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- (PDF) Development and validation of the Conflict in Adolescent Dating Relationships Inventory
- Development and validation of the Conflict in Adolescent Dating Relationships Inventory
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(PDF) Development and validation of the Conflict in Adolescent Dating Relationships Inventory
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Secon d orde r factor s. Relationa l abus e. Thi s stud y investigate d construc t validit y. CADRI , base d. Datin g couple s fro m. Datin g couple s wer e recruite d. Informe d consen t. Results showed acceptable reliability indices and confirmatory factor analyses revealed a good model fi t. Indicators of convergent, concurrent and predictive validity are also provided. Although the sensitivity of the new short form was lower than that of the full scale, findings provided initial evidence of the validity of the CADRI-S and its potential applications are discussed.
Future studies should evaluate its psychometric properties using an independent administration of the short and full form to the same participants. Students who transferred schools were included for analysis purposes in the intervention group to which they had been randomized. Students were located at follow-up in their original schools; if they had moved or left the province, attempts were made to locate them through school records or information provided at baseline eg, e-mail, family physician, or a relative.
To estimate the cost of the intervention, we calculated the cost of teacher release time for 1 day of training and the cost of the curriculum and video resources. Categorical data for primary and secondary outcomes were analyzed using 2-level hierarchical models to account for clustering of students in schools. Intervention effects at follow-up were estimated using random-effects Bernoulli models, with school as a random effect. Intention-to-treat analyses for PDV were performed with all randomized participants, with missing values on the outcome measure assigned the value 0.
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Although loss to follow-up was expected to be random with respect to intervention group, sensitivity analyses were conducted to determine the robustness of the findings relative to missing data. Separate analyses were also conducted using the subsample of students who had been dating in the year before follow-up. Stratification variables, baseline score, and sex were included in the adjusted models.
Students who had missing data on baseline scores were omitted from the fitted models. In all analyses, the reported OR estimates the relative odds of a control student using physical violence compared with an intervention student ie, the OR should not be interpreted as a ratio of adjusted PDV rates. The trial flow diagram of clusters and students is shown in the Figure. Of the potentially eligible students in 20 participating schools, Intervention schools had higher consent rates, a result that possibly reflects teacher effort to obtain consent as a result of their greater familiarity with the intervention.
Flow diagram of schools and students randomized to the control and intervention groups.
Development and validation of the Conflict in Adolescent Dating Relationships Inventory
Baseline characteristics of schools and students by group are given in Table 1. Schools had large student bodies, were split equally between urban and rural locations, and had comparably experienced teachers. The parents of most participants were married, were employed, and had some postsecondary education. Both groups were similar in terms of student risk behaviors, with physical peer violence being the most commonly reported and PDV the least reported at baseline.
By the end of grade 11, PDV had increased from 1. The PDV was significantly higher for students in control schools at follow-up than for those in intervention schools 9. Boys in intervention schools were less likely than boys in control schools to engage in dating violence 2. However, girls had similar rates of PDV in both groups Similar results were obtained when the analysis was restricted to the dating subsample Table 3. Differences between the control and intervention groups were not significant for physical peer violence In particular, condom use among sexually active boys was greater in intervention schools of [ Because these analyses were based on only of teens There were no adverse events reported.
The reduction of violence in relationships is a national and international priority. We found support for the hypothesis that teaching youth about healthy relationships and ways to avoid PDV in Grade 9 Health classes would reduce PDV 2. Because the program integrated a focus on healthy relationships into the related topics of sexual health, substance use, and peer violence, we examined these outcomes in secondary analyses.
Although overall rates of substance use and peer violence were unaffected by the intervention, exploratory analyses indicated that boys in the intervention schools reported safer sexual practices indicated by always using condoms. This finding is potentially important given recent evidence that nonuse of condoms is higher in adolescent male perpetrators of dating violence, particularly in the context of steady relationships.
These results should first be considered in light of the limitations of the study. One challenge is the use of self-reported acts of dating violence perpetration, which cannot capture the intensity, frequency, or context of such behavior. Like other researchers in this area, we measured PDV by having respondents indicate whether they have performed a specific act, such as hitting, pushing, or threatening a partner with harm.
Such reports do not encompass motivations or circumstances surrounding violent acts or distinguish between acts of offense or defense, which may account for the higher rates of PDV reported by girls than by boys. Furthermore, although modification of self-report is a possibility, it is unlikely to be a confounding factor of the intervention. Boys in the control schools received similar information about dating violence without skills training , which would presumably affect their awareness of social norms as well. The message about the unacceptability of violence was similar between groups, whereas the interactive, skills-based delivery and the focus on positive relationship skills differed.
The extent to which these findings can be generalized to all youths is limited by 3 sample characteristics. First, these findings apply only to high school students who were attending school at follow-up and may not be representative of all persons in this age group. Second, youths did not specify their sexual orientation, so it is not possible to determine whether the findings would be the same for gay and lesbian relationships.
Finally, adolescents were predominantly from white, 2-parent families. The extent to which the patterns generalize to youths of different ethnicities or family characteristics remains unknown. The issue of the higher reports of PDV among girls and their limited response to intervention warrants careful consideration. Rates of aggressive behavior have increased disproportionately for girls compared with boys during the past 2 decades, yet relatively little is known about risk factors for girls.
That is, if girls are more likely to use violence in response to violence and are less able to compel condom use compared with boys, then their reported behavior may, in fact, be in response to the negative behavior of dating partners. The understanding of the context in which these behaviors occur is essential to developing appropriate programs.
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Although the current approach had a gender-strategic design, more contextual information about the nature of violence experienced by each sex would help the development of more targeted interventions. For example, if much of the violence and unsafe sex experienced by girls is found to be in the context of relationships with much older partners, it might be important to include information and considerations about dating older partners in the activities for girls.
In such relationships, the focus might need to be on ending the relationship rather than expecting the girls to promote healthier relationship skills in a relationship that probably has a significant imbalance of power and control. The present program was timed to coincide with the transition to high school, a time of considerable adjustment and pressure for most youths. Nationally representative data show that PDV based on victimization reports increases from 7. However, a steep rise in other risk behaviors, such as binge drinking, marijuana use, and sexual activity, 2 also occurs between grades 8 and 11, and these behaviors were largely unaffected by the intervention.
Baseline data collected at the beginning of grade 9 indicate that almost a quarter of youths were already using peer violence and close to 1 in 5 were at problem levels of substance use experimentation. Earlier and more prolonged interventions are necessary to reduce these related problem behaviors.
The present evaluation of the Fourth R: Skills for Youth Relationships suggests that methods developed for single-focused interventions eg, skills-based, interactive delivery can be combined effectively from a core relationship perspective. As in related trials, teachers with supplementary training can implement evidence-based prevention programs with sufficient fidelity and effectiveness to garner significant improvements over status quo classroom methods.
The focus on embedding the program into curriculum that meets the guidelines for mandatory classes in high schools provides a vehicle for widespread dissemination and sustainability far beyond that which can be achieved by add-on programs. Furthermore, the low cost associated with the intervention removes a potential barrier to sustainability that is found with more expensive interventions.
Similar to efforts made with academic subjects, the best policy may involve earlier introduction of these important topics at a lower grade level, with increasing knowledge and practice introduced in core courses throughout high school.