ABSTRACT

Adolescent dating and relationship violence is associated with health harms and is an important topic for sex education. School-based interventions addressing this have been effective in the USA, but schools in England confront pressures that might hinder implementation. We assessed the feasibility of, and contextual enablers/barriers to implementing Project Respect, a whole-school intervention. We conducted a pilot trial with process evaluation in six English secondary schools. Intervention comprised: training; policy-review; mapping and patrolling ‘hotspots’; parent information; help-seeking app; and a curriculum (including student-led campaigns) targeting dating violence. Process evaluation included assessments of fidelity and interviews with the trainer and school staff. Schools delivered training and lessons partially or completely and made parent and app information available. Two schools conducted policy reviews; none patrolled hotspots or implemented campaigns. Implementation was strengthened where staff saw dating violence as a priority. Delivery was undermined where staff were insufficiently involved, lacked time for planning or struggled to timetable lessons, and where new school challenges undermined engagement. School-based health interventions must work to build staff buy-in and ensure they do not overburden schools. Dating and relationship violence might best be addressed in this context as a broader aspect of sex education.

摘要

青少年约会和关系暴力与健康危害相关，是性教育的重要主题。针对学校的干预措施在美国已经有效，但是英格兰的学校面临着可能阻碍实施的压力。我们评估了实施“尊重项目”（一种全校干预）的可行性和相关因素。我们在六所英语中学进行了过程评估的试点试验。干预措施包括：培训；政策审查；绘制和巡逻“热点”；父母信息；寻求帮助的应用程序；以及针对约会暴力的课程（包括由学生主导的运动）。过程评估包括保真度评估以及与培训师和学校工作人员的访谈。学校提供了部分或全部培训和课程，并提供了家长和应用程序信息。两所学校进行了政策审查；没有巡逻的热点或已实施的活动。工作人员将约会暴力列为优先事项，从而加强了执行。在工作人员参与不足，计划时间不足或无法上时间表的情况下以及在新学校面临的挑战破坏了敬业度的情况下，交付工作受到了损害。基于学校的健康干预措施必须努力建立员工的购买力，并确保他们不会使学校负担过重。在这种情况下，最好将交往和人际关系暴力作为性教育的一个更广泛的方面。工作人员将约会暴力列为优先事项，从而加强了执行。在工作人员参与不足，计划时间不足或无法上时间表的情况下以及在新学校面临的挑战破坏了敬业度的情况下，交付工作受到了损害。基于学校的健康干预措施必须努力建立员工的购买力，并确保他们不会使学校负担过重。在这种情况下，最好将交往和人际关系暴力作为性教育的一个更广泛的方面。工作人员将约会暴力列为优先事项，从而加强了执行。在工作人员参与不足，计划时间不足或无法上时间表的情况下以及在新学校面临的挑战破坏了敬业度的情况下，交付工作受到了损害。基于学校的健康干预措施必须努力建立员工的购买力，并确保他们不会使学校负担过重。在这种情况下，最好将交往和人际关系暴力作为性教育的一个更广泛的方面。