Teens' Self-Efficacy to Deal with Dating Violence as Victim, Perpetrator or Bystander

Outcomes Associated with Adolescent Dating and Sexual Violence Victimization: A Systematic Review of School-Based Literature

Dating and sexual violence (DSV) is a common occurrence among school aged youth and has been associated with numerous harmful long-term outcomes. The goal of this article is to better understand the range of outcomes associated with DSV during youth and adolescence. This systematic review consists of 28 school-based studies from 20 journals discussing outcomes of youth experiences of DSV. Results demonstrate significant associations between DSV victimization and mental health symptoms, substance use, sexual health, academic, and social outcomes. To better understand this issue, this article recommends that schools offer additional training for staff on recognizing DSV. Additionally, improved research is needed in this area including surveys that are inclusive of diverse student identities and include more comprehensive measures of DSV, and additional research on DSV explicitly focused on minoritized groups.

A Typological Analysis of Help-Seeking Profiles in Youth and Associations with Victimization

The need for autonomy and independence in adolescence is so fundamental that it can be difficult for youth to seek help when they experience difficulties. To date, few studies have documented profiles of help-seeking behavior according to victimization, gender, and perceived social support among adolescents and emerging adults. The aims of the study were to: (1) identify distinct help-seeking profiles according to gender, victimization experiences and perceived social support, and (2) illustrate the distinct profiles in light of the help-seeking experiences of participants. A total of 397 youth aged 14 to 25 years old completed a questionnaire; a subsample of 100 youth also participate in an individual semi-structured interview. Questions on dating violence and a history of child sexual abuse, help-seeking strategies, and perceived social support were administered. A significant proportion of respondents experienced child sexual abuse and reported dating violence experiences. Four clusters highlighting the diversity of help-seeking profiles among youth were identified: (1) Friend-oriented help-seekers; (2) Proactive help-seekers; (3) Formal help seekers; (4) Self-reliant youth. The results suggest that youth are more likely to rely on their friends for help and less likely to seek help from formal resources. Girls are more proactive than boys in help-seeking. Youth victims of psychological and physical dating violence are more likely to be classified in the self-reliant group while youth with a history of child sexual abuse were found in greater proportion in the friend-oriented group. Results underscore that perceived social support is associated with help-seeking behavior, and highlight the importance of addressing the reluctance of youth to reach for informal help, especially in youth who experienced dating violence. This study also underlines the relevance of bystander interventions to support youth who experienced dating violence or child sexual abuse.

Personal Traits of the People Who Help: The Case of Bystanders to Violence against Women

Within the context of emergency situations, the terms witness or bystander are used to refer to individuals involved in oppressive incidents who are neither the victim nor the perpetrator. Among the different types of emergency situations, our study focuses on violence against women (VAW). In keeping with current efforts in the scientific literature on bystander intervention and the evidence currently available, the main focus of this study is to analyze some personal factors that reflect the characteristics or experiences of bystanders and that could have a bearing on their predisposition to help victims of VAW (i.e., empathy, a just world belief system, and expectations of self-efficacy) and later analyze the possible relationship between these personal characteristics and gender or previous experience as a VAW bystander. An opportunity sample of 546 Spanish participants (73.4% women and 26.6% men) between 18 and 56 years of age took part in this study and fill out a sociodemographic data sheet, a questionnaire to evaluate the experience as violence witness designed ad hoc, and the Characteristics of People who Help Questionnaire scale (CPHQ). The results obtained indicate that CPHQ could constitute an adequate measure for the three dimensions analyzed. Female participants are significantly more empathetic than males, but in the case of a just world belief and expectations of self-efficacy the results showed no gender-related differences. Additionally, only a just world belief was clearly influenced by having been a bystander to some form of VAW. In conclusion, this study contributes a proposal for an evaluating instrument featuring three relevant personal characteristics in the development of helping behaviors, presenting some results of interest regarding empathy, a just world belief, and expectations of self-efficacy and their relationship with gender or previous experiences as VAW bystanders. These results obtained suggest an initial path toward future research in the development of interventions with bystander participation in our environment.

Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized Trial

BACKGROUND

We co-designed a smartphone app, Harmonised, with taitamariki (young people aged 13-17 years) to promote healthy intimate partner relationships. The app also provides a pathway for friends and family, or whānau (indigenous Māori extended family networks), to learn how to offer better support to taitamariki.

OBJECTIVE

The aim of our taitamariki- and Māori-centered study is to evaluate the implementation of the app in secondary schools. The study tests the effectiveness of the app in promoting taitamariki partner relationship self-efficacy (primary outcome).

METHODS

We co-designed a pragmatic, randomized, stepped wedge trial (retrospectively registered on September 12, 2019) for 8 Aotearoa, New Zealand, secondary schools (years 9 through 13). The schools were randomly assigned to implement the app in 1 of the 2 school terms. A well-established evaluation framework (RE-AIM [Reach, Effectiveness, Adoption, Implementation, Maintenance]) guided the selection of mixed data collection methods. Our target sample size is 600 taitamariki enrolled across the 8 schools. Taitamariki will participate by completing 5 web-based surveys over a 15-month trial period. Taitamariki partner relationship self-efficacy (primary outcome) and well-being, general health, cybersafety management, and connectedness (secondary outcomes) will be assessed with each survey. The general effectiveness hypotheses will be tested by using a linear mixed model with nested participant, year-group, and school random effects. The primary analysis will also include testing effectiveness in the Māori subgroup.

RESULTS

The study was funded by the New Zealand Ministry of Business, Innovation, and Employment in October 2015 and approved by the Auckland University of Technology Ethics Committee on May 3, 2017 (application number: 17/71).

CONCLUSIONS

This study will generate robust evidence evaluating the impact of introducing a healthy relationship app in secondary schools on taitamariki partner relationship self-efficacy, well-being, general health, cybersafety management, and connectedness. This taitamariki- and indigenous Māori-centered research fills an important gap in developing and testing strengths-based mobile health interventions in secondary schools.

TRIAL REGISTRATION

Australian New Zealand Clinical Trials Registry ACTRN12619001262190; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377584.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)

RR1-10.2196/24792.

Adolescent Perceptions of an Interactive Mobile Application to Respond to Teen Dating Violence

Although research and intervention efforts in the United States have aimed to reduce teen dating violence (TDV), 10-year prevalence estimates suggest that TDV persists. Safety planning is an advocated intervention to reduce intimate partner abuse; yet, safety planning services for adolescents have not been systematically developed or tested. Personalized safety planning interventions that reflect teens' immediate risk, priorities, and resources may be a key prevention and empowerment tool. Thus, the current study examined adolescent perceptions of an existing safety planning app, myPlan. A small convenience sample of adolescents participated in focus groups. Focus groups investigated the feasibility of an app for TDV intervention and elicited feedback on how apps can better assist adolescents experiencing dating violence. Qualitative content analysis was used to identify themes and patterns in the data. The following themes emerged: (a) careful and thoughtful inclusion of diverse adolescents, (b) capturing unique safety dilemmas encountered by adolescents, (c) clarifying the signs of an unhealthy and abusive relationship, and (d) resources for immediate help. Adolescents were thoughtful in their consideration of the myPlan app and articulated specific ways in which future applications could be more responsive to their lived experiences and challenges. Mobile app or electronic interventions that are developed with an eye toward empowering adolescents to understand how abusive behaviors may manifest in their relationships, weigh the risk and benefits of intervening, and are informed about local resources available to them for help may be most successful in reducing TDV.

The Influence of Video-Modeled Sexual Assault Disclosure and Self-Efficacy Messages on Sexual Assault Disclosure Efficacy of Adolescent Girls

Adolescent female victims of sexual assault must often disclose their victimization to trusted adults to seek positive physical and mental health outcomes; however, adolescent girls face unique barriers to disclosure, and they are less likely to disclose compared to adult women. Media interventions could be useful in motivating adolescent girls to feel more efficacious about disclosing sexual assaults. Self-efficacious messages in media that model disclosure behavior could motivate adolescent girls to feel more confident disclosing information about an assault and seeking positive health outcomes. This study used quasi-experimental methods to test the effect of a YouTube vlog containing a self-efficacy message about sexual assault disclosure. Results indicate that exposure to the self-efficacious message leads to higher sexual assault disclosure efficacy among adolescent girls who identify with self-efficacious media characters (B = -.0867, SE = .059, 95% CI [-.2318, -.0033]), albeit indirectly through perceived discrimination of sexual assault victims and approach coping behaviors. Appropriate interventions targeting disclosure of sexual assault by adolescent girls could include a more holistic view of disclosure and use new mediums like YouTube vlogs to deliver self-efficacious messages.

Informal Help-Seeking Process Regarding Romantic Issues and Dating Violence: a Qualitative Study

The present study focused on the informal help-seeking process, facilitators and barriers in the context of romantic relationship difficulties and dating violence (DV). This study also aimed to describe gender specificities involved in the help-seeking process. Data analysis was performed relying on the help-seeking and change model developed for intimate partner violence (American Journal of Community Psychology, 36, 71-84, 2005). A direct content analysis was conducted on semi-structured interviews of 80 youths. All participants reported having experienced at least one romantic relationship difficulty and half of them reported at least one experience of DV victimization in their current romantic relationship. Motives to seek support and help were mentioned by the participants, namely the need to be advised on how to solve their difficulties, to express their emotions and vent about their feelings, to obtain an external point of view, to be listened to and comforted, and to be validated on their interpretation of the situation. When experiencing difficulties, participants chose confidants according to the following qualities: share bond of trust, similar experiences, mutual help and reciprocity, relevant experiences in dating relationships, and a context of respect and non-judgment. Reluctance to ask for help was expressed by participants, namely discomfort about sharing intimate information or revealing feelings to a friend or family member, lack of support, and fear of being judged or vulnerable. Findings highlight the strategic role of peers and the importance of offering them tools to intervene as first responders in DV situations.

Preventing Intimate Partner Violence Among Teen Mothers: A Pilot Study

Despite high rates of intimate partner violence (IPV) among teens who are pregnant or parenting, the field is lacking evidence-based prevention programs designed for this population. The purpose of this study was to comprehensively adapt the evidence-based Safe Dates IPV prevention program and conduct a pilot study of the adapted program with female teens who were pregnant or parenting. We completed formative research including a literature review, focus groups, and pre-testing of adapted content to inform the revised curriculum. We then conducted a randomized controlled trial with 32 teens (average age = 17) to compare the adapted program to the original program on implementation characteristics and outcomes, including IPV perpetration and victimization. Directions of effect favored the adapted program over the original program for 18 out of 21 implementation outcomes for which models could be estimated and for 11 of 12 participant outcomes. The strongest effects, all favoring the adapted program, were found for observer-reported adherence to the curriculum, participant ratings of the relevance of characters and scenarios, participant knowledge of ways to get help for abuse, and attitudes toward IPV. These findings demonstrate the feasibility and acceptability of the adapted program for this target population and suggest that the program may be efficacious when evaluated in a larger study.

Who, When, How, and Why Bystanders Intervene in Physical and Psychological Teen Dating Violence

Teen dating violence victimization is associated with a host of adverse mental and physical health problems. A number of bystander-focused interventions have been developed to mitigate the occurrence of abuse but with varying effectiveness. There remains a need to understand more about bystander behaviors used by adolescents to ensure that existing intervention components match with bystanders' attitudes and behaviors about intervening. The current study is a scoping review of existing literature on adolescents' use of bystander behaviors to determine who, when, how, and why adolescents intervene. Seventeen articles met inclusion criteria, the majority of which used qualitative or observational survey designs. Adolescents who either feel a sense of responsibility and confidence to intervene or are directly involved with or know the individuals involved in the dating violence are more likely to intervene. Adolescents intervene when they are able to define an act as dating violence and tend to intervene when the victim is female and when they have a supportive relationship with at least one teacher in their school. The various ways how bystander intervention is engaged in ranges from verbally or physically confronting the abuser, distracting the abuser, seeking support from an adult, to passively accepting the abuse. Reasons why adolescents intervene include believing the abuse is wrong and that intervening will diffuse the situation and help the victim. A number of barriers to bystander intervention emerged from analysis including individual attitudes and school climate factors. Implications for strengthening bystander intervention programs are discussed.

Evaluation of sexual minority identity as a moderator of the association between intimate partner violence and suicidal ideation and attempts among a national sample of youth

Sexual minority (SM) youth are at high risk for intimate partner violence (IPV) and suicidal ideation/attempts compared to their heterosexual peers. We examined whether SM identity enhanced the relationship between experiences of IPV and suicidal ideation/attempts. Weighted logistic regression models were run using the 2017 Youth Risk Behavior Survey. All main effects were significant; each SM identity and both physical and sexual IPV were significantly associated with suicidal ideation and suicide attempts. The interaction between bisexual identity and physical IPV was significant for suicidal ideation; as physical IPV experiences increased, the difference between bisexual identity and heterosexual youth was non-significant. Findings suggest exploring trauma and suicidal ideation by aggregate groups and increasing support for SM youth in schools and communities.

Gender's Role in Exposure to Interparental Violence, Acceptance of Violence, Self-Efficacy, and Physical Teen Dating Violence Among Quebec Adolescents

Despite efforts to prevent physical teen dating violence, it remains a major public health issue with multiple negative consequences. This study aims to investigate gender differences in the relationships between exposure to interparental violence (mother-to-father violence, father-to-mother violence), acceptance of dating violence (perpetrated by boys, perpetrated by girls), and self-efficacy to disclose teen dating violence. Data were drawn from Waves 1 and 2 of the Quebec Youth Romantic Relationships Project, conducted with a representative sample of Quebec high school students. Analyses were conducted on a subsample of 2,564 teenagers who had been in a dating relationship in the past 6 months (63.8% girls, mean age of 15.3 years). Path analyses were conducted to investigate the links among exposure to interparental violence, acceptance of violence, self-efficacy to disclose teen dating violence (measured at Wave 1), and physical teen dating violence (measured at Wave 2). General exposure to interparental violence was linked, through acceptance of girl-perpetrated violence, to victimization among both genders and to girls' perpetration of physical teen dating violence. No significant difference was identified in the impact of the gender of the perpetrating parent when considering exposure to interparental violence. Self-efficacy to disclose personal experiences of violence was not linked to exposure to interparental violence or to experiences of physical teen dating violence. The findings support the intergenerational transmission of violence. Moreover, the findings underline the importance of targeting acceptance of violence, especially girl-perpetrated violence, in prevention programs and of intervening with children and adolescents who have witnessed interparental violence.

Meeting the needs of adolescent and emerging adult victims of sexual violence in their romantic relationships: A mixed methods study exploring barriers to help-seeking

BACKGROUND

Sexual dating violence is highly prevalent within the context of intimate relationships but this form of violence remains understudied among teenagers and emerging adults.

OBJECTIVES

To identify the specific needs of adolescents and emerging adults who reported sexual dating violence, this study aimed to document the: 1) prevalence of sexual DV; 2) perceived social support and help-seeking strategies; 3) facilitating factors and barriers.

PARTICIPANTS AND SETTING

A total 396 heterosexual youths and emerging adults (aged 14-25) participated in this study focussing on issues associated with romantic and sexual relationships, including experiences of victimization and help-seeking strategies.

METHODS

This analysis relied on a mixed methods design. Sexual dating violence in the last 12 months was assessed using an adapted version of the Sexual Experiences Survey (Koss et al., 2007). Semi-structured interviews were conducted with a subsample of 100 youths and emerging adults.

RESULTS

Close to 30% of participants reported having experienced at least one episode of sexual dating violence in the past year. Participants could count on a friend and/or a parent but girls were more likely to seek help compared to boys. Effect sizes were moderate to small. Several barriers were identified, including, having to disclose intimate aspects of their personal life to a stranger.

CONCLUSION

Given ambiguities regarding sexual consent and sexual violence within the context of an intimate relationship, victims expressed reluctance to get formal support. These findings support the relevance of exploring barriers and facilitators to help-seeking to improve access to services for adolescents and emerging adults who report sexual DV.

A Qualitative Analysis of Bystander Intervention Among Heavy-Drinking College Men

This study qualitatively examines how heavy-drinking college men conceptualize bystander intervention. Twelve semi-structured individual interviews were conducted with college men reporting past-month heavy drinking and sexual activity within the past 2 months. NVivo software was used to conduct a thematic analysis. Following the stage model of bystander intervention, men in this sample described situations-predominantly in drinking contexts-when other men made sexual advances toward women who were not interested or who were intoxicated as opportunities for intervention. Men reported relying on women's expression of verbal and nonverbal cues as a sign that a situation was problematic, and warranting intervention. Men reported a desire to protect women from experiencing a sexual assault, or to protect a peer from being accused of rape. Men perceived themselves to be more likely to assume responsibility for intervening when the situation involved someone they knew, especially a female friend. A variety of intervention strategies were also reported. Preliminary support was offered for considering alcohol myopia as a barrier to intervention. The interviews also provided preliminary support for further investigation into the role of alcohol expectancies regarding "liquid courage" and "aggression" as factors that can influence bystander intervention when intoxicated. Implications for future research and the development of tailored sexual assault prevention efforts for heavy-drinking men are discussed.

Bystander Action in Situations of Dating and Sexual Aggression: A Mixed Methodological Study of High School Youth

Bystander action is a critical component of dating and sexual aggression prevention; however, little is known about barriers and facilitators of bystander action among high school youth and in what situations youth are willing to engage in bystander action. The current study examined bystander action in situations of dating and sexual aggression using a mixed methodological design. Participants included primarily Caucasian (83.0%, n = 181) male (54.6%, n = 119) and female (44.5%, n = 97) high school youth (N = 218). Most (93.6%) students had the opportunity to take action during the past year in situations of dating or sexual aggression; being female and histories of dating and sexual aggression related to bystander action. Thematic analysis of the focus group data identified barriers (e.g., the aggression not meeting a certain threshold, anticipated negative consequences) to bystander action, as well as insight on promising forms of action (e.g., verbally telling the perpetrator to stop, getting a teacher); problematic intervention methods (e.g., threatening or using physical violence to stop the perpetrator) were also noted. Implications for programming are discussed.

Understanding the hesitancy to disclose teen dating violence: Correlates of self-efficacy to deal with teen dating violence

Dating violence (DV) is now recognized as an important public health issue. Prevention and intervention programs are being implemented in school contexts. Such initiatives aim to raise awareness among potential victims and offenders as well as among peer bystanders and offer adequate interventions following disclosure. Yet, a major challenge remains as teenagers may not disclose their victimization or may not feel self-efficient to deal with DV if they witness such violence. As such, teen DV remains largely hidden. A representative sample of 8 194 students (age 14-18) in the province of Quebec, Canada was used to explore teenagers' self-efficacy to reach out for help or to help others in a situation of DV victimization and perpetration. Analyses are conducted to identify possible correlates of self-efficacy in terms of socio-demographic variable (sex, age) and a history of child sexual abuse and dating victimization. Implications for prevention and support strategies are discussed.

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The present study explores the worst experiences according to teenagers having experienced sexual dating violence victimization. Which situations are found to be difficult to deal with and are these generally associated with violent incidents? A survey on youths' romantic relationships was completed by teenagers (ages 14 to 18) in Quebec. Over 600 participants reported having experienced at least one episode of sexual violence victimization (often in combination with at least one other form of dating violence). In this article, we present the results of a qualitative, inductive analysis of the responses to an open-ended survey question regarding the worst experience in a romantic relationship. The findings suggest that in addition to dating violence, general relationship problems, breaking up and non reciprocal romantic feelings are found to be particularly challenging by our respondents. As such, our findings emphasize that a variety of relational issues should be taken into consideration in the support made available to them.