1. Project READY: REduce Alcohol use and Dating abuse among Youth Alexis V. Marbach April 14, 2010 PI: Dr. Emily F. Rothman, ScD Project Ready has been funded by grant number is 1K01AA017630-01A1 through the National Institute of Alcohol Abuse Special thanks to Allyson Baughman, Abigail Isaacson, Lindsay Cloutier, Lucy Stelzner, Kelly Adams, and Joanna Khalil.

2. Learning Objectives 1. Describe Project READY and the theoretical framework being tested in the project. 2. Define the eligibility criteria for the project and enrollment of the project in terms of male/female and perpetrator/non-perpetrator categories. 3. Identify the overlap of perpetration with victimization for male and female participants.

3. Purpose of Project READY To model the relationship between underage alcohol use and teen dating violence perpetration and/or victimization To develop an intervention for the Boston University Medical Center pediatric emergency department that will reduce adolescents alcohol use and their perpetration of teen dating violence.

4. Hypotheses 1a) The frequency and volume of alcohol use, age of drinking onset, and alcohol use disorder will have a direct effect on dating abuse outcomes, even controlling for antecedent variables 1b) Drinking-induced disinhibition, alcohol aggression expectancies, belief that intoxication can be used as an excuse, and associating with delinquent peers will mediate the relationship between alcohol use and dating abuse outcomes 1c) Interpersonal competence skills, individual coping style, drug use, relationship length, and partners use of violence and/or alcohol, will moderate the relationship between alcohol use and dating abuse outcomes

5. Relevance Approximately 1 in 5 female high school students report being physically and/or sexually abused by a dating partner. - Jay G. Silverman, PhD; Anita Raj, PhD; Lorelei A. Mucci, MPH; and Jeanne E. Hathaway, MD, MPH, Dating Violence Against Adolescent Girls and Associated Substance Use, Unhealthy Weight Control, Sexual Risk Behavior, Pregnancy, and Suicidality, Journal of the American Medical Association, Vol. 286, (No. 5, 2001). Among female victims of intimate partner violence, a current or former boyfriend or girlfriend victimized 94% of those between the ages of 16-19. U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics,7, (2001).

6. Intimate partner violence among adolescents is associated with increased risk of substance use, unhealthy weight control behaviors, sexual risk behaviors, pregnancy, and suicide. Molidor, Tolman, & Kober, (2000); National Center for Injury Prevention and Control, (2001). http://newsimg.bbc.co.uk/media/images/47303000/jpg/_47303456_ads_512.jpg

7. Elements of Data Collection Identify patients in IBEX and approach potential participants Eligibility survey Consent (individual or parental) Baseline survey TLFB (Time Line Follow Back) interview method Resource Book

8. Eligibility Survey

9. TLFB: Time-Line Follow Back – Accessing drinking, drug use, teen dating violence perpetration, and teen dating violence victimization for each day for the sixth months leading up to the date they completed the survey

10. Enrollment Data as of April 1, 2010

11. Of those enrolled… We are now moving forward with targeted enrollment for male perpetrators.

12. Results, as of April 1, 2010

13. Moving forward Continuing with targeted enrollment for male perpetrators After reaching target number of males, move forward with formal data analysis.