Implementing Sexual Violence Primary Prevention Programs: A Case Study of Implementer Perspectives




sexual violence prevention, program implementation, community-based organizations, university-based programming, primary prevention


Sexual violence prevention programs are important for addressing sexual violence and are often implemented in local community and university settings. However, program implementer perspectives are often missing from academic research literature, limiting access to practical knowledge that can provide insights to improving programs and prevention. This study illustrates the landscape of sexual violence primary prevention work in a Midwestern metropolitan area. Seven interviews with community and university implementers took place in 2020, providing information about local prevention programs and expert insights to community prevention culture. Geographic data about implementation locations was also collected to visually assess coverage of preventive services and confirm that the major sub-areas of the metropolitan area were represented by this research. Interviews provided descriptions of local programs implemented with adolescents and young adults which usually took place in school or university settings and focused on healthy relationships. Capacity was most often cited as a challenge faced internally, whereas broader outer contexts may inhibit or support prevention externally. Findings capture the perspectives of sexual violence prevention program implementers, including discussion of tensions related to adaptation versus fidelity and how implementation contexts specific to this programming may influence implementation.

Author Biographies

Jacinda K. Dariotis, University of Illinois at Urbana-Champaign

Department of Human Development and Family Studies

Bonnie S. Fisher, University of Cincinnati

School of Criminal Justice


Basile, K. C., Lang, K. S., Bartenfeld, T. A., & Clinton-Sherrod, M. (2005). Evaluability assessment of the Rape Prevention and Education Program: Summary of findings and recommendations. Journal of Women’s Health, 14(3), 201–207.

Black, M. C., Basile, K. C., Breiding, M. J., Smith, S. G., Walters, M. L., Merrick, M. T., Chen, J., & Stevens, M. R. (2011). The national intimate partner and sexual violence survey (NISVS): 2010 summary report. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention

Boba, R., & Lilley, D. (2009). Violence against women act (VAWA) funding: A nationwide assessment of effects on rape and assault. Violence Against Women, 15(2), 168–185.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101.

Chambers, D. A., Glasgow, R. E., & Stange, K. C. (2013). The dynamic sustainability framework: Addressing the paradox of sustainment amid ongoing change. Implementation Science, 8(1), 1–11.

Coker, A. L., Bush, H. M., Cook-Craig, P. G., DeGue, S. A., Clear, E. R., Brancato, C. J., Fisher, B. S., Recktenwald, E. A. (2017). RCT testing bystander effectiveness to reduce violence. American Journal of Preventive Medicine, 52(5), 566–578.

Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(1).

Damschroder, L. J., Reardon, C. M., Opra Widerquist, M. A., & Lowery, J. (2022). Conceptualizing outcomes for use with the consolidated framework for implementation research (CFIR): The CFIR outcomes addendum. Implementation Science, 17(7), 1–10.

Dariotis, J. K., Bumbarger, B. K., Duncan, L. G., & Greenberg, M. T. (2008). How do implementation efforts relate to program adherence? Examining the role of organizational, implementer, and program factors. Journal of Community Psychology, 36(6), 744–760.

Davidov, D. M., Hill, K., Bush, H. M., & Coker, A. L. (2020). The green light for Green Dot: A qualitative study of factors influencing adoption of an efficacious violence prevention program in high school settings. Violence Against Women, 26(12-13), 1701–1726.

DeGue, S., Niolon, P. H., Estefan, L. F., Tracy, A. J., Le, V. D., Vivolo-Kantor, A. M., Little, T. D., Latzman, N. E., Tharp, A., Lang, K. M., & Taylor, B. (2020). Effects of dating matters® on sexual violence and sexual harassment outcomes among middle school youth: A cluster-randomized controlled trial. Prevention Science, 22(2), 175–185.

DeGue, S., Simon, T. R., Basile, K. C., Yee, S. L., Lang, K., & Spivak, H. (2012). Moving forward by looking back: Reflecting on a decade of CDC's work in sexual violence prevention, 2000–2010. Journal of Women's Health, 21(12), 1211–1218.

DeGue, S., Valle, L. A., Holt, M. K., Massetti, G. M., Matjasko, J. L., & Tharp, A. T. (2014). A systematic review of primary prevention strategies for sexual violence perpetration. Aggression and Violent Behavior, 19(4), 346-362.

Durlak, J. A., & DuPre, E. P. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41(3-4), 327-350.

Edwards, K. M., Waterman, E. A., Lee, K. D. M., Himlin, L., Parm, K., & Banyard, V. L. (2019). Feasibility and acceptability of a high school relationship abuse and sexual assault bystander prevention program: School personnel and student perspectives. Journal of Interpersonal Violence, 1–16.

Feagans Gould, L., Mendelson, T., Dariotis, J. K., Ancona, M., Smith, A. S. R., Gonzalez, A. A., Smith, A. A., & Greenberg, M. T. (2014). Assessing fidelity of core components in a mindfulness and yoga intervention for urban youth: Applying the CORE Process. New Directions for Youth Development, 142, 59–81.

Foshee, V. A., Bauman, K. E., Ennett, S. T., Suchindran, C., Benefield, T., & Linder, G. F. (2005). Assessing the effects of the dating violence prevention program "Safe Dates" using random coefficient regression modeling. Prevention Science, 6(3), 245–258.

Foshee, V. A., Fletcher Linder, G., Bauman, K. E., Langwick, S. A., Arriaga, X. B., Heath, J. L., McMahon, P. M., & Bangdiwala, S. (1996). The safe dates project: Theoretical basis, evaluation design, and selected baseline findings. American Journal of Preventive Medicine, 12(5), 39-47.

Huckel Schneider, C., Milat, A. J., & Moore, G. (2016). Barriers and facilitators to evaluation of health policies and programs: Policymaker and researcher perspectives. Evaluation and Program Planning, 58, 208–215.

Jackson-Gordon, R. (2022). Adolescent sexual violence prevention program implementation and sustainability: A mixed methods dissertation [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center.

Krisberg, K. (2018). CDC rape prevention program brings health lens to violence. The Nation’s Health, 48(2), S1–S6.

Luo, F., DeGue, S., & Le, V. D. (2020). Estimating from the payer perspective the implementation cost of Dating Matters®: A comprehensive teen dating violence prevention model. Journal of Interpersonal Violence.

Maynard, B. R., Salas-Wright, C. P., & Vaughn, M. G. (2015). High school dropouts in emerging adulthood: Substance use, mental health problems, and crime. Community Mental Health Journal, 51(3), 289–299.

McCauley, H. L., Campbell, R., Buchanan, N. T., & Moylan, C. A. (2019). Advancing theory, methods, and dissemination in sexual violence research to build a more equitable future: An intersectional, community-engaged approach. Violence Against Women, 25(16), 1906–1931.

National Center for Education Statistics. (2021). The condition of education 2021 [NCES 2021-144]. U.S. Department of Education.

Noonan, R. K., Emshoff, J. G., Mooss, A., Armstrong, M., Weinberg, J., & Ball, B. (2009). Adoption, adaptation, and fidelity of implementation of sexual violence prevention programs. Health Promotion Practice, 10(1), 59S-70S.

Ohio Alliance to End Sexual Violence. (n.d.). The Violence Against Women Act of reauthorization of 2021 [Fact sheet].

Proctor, E., Silmere, H., Silmere, H., Raghavan, R., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., Griffey, R., & Hensley, M. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65–76.

SIECUS. (2022). Sex ed state law and policy chart: SIECUS state profiles: Jan. 2022.

Smith, S. G., Zhang, X., Basile, K. C., Merrick, M. T., Wang, J., Kresnow, M., Chen, J. (2018). The national intimate partner and sexual violence survey (NISVS): 2015 data brief – updated release. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

Taylor, B. G., Stein, N. D., Mumford, E. A., & Woods, D. (2013). Shifting boundaries: An ex- perimental evaluation of a dating violence prevention program in middle schools. Prevention Science, 14(1), 64–76.

Townsend, S. M., & Campbell, R. (2007). Homogeneity in community-based rape prevention programs: Empirical evidence of institutional isomorphism. Journal of Community Psychology, 35(3), 367–382.

Townsend, S. M., & Campbell, R. (2008). Identifying common practices in community-based rape prevention programs. Journal of Prevention & Intervention in the Community, 36(1-2), 121–135.

VERBI Software. (2019). MAXQDA 2020 [computer software]. VERBI Software. Available from

Wallerstein, N., & Duran, B. (2010). Community-based participatory research contributions to intervention research: The intersection of science and practice to improve health equity. American Journal of Public Health, 100(S1), S40–S46.

Wallerstein, N., Duran, B., Oetzel, J., & Minkler, M. (2017). Community-based participatory research for health: Advancing social and health equity (3rd ed.). Jossey-Bass.

Wiltsey Stirman, S., Baumann, A. A., & Miller, C. J. (2019). The FRAME: An expanded framework for reporting adaptations and modifications to evidence-based interventions. Implementation Science, 14(58), 1–10.






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