Abstract'Coaching Boys into Men' is an evidence-based dating violence prevention program for coaches to implement with male athletes. A common adaptation of this program is delivery by domestic violence and sexual violence prevention advocates instead of coaches. We explored how this implementer adaptation may influence athlete uptake of program messages and outcomes. Randomly, one school received the program delivered by an advocate while another school received the program delivered by coaches. Athletes completed baseline and follow-up surveys (n ¼ 148), and a subset who received the advocate-led program participated in focus groups (four groups; n ¼ 26). We compared changes in athlete attitudes and behaviors and conducted thematic analyses with qualitative data. We found no significant differences between athletes who received the program from the advocate versus their coaches. Athletes highlighted the advocate's delivery and role as a non-judgmental adult ally as qualities that influenced their uptake of program messages. The acceptability of the advocate-led program may be related to the implementer type along with specific implementer characteristics and delivery methods. Using advocates together with coaches as implementers could increase the reach of this program. Further study of best practices for Coaching Boys into Men adaptation is needed to guide program dissemination and sustainability.

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Sexual violence (SV) is a global public health problem that is impacted by social norms and gender inequity. In the United States, nearly 1 in 5 women have experienced rape or attempted rape and 1 in 17 men have been made to sexually penetrate someone in their lifetime. SV also shares many risk and protective factors with other violence types experienced throughout the lifespan. Researchers and practitioners still face challenges with tracking implementation of SV prevention strategies and demonstrating public health impacts. Centers for Disease Control and Prevention (CDC) administers the national Rape Prevention Education Program (RPE) to address SV risk and protective factors and prevent first SV occurrences. From 2016–2017, RPE’s 50 state and four territorial recipients funded 485 local organizations to implement prevention strategies in over 1 300 sites. CDC monitored implementation and risk and protective factors addressed by its recipients. In addition, CDC supported 12 recipients to use publicly available data to track SV outcomes within their state. The majority of prevention strategies (75%) were developed in practice settings, but most of these strategies aligned with CDC’s STOP SV technical package, a core set of SV prevention strategies based on the best available evidence. Most recipients implement educational strategies intended to impact knowledge and behaviors and community strategies to impact social norms. Fewer strategies, however, focus on improving gender equity through economic and leadership opportunities. RPE recipients identified publicly available data to measure some SV outcomes, as well as other data sources within their states. RPE is the first U.S. national program to track implementation of prevention strategies and linked SV indicators. Recipients may need greater support to implement gender equity-focused strategies. Publicly available combined with state-specific data sources may be an effective way for CDC to build the case for national public health impacts.