141st APHA Annual Meeting

In This section

284966
Results from the outcome evaluation of the start strong initiative

Monday, November 4, 2013

Shari Miller, PhD , Crime, Violence and Justice Family Research Program, RTI International, Research Triangle Park, NC
Stacey Cutbush, MA , Crime, Violence and Justice Family Research Program, RTI International, Research Triangle Park, NC
Jason Williams, PhD , Behavioral Health Research Division, RTI International, Research Triangle Park, NC
Deborah Gibbs, MSPH , Health and Well-Being of Women, Children and Families Program, RTI International, Research Triangle Park, NC
Monque Clinton-Sherrod, PhD , Risk Behavior and Family Research Program, RTI International, Research Triangle Park, NC
Sarah Jones, MPH , Risk Behavior and Family Research Program, RTI International, Research Triangle park, NC
Background: Teen dating violence is a serious public health problem. Yet, little is known about effective interventions, particularly targeting middle school youth. Purpose: This presentation will report on the evaluation results of Start Strong: Building Healthy Teen Relationships (Start Strong), a community-based initiative targeting promotion of healthy relationships to prevent teen dating violence (TDV) among 11-to 14-year-olds. . Significance: The results will add to the limited knowledge base on effective programming targeting prevention of TDV. Method: The quasi-experimental evaluation focused on three sites implementing the same curriculum (Safe Dates) with 7th graders, and other program components: social marketing, parent activities, and policy efforts. Comparison schools were selected that had similar demographics. This sample included 1,517 7th graders (49.7% female; 23.0% White, 28.2% African American, 32.6% Latino, 16.2% multiple/other). Student survey data were collected at four time points in grades 7 and 8. Results: Short-term impacts included reduced TDV acceptance and harmful gender stereotypes, and increased parent-child communication and positive dating relationships. Long-term effects include reduced TDV acceptance and harmful gender stereotypes. Results from moderation analyses indicated that students at greater risk showed improvements on outcomes where effects were not seen in the overall sample; this pattern persisted through wave 4. Conclusions: Results are encouraging and demonstrate the short- and long-term effectiveness of Start Strong. Findings from moderation analyses are noteworthy, given that high risk students account for a disproportionate amount of violence. The findings suggest that a multi-component, community-based initiative shows promise in reducing TDV among middle school students.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy

Learning Objectives:
Describe the design of the Start Strong outcome evaluation Identify results of the longitudinal outcomes for main effects Identify results of moderation analyses both on the short-term and long-term

Keywords: Interventions, Adolescents

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a research analyst at RTI International and have been involved in all aspects of this evaluation's design, sampling, data collection, and analyses. Also, I am a PhD candidate in UNC’s School of Public Health, Department of Health Behavior and Health Education, currently writing my dissertation on Teen Dating Violence.
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.