142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

297569
Adaptations of “Coaching Boys Into Men:” Exploring the role of messengers in presenting a dating violence prevention program

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 10:30 AM - 10:48 AM

Maria Catrina Jaime, MPH, CPH , Division of Adolescent Medicine, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA
Caroline Lippy, PhD , Division of Violence Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Kimberley Freire, PhD, MPH , Division of Violence Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Leah Perkinson, MPH , Division of Violence Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Samantha Ciaravino, BS , Division of Adolescent Medicine, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA
Elizabeth Miller, MD, PhD , Division of Adolescent Medicine, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA
Background

Coaching Boys into Men (CBIM) is an evidence-based, coach-delivered dating violence prevention program.1,2 As its dissemination grows, CBIM is increasingly delivered by non-coach implementers. Little is known, however, about how this adaptation influences program outcomes. The current study explored the implementation of CBIM in two high schools to examine athletes’ outcomes and perceptions of CBIM messages when changing who delivers CBIM from a coach to a domestic violence (DV) advocate.

Methods

Via random assignment, one school received CBIM delivered by male coaches (original model) and the other school received CBIM delivered by a male DV advocate (adapted model). We conducted quantitative pre/post surveys with coaches (n= 28) and male athletes (n= 158), and we collected several forms of qualitative data, including observations of delivery, interviews with coaches and focus groups with athletes.  We used paired t-tests to compare mean change scores. We coded transcripts and conducted thematic analyses.

Results

We found no significant differences by school in athletes’ intentions to intervene, knowledge of abuse or positive bystander behaviors. Athletes reported positive views of and relationships to both coaches and the DV advocate. Several implementer characteristics influenced athletes’ perceptions of CBIM messages.

Conclusions

Findings suggest that athletes may be similarly receptive to CBIM messages delivered by both coaches and male DV advocates. Using DV advocates in addition to coaches can increase the spread and reach of CBIM by increasing the number of potential implementers. We will discuss implications for making adaptations to the delivery of other evidence-based violence prevention programs.

Learning Areas:

Advocacy for health and health education
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Discuss adaptations being made to the delivery of “Coaching Boys Into Men” (CBIM) program. Identify the impact of adapting who delivers CBIM from a coach to a domestic violence advocate. Identify the implications of adapting the implementer to the spread and reach of CBIM.

Keyword(s): Youth Violence, Evidence-Based Practice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the lead Clinical Research Coordinator in the Division of Adolescent Medicine, Children's Hospital of Pittsburgh. I oversee clinical and community-based research projects led by Dr. Elizabeth Miller. I was the project manager for the “Coaching Boys Into Men” (CBIM) Adaptation Study in the Pittsburgh region. I am currently the key personnel working with Dr. Miller in the adaptation and implementation of the CBIM in Southwestern PA.
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.