202782 A community-level approach to violence prevention

Sunday, November 8, 2009

Patricia J. Kelly, PhD , School of Nursing, University of Missouri-Kansas City, Kansas City, MO
Janna Lesser, PhD, RN , School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, TX
An-Lin Cheng, PhD , School of Nursing, University of Missouri-Kansas City, Kansas City, MO
Background: Prevention strategies to address the problem of family and

community violence are seldom targeted to Hispanic youth. Using methods of community-based participatory research (CBPR), we tested the impact of a ten-session program (El Joven Noble-JN) developed for at-risk youth based on Hispanic cultural values of respect for self and others.

Methods: Fourteen elementary schools were randomly assigned to intervention or comparison groups. A Community Coordinating Council provided direction in implementing the intervention in after-school programs of a predominantly Hispanic community. Instruments assessed attitudes about violence, gangs, cultural pride and values. Data was collected at pre, post and three months post intervention. Hierarchical random-effect models were applied to study the relationships between dependent and independent variables.

Results: Data from 153 third, fourth and fifth grade students in the intervention and 107 in the comparison group showed no statistically significant differences between groups over time; sub-group analysis showed intervention group students who had engaged in teasing, hitting or fighting on pre-test (N=36) had significantly greater positive change in scores on JN values (P=.05) and attitudes about violence (P=.01) scales than students in the comparison group (N=32).

Discussion: Lack of significant results between groups may reflect the inability of instruments to detect subtle effects, or the fact that most youth reported no violent behaviors or positive attitudes about violence. Demonstrating impact with all youth reflects measurement challenges in primary prevention interventions.

Learning Objectives:
Explain how methods of community-based particpatory research can be applied to violence prevention Describe a culturally-specific approach to violence prevention in a Hispanic community.

Keywords: Community Participation, Violence Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: developing and implementing this program
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.