Stakeholder Perceptions of Factors Predicting Successful Implementation of a Sexual Assault Prevention Program in Middle Schools

PRESENTERS
LINDSAY ORCHOWSKI
Purdue University
BACKGROUND
Sexual assault and harassment are significant problems that begin early in the lifespan, with nearly 40% of middle school students reporting some form of sexual victimization. In addition to sexual violence, other forms of aggression, including bullying, cyberbullying, homophobic teasing, and verbal harassment are all commonplace among middle school students. Concerningly, engaging in these forms of aggression in early adolescence have been identified as robust developmental precursors and predictors for perpetrating more serious forms violence, such as sexual aggression, among teenagers and adults. Despite the high rates of sexual violence and harassment occurring among middle school students, sexual violence prevention interventions and programs are targeted almost exclusively toward high school and college students. Given the importance of implementing sexual violence prevention early in the lifespan, it is critical to understand contextual factors that may influence the implementation of sexual assault prevention approaches in middle school settings. One framework that research has demonstrated to be helpful, valid, and reliable in predicting implementation outcomes is the Consolidated Framework for Implementation Research (CFIR), which provides a menu of constructs arranged across 5 domains that assists stakeholders in assessing and identifying site-specific determinants of successful intervention implementation.
METHODS
Using the CFIR as a guiding framework for analysis, the present study conducted a series of 10 interviews with middle school stakeholders (i.e., principals, guidance counselors, teachers) to examine characteristics (i.e., cultural norms, relative priority, prior interventions, implementation climate) relevant to program implementation.
RESULTS
Results from the present study indicated that stakeholders conceptualize inner setting characteristics of school climate and culture to have the greatest influence on program implementation. Specifically, across these interviews, stakeholders identified 225 instances of specific behaviors, ranging from sexual bullying using technology to unwanted physical and sexual contact, that prompted a need for change within their school. Additionally, the cultural norms, values, and basic assumptions of a school were discussed 155 times, with most stakeholders acknowledging the influence of belongingness and peer acceptability on adolescent behaviors. Additionally, stakeholders acknowledged facilitators (e.g., creating programs that focus on positive behaviors) and barriers (e.g., low relative priority) to successful implementation of the intervention.
CONCLUSIONS
Findings from the present study will inform recommendations for schools and public health agencies, specifically highlighting the importance of identifying school- and community-specific factors that may influence successful implementation of violence prevention programs in middle schools.
POSTER

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Posted in 2022 Poster Session, Engagement and Equity.