Evaluation Of "Coaching Boys Into Men" (CBIM) Program
Recruitment status was Active, not recruiting
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Purpose
Despite the high prevalence of adolescent relationship abuse (ARA) reported among adolescent females and substantial reports of perpetration by young males, effective prevention programs to prevent ARA are limited. Male athletes are an important target for prevention efforts given their higher rates of abuse perpetration compared to non-athlete peers as well as their social influence among their peers. This cluster-randomized school-based investigation examines the effectiveness of a program for the primary prevention of ARA. "Coaching Boys into Men" (CBIM) is a social norms theory-based program intended to alter norms that foster ARA perpetration, promote bystander intervention, and reduce ARA perpetration by engaging athletic coaches as positive role models to deliver violence prevention scripts and tools to high school age male athletes. Coaches receive a 60-minute training session to administer the intervention to their athletes via 11 lessons across a sport season. Trained high school coaches talk to their male athletes about 1) what constitutes disrespectful and harmful vs. respectful behaviors, 2) promoting more gender-equitable attitudes, and 3) modeling bystander intervention when disrespectful behaviors toward women and girls are witnessed. The current investigation evaluates the intervention in 16 urban high schools randomized either to receive the CBIM program (i.e., intervention schools, n=8) or to a control condition (n=8). Baseline computer-based surveys are collected for all intervention and control site student athletes entering grades 9 through 12 at the start of each of three sports seasons across Year 1 (Time 1). Follow up surveys are collected for these same athletes at the end of their first sports season (Time 2). Participating athletes in grades 9 - 11 at baseline are re-surveyed 12 months after Time 1 to examine the longer term effects of the CBIM intervention (Time 3; N of athletes completing all 3 waves of data collection = 1500). Primary assessment of intervention effects are based on intent-to-treat estimates, utilizing generalized linear mixed models to account for clustering arising from school randomization. Hypothesized outcomes for male athletes include a) an increase in recognition of what constitutes abusive behaviors, b) more gender-equitable attitudes, c) an increase in intentions and reports of bystander intervention regarding ARA, and through these intermediate outcomes, d) a decrease in perpetration of ARA among adolescent male athletes.
| Condition | Intervention |
|---|---|
|
Violence Abuse |
Behavioral: "Coaching Boys Into Men" program |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | A Randomized Controlled Trial of an Adolescent Relationship Abuse Prevention Program Entitled "Coaching Boys Into Men" |
- recognition of abusive behaviors [ Time Frame: 3 months and 12 months post intervention ] [ Designated as safety issue: No ]Recognition of disrespectful and harmful behaviors against girls as abusive comparing baseline and follow up mean scores
- gender equitable attitudes [ Time Frame: 3 months and 12 months post intervention ] [ Designated as safety issue: No ]Assessment of gender-equitable attitudes comparing baseline mean score with follow up mean score
- intentions to intervene [ Time Frame: 3 months and 12 months post intervention ] [ Designated as safety issue: No ]Proclivity to intervene when witnessing disrespectful and harmful behaviors among peers comparing baseline and follow up mean scores
- perpetration of abusive behaviors [ Time Frame: 3 months and 12 months post intervention ] [ Designated as safety issue: No ]self-report of perpetration of any of 10 abusive behaviors
- bystander intervention behaviors [ Time Frame: 3 months and 12 months post intervention ] [ Designated as safety issue: No ]With a list of nine abusive behaviors, participants report a) how many times they witnessed each behavior in the 3 months prior to the survey, and b) how they responded to the behavior
| Enrollment: | 2269 |
| Study Start Date: | October 2009 |
| Estimated Study Completion Date: | October 2011 |
| Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Control School
Control schools (where the coaches do not receive the Coaching Boys into Men (CBIM) training until following academic year 'wait list control')
|
Behavioral: "Coaching Boys Into Men" program
Coaching Boys into Men (CBIM) program consists of a 60 minute training for high school coaches led by a violence prevention advocate to introduce coaches to the rationale for CBIM and the CBIM Coaches Kit. The Coaches use this CBIM toolkit to provide weekly discussions with their athletes (generally 10-15 minute mini-sessions) throughout their athletic season (11 weeks). Discussion topics include how to prevent disrespectful and harmful behaviors towards women and girls and how to promote healthy choices and relationships among youth.
|
|
Experimental: Intervention School
Intervention schools (where coaches receive the CBIM training at start of sports season)
|
Behavioral: "Coaching Boys Into Men" program
Coaching Boys into Men (CBIM) program consists of a 60 minute training for high school coaches led by a violence prevention advocate to introduce coaches to the rationale for CBIM and the CBIM Coaches Kit. The Coaches use this CBIM toolkit to provide weekly discussions with their athletes (generally 10-15 minute mini-sessions) throughout their athletic season (11 weeks). Discussion topics include how to prevent disrespectful and harmful behaviors towards women and girls and how to promote healthy choices and relationships among youth.
|
Detailed Description:
Additional process evaluation includes baseline and follow up surveys with coaches (from both intervention and control arms), individual interviews with coaches, as well as focus groups with students to collect coach and athlete perspectives on the relevance and local impact of the intervention program.
Eligibility| Ages Eligible for Study: | 14 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
School Eligibility:
Inclusion Criteria
-urban and suburban public high schools in Sacramento region with athletics program
Exclusion Criteria -private high schools, rural high schools
Coach Eligibility:
Inclusion Criteria
- coaching an athletic team at one of the participating schools (intervention or control)
- age 18 or older
Exclusion Criteria
-not coaching an athletic team at the participating schools
Athlete Eligibility:
Inclusion Criteria
- ages 14-18 (grades 9 to 12)
- student at one of the participating high schools
- able to read English
- participating in an athletic program led by a coach willing to participate in the research study
Exclusion Criteria
- outside age range
- not participating on sports team at the high school in which they are enrolled
Contacts and Locations| United States, California | |
| Unversity of California, Davis School of Medicine, Department of Pediatrics | |
| Sacramento, California, United States, 95817 | |
| Principal Investigator: | Elizabeth Miller, MD, PhD | University of California, Davis School of Medicine, Department of Pediatrics |
More Information
No publications provided by University of California, Davis
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Elizabeth Miller, MD, PhD, University of California, Davis School of Medicine, Department of Pediatrics |
| ClinicalTrials.gov Identifier: | NCT01367704 History of Changes |
| Other Study ID Numbers: | 2007-15821-4, 1R01CE001561-01 |
| Study First Received: | June 1, 2011 |
| Last Updated: | June 27, 2011 |
| Health Authority: | United States: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control |
Keywords provided by University of California, Davis:
|
gender-based violence intimate partner violence relationship abuse sexual harassment sexual violence |
ClinicalTrials.gov processed this record on June 17, 2013