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Completed

NCT Number: NCT01678378

School Health Center Healthy Adolescent Relationship Program

This community-partnered participatory study will work within high school health centers (SHCs) to test, via a 2-armed cluster randomized controlled trial, a multi-level intervention to reduce adolescent relationship abuse (ARA) among adolescents ages 14-19. The goal of this study is to examine the effectiveness of the School Health Center Healthy Adolescent Relationships Program (SHARP) intervention in SHCs on individual SHC clients, the SHC clinic environment, and the schools in which the SHCs are located. Evaluation of the intervention will involve random assignment of eight comparable SHCs in the Greater Bay Area of California that provide comprehensive health services, to either intervention or control sites. Adolescent females and males ages 14-19 seeking care at any of these SHCs (N=1200) will be assessed via audio computer-assisted survey instrument (ACASI) at baseline and 16-20 weeks follow-up to examine intervention effects on knowledge and self-efficacy regarding ARA, harm reduction and ARA-related resources as well as intentions to intervene with peers. For youth reporting recent ARA victimization, the investigators will assess for increases in ARA disclosure, resource utilization, as well as reduction in ARA victimization.

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Key information

Conditions

Adolescent Relationship Abuse Behavior Harm Reduction

Age range

14 year–19 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Public Health Institute

Oakland, California, 94607, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • age 14-19
  • receiving services at one of the eight SHARP Intervention school health centers
  • able to read English or Spanish

Exclusion criteria

  • clients not of the specified age range
  • clients who are intoxicated or otherwise not able to provide their own consent

Treatment and study plan

SHARP Intervention

Behavioral

Providers and staff located in high school school health centers (i.e., nurse practitioners, nurses,physicians, health educators, medical assistants) will be trained to address adolescent relationship abuse with school health center clients using knowledge, skills, and resources gained through the SHARP Intervention training. The training includes strategies to help youth recognize adolescent relationship abuse among themselves and their peers, to learn strategies to increase safety (harm reduction), and to utilize adolescent relationship abuse-related resources.

Primary outcomes

  1. Recognition of adolescent relationship abuse

    Time frame: 4 months

    "Recognition of abusive behaviors" -- Between-arm adjusted mean differences on a 9-item summary scale

  2. Intentions to positively intervene in adolescent relationship abuse among peers

    Time frame: 4 months

    "Intentions to intervene" -- Between-arm adjusted mean differences on a 9-item summary scale

  3. Knowledge of violence victimization resources

    Time frame: 4 months

    "Knowledge of resources" -- Between arm differences of summary score of single items which assess the extent to which participants are aware of places they could go for specific support services.

Secondary outcomes

  1. Disclosure of adolescent relationship abuse to school health center providers

    Time frame: baseline (after clinic visit)

    Between-arm adjusted differences in proportion disclosing adolescent relationship abuse (ARA) to school health providers at baseline. Comparisons restricted to subgroup of clients reporting ARA on ACASI survey at baseline.

  2. Uptake of adolescent relationship abuse harm reduction and utilization of resources

    Time frame: 4 months

    Between-arm adjusted differences in proportion reporting any use of ARA resources in the 3-month period prior to the follow-up survey. Comparisons restricted to clients reporting ARA on ACASI survey at baseline.

  3. Adolescent relationship abuse victimization

    Time frame: 4 months

    Between-arm adjusted differences in proportion screened positive for at least one adolescent relationship abuse (ARA) behavior, based on screening tests for reproductive coercion, intimate partner and sexual violence victimization and psychological abuse. Comparisons restricted to clients reporting ARA at baseline.

  4. Knowledge of harm reduction strategies

    Time frame: 4 months

    Participants are presented with a series of harm reduction behaviors to reduce risk for ARA, and asked to what extent they are aware of these strategies and self-efficacy in enacting these behaviors based on a 7-point Likert-type scale

Sponsors and collaborators

Lead sponsor

University of Pittsburgh

Other

Registry information

Acronym: SHARP

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
Sep 5, 2012
Registry last updated
Apr 27, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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