{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:33:02Z","timestamp":1760146382713,"version":"build-2065373602"},"reference-count":42,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T00:00:00Z","timestamp":1730332800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of Miami School of Nursing and Health Studies","award":["R01NR014851"],"award-info":[{"award-number":["R01NR014851"]}]},{"name":"National Institutes of Health (US)","award":["R01NR014851"],"award-info":[{"award-number":["R01NR014851"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background\/Objectives: Test efficacy of the social emotional learning (SEL)-based Mighty Girls program, a program culturally tailored for English-speaking Hispanic\/Latino girls in seventh grade comprised of classroom sessions and a virtual reality computer game. We hypothesized that the curriculum would decrease risky sexual behaviors in a program that can be used as part of a comprehensive sex education curriculum or as a stand-alone program. Methods: A randomized group trial was conducted in which 22 low-income, predominately Hispanic schools within the Miami-Dade County Public School System were randomly assigned to intervention (consented n = 335) and control (consented n = 217) conditions. All study activities occurred after school. Primary outcome measures were resistance self-efficacy, acceptance of dating violence, sexual intentions, and sexual behavior. Assessments occurred at baseline, immediately post-intervention, 3-, 12-, and 24-months post-intervention. Changes in outcomes from baseline to 24 months were modeled using multi-level models to account for nesting of students within schools with full information maximum likelihood to account for missing data and baseline school attendance and enrollment in free and reduced lunch as covariates. Analyses are also controlled for multiple testing. Results: The program had a significant effect on reducing acceptance of dating violence at 24 months post-intervention (estimate = \u22120.083, p \u2264 0.05), but no effect on resistance self-efficacy, sexual intentions, or sexual behavior (p \u2265 0.58). Conclusion: Study findings demonstrate that a social emotional learning (SEL) curriculum can impact sexual behaviors such as susceptibility to dating violence. Low baseline levels for sexual intentions and behaviors as well as a high baseline of efficacy may have impacted findings for the other outcomes.<\/jats:p>","DOI":"10.3390\/children11111331","type":"journal-article","created":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T06:55:37Z","timestamp":1730357737000},"page":"1331","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Findings from the Mighty Girls Efficacy Trial: Changes in Acceptance of Dating Violence"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0261-3786","authenticated-orcid":false,"given":"Michael L.","family":"Hecht","sequence":"first","affiliation":[{"name":"REAL Prevention LLC, 130 Pearl Brook Dr, Clifton, NJ 07013, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne E.","family":"Norris","sequence":"additional","affiliation":[{"name":"School of Nursing & Health Studies, University of Miami, P.O. Box 248153, Coral Gables, FL 33124, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel Max","family":"Crowley","sequence":"additional","affiliation":[{"name":"College of Health and Human Development, Pennsylvania State University, 219 HHD Building, University Park, PA 16802, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3193-0510","authenticated-orcid":false,"given":"Jeff R.","family":"Temple","sequence":"additional","affiliation":[{"name":"Center for Violence Prevention, Betty and Rose Pfefferbaum Chair in Child Mass Trauma and Resilience, School of Behavioral Health Sciences, University of Texas Health Science Center, Houston, TX 77030, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hye Jeong","family":"Choi","sequence":"additional","affiliation":[{"name":"College of Health Sciences, University of Missouri, 318 Clark Hall, Columbia, MO 65211, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,31]]},"reference":[{"key":"ref_1","unstructured":"Martin, J.A., Hamilton, B.E., and Osterman, M.J.K. (2018). Births in the United States, 2017. NCHS Data Brief., 1\u20138. Available online: https:\/\/www.cdc.gov\/nchs\/data\/databriefs\/db318.pdf."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1037\/0033-2909.131.6.856","article-title":"A Test of Major Assumptions about Behavior Change: A Comprehensive Look at the Effects of Passive and Active HIV-Prevention Interventions Since the Beginning of the Epidemic","volume":"131","author":"Albarracin","year":"2005","journal-title":"Psychol. Bull."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1007\/s10461-007-9209-8","article-title":"Effects of HIV-prevention interventions for samples with higher and lower percents of Latinos and Latin Americans: A meta-analysis of change in condom use and knowledge","volume":"12","author":"Albarracin","year":"2008","journal-title":"AIDS Behav."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1016\/j.jadohealth.2017.07.009","article-title":"It Begins at 10: How Gender Expectations Shape Early Adolescence Around the World","volume":"61","author":"Blum","year":"2017","journal-title":"J. Adolesc. Health"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"S10","DOI":"10.1016\/j.jadohealth.2017.07.011","article-title":"Why We Must Invest in Early Adolescence: Early Intervention, Lasting Impact","volume":"61","author":"Lane","year":"2017","journal-title":"J. Adolesc. Health"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.adolescence.2020.07.005","article-title":"Attitudes about aggression and perpetration of Adolescent Dating Aggression: A cross-lagged panel model","volume":"83","author":"Sabol","year":"2020","journal-title":"J. Adolesc."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1007\/s11121-015-0556-9","article-title":"Dating violence and substance use as longitudinal predictors of adolescents\u2019 risky sexual behavior","volume":"16","author":"Shorey","year":"2015","journal-title":"Prev. Sci."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1002\/ab.21856","article-title":"Linkages between violence-associated attitudes and psychological, physical, and sexual dating abuse perpetration and victimization among male and female adolescents","volume":"45","author":"Ybarra","year":"2019","journal-title":"Aggress. Behav."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1891\/0886-6708.VV-D-17-00124","article-title":"Sexual teen dating violence victimization: Associations with sexual risk behaviors among US high school students","volume":"33","author":"Demissie","year":"2018","journal-title":"Violence Vict."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/0272684X16685249","article-title":"Teen dating violence victimization, perpetration, and sexual health correlates among urban, low-income, ethnic, and racial minority youth","volume":"37","author":"Fedina","year":"2016","journal-title":"Int. Q. Community Health Educ."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.bandc.2009.06.008","article-title":"Social brain development and the affective consequences of ostracism in adolescence","volume":"72","author":"Sebastian","year":"2010","journal-title":"Brain Cogn."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e20193572","DOI":"10.1542\/peds.2019-3572","article-title":"Sexual Health Programs for Latinx Adolescents: A Meta-analysis","volume":"146","author":"Evans","year":"2020","journal-title":"Pediatrics"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"115061","DOI":"10.1016\/j.socscimed.2022.115061","article-title":"A longitudinal pathway from ethnic-racial discrimination to sexual risk behaviors among Black women and Latinas: Ethnic-racial identity exploration as a protective factor","volume":"316","author":"Pahl","year":"2023","journal-title":"Soc. Sci. Med."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Hussen, S. (2020). Racial Disparities in STIs Among Adolescents in the USA. Sexually Transmitted Infections in Adolescence and Young Adulthood, Springer.","DOI":"10.1007\/978-3-030-20491-4"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1080\/09540121.2017.1368442","article-title":"Sexual risk during initial months in US among Latina young adults","volume":"30","author":"Ertl","year":"2017","journal-title":"AIDS Care"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1207\/s15324796abm2703_5","article-title":"Developmentally Appropriate Sexual Risk Reduction Interventions for Adolescents: Rationale, Review of Interventions, and Recommendations for Research and Practice","volume":"27","author":"Pedlow","year":"2004","journal-title":"Ann. Behav. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1177\/0044118X13487228","article-title":"The influence of sensation-seeking and parental and peer influences in early adolescence on risk involvement through middle adolescence: A structural equation modeling analysis","volume":"48","author":"Wang","year":"2016","journal-title":"Youth Soc."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1111\/j.1532-7795.2010.00721.x","article-title":"Beyond Homophily: A Decade of Advances in Understanding Peer Influence Processes","volume":"21","author":"Brechwald","year":"2011","journal-title":"J. Res. Adolesc."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1097\/NNR.0b013e318276138f","article-title":"Randomized trial of a peer resistance skill-building game for Hispanic early adolescent girls","volume":"62","author":"Norris","year":"2013","journal-title":"Nurs. Res."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Reiser, R.A., Carr-Chellman, A.A., and Dempsey, J.V. (2024). Social Emotional Learning. Trends and Issues in Instructional Design and Technology, Routledge. [5th ed.].","DOI":"10.4324\/9781003502302"},{"key":"ref_21","unstructured":"Durlak, J.A., Domitrovich, C.E., Weissberg, R.P., and Gullotta, T.P. (2015). Handbook of Social and Emotional Learning, Guilford."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1007\/s10964-024-01942-7","article-title":"Effective Components of Social Emotional Learning Programs: A Meta-analysis","volume":"53","author":"Shi","year":"2024","journal-title":"J. Youth Adolesc."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1007\/s11121-018-0937-y","article-title":"Designed cultural adaptation and delivery quality in rural substance use prevention: An effectiveness trial for the keepin\u2019 it REAL curriculum","volume":"19","author":"Hecht","year":"2018","journal-title":"Prev. Sci."},{"key":"ref_24","unstructured":"Substance Abuse and Mental Health Services Administration (US), and Office of the Surgeon General (US) (2021, April 26). Facing Addiction in America: The Surgeon General\u2019s Report on Alcohol, Drugs, and Health, Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK424857\/pdf\/Bookshelf_NBK424857.pdf."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1177\/1745691617699280","article-title":"Toward a psychology of human agency: Pathways and reflections","volume":"13","author":"Bandura","year":"2018","journal-title":"Perspect. Psychol. Sci."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1177\/1043659603014003004","article-title":"The Hispanic family and male-female relationships: An overview","volume":"14","author":"Galanti","year":"2003","journal-title":"J. Transcult. Nurs."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1037\/0022-3514.47.6.1363","article-title":"Simpat\u00eda as a cultural script of Hispanics","volume":"47","author":"Triandis","year":"1984","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1080\/10410236.2012.762827","article-title":"From kids, through kids, to kids: Examining the social influence strategies used by adolescents to promote prevention among peers","volume":"28","author":"Krieger","year":"2013","journal-title":"J. Health Commun."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1002\/nur.21509","article-title":"Interactive performance and focus groups with adolescents: The power of play","volume":"35","author":"Norris","year":"2012","journal-title":"Res. Nurs. Health"},{"key":"ref_30","unstructured":"Centers for Disease Control and Prevention (CDC) (2020, April 19). 1995\u20132017 Middle School Youth Risk Behavior Survey Data, Available online: http:\/\/nccd.cdc.gov\/youthonline."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1177\/109019810202900110","article-title":"Keepin\u2019 it REAL! Program description and results of baseline assessment","volume":"29","author":"DiIorio","year":"2002","journal-title":"Health Edu Behav."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"100","DOI":"10.2307\/2953331","article-title":"The Impact of the Postponing Sexual Involvement Curriculum Among Youths in California","volume":"29","author":"Kirby","year":"1997","journal-title":"Fam. Plan. Perspect."},{"key":"ref_33","first-page":"103","article-title":"Evaluating \u201cBaby Think It Over\u201d infant simulators: A comparison group study","volume":"41","author":"Barnett","year":"2006","journal-title":"Adolescence"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"45","DOI":"10.2105\/AJPH.88.1.45","article-title":"An evaluation of Safe Dates, an adolescent dating violence prevention program","volume":"88","author":"Foshee","year":"1998","journal-title":"Am. J. Public. Health"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"323","DOI":"10.3102\/10769986023004323","article-title":"Using SAS PROC MIXED to fit multilevel models, hierarchical models, and individual growth models","volume":"23","author":"Singer","year":"1998","journal-title":"J. Educ. Behav. Stat."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1080\/10705511.2011.607721","article-title":"Missing Data Imputation versus Full Information Maximum Likelihood with Second-Level Dependencies","volume":"18","author":"Larsen","year":"2011","journal-title":"Struct. Equ. Model."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1126\/science.280.5365.867","article-title":"Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology","volume":"280","author":"Turner","year":"1998","journal-title":"Science"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1146\/annurev.psych.58.110405.085530","article-title":"Missing data analysis: Making it work in the real world","volume":"60","author":"Graham","year":"2009","journal-title":"Annu. Rev. Psychol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1761","DOI":"10.1017\/S0033291717000198","article-title":"Combined universal and selective prevention for adolescent alcohol use: A cluster randomized controlled trial","volume":"47","author":"Teesson","year":"2017","journal-title":"Psychol. Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"144","DOI":"10.4103\/2229-3485.184823","article-title":"Common pitfalls in statistical analysis: Intention-to-treat versus per-protocol analysis","volume":"7","author":"Ranganathan","year":"2016","journal-title":"Perspect. Clin. Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"109","DOI":"10.4103\/2229-3485.83221","article-title":"Intention-to-treat concept: A review","volume":"2","author":"Gupta","year":"2011","journal-title":"Perspect. Clin. Res."},{"key":"ref_42","first-page":"53","article-title":"Managing Sex Education Controversy Deep in the Heart of Texas: A Case Study of the North East Independent School District (NEISD)","volume":"15","author":"Wiley","year":"2020","journal-title":"Am. J. Sex. Educ."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/11\/11\/1331\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:24:59Z","timestamp":1760113499000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/11\/11\/1331"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,31]]},"references-count":42,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["children11111331"],"URL":"https:\/\/doi.org\/10.3390\/children11111331","relation":{},"ISSN":["2227-9067"],"issn-type":[{"type":"electronic","value":"2227-9067"}],"subject":[],"published":{"date-parts":[[2024,10,31]]}}}