norms, social networks and social media. A Research Advisory Board will be engaged and inform and guide these efforts throughout the project period. Investigators will accomplish this highly innovative effort via the following aims:
AIM 1. Develop and implement a cluster-matched control design in partnership with the RAB, including collecting baseline social network, school-based and social media data across 14 diverse California communities.
Hypothesis 1.1: Analyses of baseline social network data will demonstrate pathways of influence regarding SV social norms and behaviors among male and female youth ages 14-24 years.
Hypothesis 1.2: Analyses of triangulated YouGov and Twitter data will yield a valid, feasible social media-based assessment of SV social norms at the community-level for evaluation of SV prevention efforts.
AIM 2: Evaluate effects of the C2H model on SV social norms and incidence, as well as patterns of diffusion of these effects, via longitudinal analyses of social network data.
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
- 14 Years 至 24 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Must be between 14-24 years old
- •Must be enrolled in program with partner organization(s) or have been nominated by a peer enrolled in the partner programs
- •Provide informed consent to participate
排除标准
- •Under age 14
- •Over age 24
研究组 & 干预措施
Close to Home Intervention
Sites receiving the intervention arm were determined prior to the initiation of the research. The rape crisis center in each community applied for funding from the California Department of Public Health to implement the Close to Home model in their community and they were accepted via a competitive application process. Close to Home (C2H) is a community mobilization model developed in Boston and adapted for California and is specifically designed to prevent SV by strengthening community social connections and engaging whole communities in dialogue and action to transform social norms.
干预措施: Close to Home (Behavioral)
Control Program
The control program is the 4-H Youth Development Program, which is implemented across every county in California via the University of California Cooperative Extension. In 4-H programs, kids and teens complete hands-on projects in areas like health, science, agriculture and civic engagement in a positive environment where they receive guidance from adult mentors and are encouraged to take on proactive leadership roles. The model does not use community mobilization and does not address sexual violence.
Control communities were selected based on propensity score matching using sociodemographic and community-level variables related to risk for sexual violence. The closest match was recruited first, and a next-best match was used if the first match declined participation.
结局指标
主要结局
Dating Violence Victimization- Coaching Boys into Men Modified Dating Violence Victimization/Perpetration Scale
时间窗: 2 years
Two items measure dating violence victimization. Response options: yes, in the last 12 months; yes, prior to last 12 months; never. Items were adapted from Miller, E., Jones, K. A., Ripper, L., Paglisotti, T., Mulbah, P., \& Abebe, K. Z. (2020). An athletic coach-delivered middle school gender violence prevention program: A cluster randomized clinical trial. JAMA pediatrics, 174(3), 241-249.
LGBTQ+ and Gender Minority Violence- Victimization Scale
时间窗: 2 years
Nine items measure specific forms of sexual violence and harassment victimization experienced by sexual and gender minority youth. Response options: yes, in the last 12 months; yes, prior to last 12 months; never. Items adapted from Peitzmeier SM, Wirtz AL, Humes E. et al. The transgender-specific intimate partner violence scale for research and practice: Validation in a sample of transgender women. Social Science \& Medicine. 2021. 291: 114495. https://doi.org/10.1016/j.socscimed.2021.114495 and Scheer J, Woulfe JM, Goodman LA. Psychometric validation of the identity abuse scale among LGBTQ individuals. Community Psychology. 2018.
Virtual/Online Sexual Harassment - Digital Dating Abuse Scale
时间窗: 2 years
Two item measure sexual harassment victimization and six items measure perpetration online, over text, or through social media. Response options: yes, in the last 12 months; yes, prior to last 12 months; never. Items used are adapted from the Digital Dating Abuse Scale - Reed, L. A., Tolman, R. M., \& Ward, L. M. (2017). Gender matters: Experiences and consequences of digital dating abuse victimization in adolescent dating relationships. Journal of adolescence, 59, 79-89.
In-Person Sexual Harassment & Violence - Sexual Harassment & Violence Scale
时间窗: 2 years
One item measures in-person sexual harassment victimization and three items measure perpetration. Response options: yes, in the last 12 months; yes, prior to last 12 months; never. Items were adapted from Mitchell, K. J., Ybarra, M. L., \& Korchmaros, J. D. (2014). Sexual harassment among adolescents of different sexual orientations and gender identities. Child abuse \& neglect, 38(2), 280-295 and Miller, E., Jones, K. A., Ripper, L., Paglisotti, T., Mulbah, P., \& Abebe, K. Z. (2020). An athletic coach-delivered middle school gender violence prevention program: A cluster randomized clinical trial. JAMA pediatrics, 174(3), 241-249.
Dating Violence Perpetration- Coaching Boys into Men Modified Dating Violence Victimization/Perpetration Scale
时间窗: 2 years
Four items measure perpetration. Response options: yes, in the last 12 months; yes, prior to last 12 months; never. Items were adapted from Miller, E., Jones, K. A., Ripper, L., Paglisotti, T., Mulbah, P., \& Abebe, K. Z. (2020). An athletic coach-delivered middle school gender violence prevention program: A cluster randomized clinical trial. JAMA pediatrics, 174(3), 241-249.
Sexual Violence Victimization/Perpetration - Coaching Boys into Men Modified Perpetration Scale
时间窗: 2 years
One item measures in-person sexual violence victimization and twp items measure perpetration. Response options: yes, in the last 12 months; yes, prior to last 12 months; never. Items were adapted from Miller, E., Jones, K. A., Ripper, L., Paglisotti, T., Mulbah, P., \& Abebe, K. Z. (2020). An athletic coach-delivered middle school gender violence prevention program: A cluster randomized clinical trial. JAMA pediatrics, 174(3), 241-249.
次要结局
- Social Norms- Sexual Violence Social Norms Scale(2 years)
- Social Cohesion Scale(2 years)
- Community Connectedness Scale(2 years)
- Sense of Belonging Scale(2 years)
- Sense of Community Scale(2 years)
- Social Norms- Shared Concern about Sexual and Dating Violence Scale(2 years)
研究者
Jay G. Silverman, PhD
Professor of Global Public Health
University of California, San Diego