000			04108nab a22002897a 4500
999			_c7834 _d7834
005			20250625151622.0
008			221006s2022 ||||| |||| 00| 0 eng d
040			_aAFVC
100			_aPiolanti, Antonio _911302
245			_aEfficacy of interventions to prevent physical and sexual dating violence among adolescents : _ba systematic review and meta-analysis _cAntonio Piolanti and Heather M. Foran
260			_bJAMA Network, _c2022
500			_aJAMA Pediatrics, 2022,176(2):142-149
520			_aImportance Sexual and physical dating violence is prevalent among adolescents and is associated with adverse health effects. Objective To conduct a systematic review and meta-analysis of randomized clinical trials to assess the efficacy of prevention programs for sexual and physical dating violence in adolescents. Data Sources Search terms were combined for dating violence, adolescents, and randomized clinical trials in PsycINFO/Eric/PsycArticles, PubMed, and Web of Science databases from inception through April 2021. Study Selection Included studies had a randomized design of any type examining the efficacy of an intervention to reduce dating violence among adolescents and provided at least 1 measure of sexual or physical dating violence. Data Extraction and Synthesis Data extraction coded characteristics of trials, participants, and interventions and assessed risk of bias using the Revised Cochrane Collaboration Risk of Bias tool. Outcomes were pooled using a random-effects model. Subgroup and meta-regression analyses were performed to explore the target population and intervention factors associated with positive outcomes. Main Outcomes and Measures The odds ratio (OR) was calculated for 3 different outcomes: (1) sexual dating violence, (2) physical dating violence, and (3) composite measures of sexual and physical dating violence. For each outcome, separate analyses were conducted for survivorship and perpetration scores. We also combined the scores of physical/sexual violence and perpetration/survivorship of teen dating violence into a single composite overall outcome including all studies. Results Eighteen trials (22 781 adolescents) were included. Overall, interventions were associated with reduced physical and sexual dating violence (OR, 0.78; 95% CI, 0.69-0.89; P < .001). Separate analyses further indicated that this association was significant for physical violence perpetration (OR, 0.74; 95% CI, 0.59-0.92; P = .01) and survivorship (OR, 0.78; 95% CI, 0.64-0.95; P = .01). For sexual violence, the association was not statistically significant. Exploratory subgroup analyses revealed that trials targeting at-risk youth, older adolescents (age >15 years), and trials involving parents in the intervention reported significantly larger effect sizes. Meta-regression analyses did not show any significant associations between intervention effect sizes and length or intensity of the programs. Publication bias was observed, but the adjusted ORs remained significant. Three studies reported iatrogenic associations. Conclusions and Relevance Findings from this study suggest that prevention programs may be effective in reducing physical teen dating violence, but there is unclear evidence of the effect on sexual violence outcomes. Further research assessing the active ingredients of interventions, especially in the area of sexual dating violence, is warranted. (Authors' abstract). Record #7834
650			_aADOLESCENT RELATIONSHIP ABUSE _93080
650			_aDATING VIOLENCE _93263
650			_aINTERVENTION _9326
650			_aINTIMATE PARTNER VIOLENCE _9431
650		4	_9439 _aPHYSICAL ABUSE
650		4	_aSEXUAL VIOLENCE _9531
650		0	_aSYSTEMATIC REVIEWS _93140
651			_aINTERNATIONAL _93624
700			_aForan, Healther M. _911303
773	0		_tJAMA Pediatrics, 2022,176(2):142-149
830			_aJAMA Pediatrics _911304
856			_uhttps://doi.org/10.1001/jamapediatrics.2021.4829 _zDOI: 10.1001/jamapediatrics.2021.4829 (Open access)
942			_2ddc _cREPORT _hnews115