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Implementing a Coach-Delivered Dating Violence Prevention Program with High School Athletes

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Abstract

Teen dating violence and sexual violence are severe public health problems. Abusive behaviors within the context of dating or romantic relationships are associated with adverse health outcomes. Promoting positive bystander intervention and increasing knowledge of abusive behaviors are promising strategies for preventing dating and sexual violence. Coaching Boys Into Men (CBIM) is an evidence-based, athletic coach-delivered dating violence prevention program that has been shown to increase positive bystander behaviors and reduce abuse perpetration among high school male athletes. Identifying specific barriers and facilitators based on the coaches’ experiences with program delivery combined with the coaches’ and athletes’ program perceptions may help optimize future CBIM implementation and sustainability. Semi-structured interviews with coaches (n = 36) explored the implementers’ perspectives on strategies that worked well and potential barriers to program implementation. Ten focus groups with male athletes (n = 39) assessed their experiences with CBIM and the suitability of having their coaches deliver this program. Coaches described using the CBIM training cards and integrating program delivery during practice. Athletes reported coaches routinely delivering the CBIM program and adding their own personal stories or examples to the discussions. Key facilitators to program implementation include support from the violence prevention advocate, the ease of integrating CBIM into the sports season, and using the program materials. Barriers to implementation included finding sufficient time for the program, dynamics of delivering sensitive program content, and participant constraints. Coaches and athletes alike found the program feasible and acceptable to implement within the sports setting. Both coaches and athletes offered insights on the implementation and the feasibility and acceptability of CBIM within school-based athletic programs. These experiences by implementers and recipients alike can inform future dissemination and implementation efforts of CBIM. Further, by pinpointing where and how coaches were successful in implementing the program and what resonated with athletes, can help better understand how CBIM is effective in promoting athletes to stop violence against women and girls. Coach and athlete reflections on CBIM implementation provide insights for optimizing future program delivery and dissemination.

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Funding

The study was funded by the Centers for Disease Control and Prevention grant number CE001561-01. The first author of this publication is supported by grant number T32HS022236 from the Agency for Healthcare Research and Quality (AHRQ) through the Quality, Safety, and Comparative Effectiveness Research Training (QSCERT) Program.

This study was funded by the Centers for Disease Control and Prevention (Grant No. CE001561-01). The study sponsor did not have any influence on study design, data collection, analysis, interpretation, manuscript preparation, nor decision to submit for publication. The views expressed in this manuscript are solely the responsibility of the authors and do not represent the views of the Centers for Disease Control and Prevention.

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Correspondence to Maria Catrina D. Jaime.

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The authors declare that they have no conflict of interest.

Research Involving Human Participants

This study did involve human participants. All study methods were approved by the University of California Davis, University of Pittsburgh Institutional Review Board, and by each school district involved.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Jaime, M.C.D., McCauley, H.L., Tancredi, D.J. et al. Implementing a Coach-Delivered Dating Violence Prevention Program with High School Athletes. Prev Sci 19, 1113–1122 (2018). https://doi.org/10.1007/s11121-018-0909-2

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  • DOI: https://doi.org/10.1007/s11121-018-0909-2

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