Preventing Intimate Partner Violence Among Teen Mothers: A Pilot Study

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Preventing Intimate Partner Violence Among Teen Mothers: A Pilot Study Marni L. Kan

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Lori-Ann Palen1 Jennifer L. Hill1 Judith W. Herrman2 Jessica D. Williams1 Mark E. Feinberg3 ●







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Accepted: 10 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract 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 pretesting 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. Keywords Intimate partner violence Pregnant and parenting teens Prevention Adaptation Pilot study ●







Highlights Intimate partner violence (IPV) is common among teens who are pregnant or parenting, but IPV prevention programs have not been tailored for this population. ● This study adapted and pilot tested an IPV prevention program for teen mothers using a randomized controlled trial. ● Feasibility, acceptability, and participant outcomes were better for the adapted program than for the original program. ● Results suggest advantages in carefully adapting IPV prevention programs to address unique needs of teen mothers. ●

In the United States, rates of intimate partner violence (IPV) are especially high among teens who are pregnant or involved in a pregnancy (Roberts et al. 2006; Silverman et al. 2004). Physical IPV perpetration and victimization rates are as high as 62% among teens who are pregnant or parenting; psychological abuse is even more prevalent (Harrykissoon et al. 2002; Milan et al. 2005; Newman and

* Marni L. Kan [email protected] 1

RTI International, Research Triangle Park, NC, USA

2

University of Delaware, Newark, DE, USA

3

Pennsylvania State University, University Park, PA, USA

Campbell 2011). IPV among teen parents may have physical, psychological, and sexual di