Reducing Alcohol Involved Sexual violence in higher Education (RAISE)

减少高等教育中的酒精性暴力（RAISE）

基本信息

批准号：
10491040
负责人：
Elizabeth Miller
金额：
$ 59.45万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-08-20 至 2026-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10491040
关键词：
Address Age Alcohols Awareness Behavior Caring Cellular Phone Clinic Clinic Visits Coercion Computers Counseling Data Data Collection Decision Aid Education Educational Intervention Emotional Forcible intercourse Glass Harm Reduction Health Impairment Individual Intervention Learning Longitudinal Studies Neurologic Participant Pennsylvania Policies Prevalence Provider Public Health Randomized Randomized Controlled Trials Recording of previous events Relative Risks Reporting Research Risk Safety Sampling Self Efficacy Sensory Services Sexual and Gender Minorities Students Testing Training Trauma Victimization West Virginia Woman alcohol risk base binge drinking care seeking clinical practice college disability disabled students effectiveness evaluation efficacy testing experience follow-up gender minority handheld mobile device hazardous drinking higher education implementation strategy improved intervention delivery longitudinal analysis men minority student partner violence preventive intervention psychoeducational intervention reproductive coercion service uptake sexual minority sexual violence student drinking undergraduate student university student uptake violence victimization

项目摘要

This is a competitive renewal of a stakeholder-engaged study across 28 college campuses focused on tailored harm reduction interventions to reduce risk for sexual violence (SV) among undergraduate college students receiving care from college health and counseling centers (CHCs). “Reducing Alcohol Involved Sexual vio- lence in higher Education (RAISE)” is a longitudinal study that builds on a previous cluster-randomized con- trolled trial on college campuses in Pennsylvania and West Virginia (R01 AA023260). We aim to reach stu- dents at elevated risk for SV and hazardous drinking: students with history of SV, students who identify as sex- ual/gender minority, and students who have disabilities (65% of our previous sample). SV, particularly alcohol- involved SV, remains highly prevalent on college campuses. Our previous study found that a large proportion of students seeking care in CHCs have experienced SV victimization (n=2291, 64% of women, 32% of men report lifetime SV) which is associated with binge drinking. Students identifying as sexual or gender minority or endorsing a disability (i.e., physical, emotional, sensory, neurologic, and learning impairments) report particu- larly high lifetime prevalence of SV that is associated with greater odds of binge drinking compared to students not exposed to SV. The previous RCT involved training CHC staff to deliver a brief educational intervention to reduce SV risk, titled “Giving Information for Trauma Support and Safety” (GIFTSS), to all students seeking care. Implementation varied across CHCs. Among students who received GIFTSS as intended, we found sig- nificant increases in self-efficacy to use harm reduction strategies and SV-related services. Students with his- tory of SV had greater than four-fold increase in odds of disclosing this history to providers. We identified pro- vider-, clinic-and campus-level changes needed to improve intervention delivery. To more directly target use of harm reduction strategies among students at elevated risk for SV and hazardous drinking, we also propose to integrate a safety decision aid (myPlan app for use on smartphone or computer) which increases harm reduc- tion behaviors among college women experiencing partner violence. The focus of this renewal is to 1) test strategies to improve implementation of GIFTSS, 2) offer support for students at elevated risk for SV and haz- ardous drinking with tailored harm reduction strategies delivered via the myPlan app after the clinic visit, and 3) strengthen campus policies to promote access to SV services and reduce hazardous drinking. A 2x2 cluster randomized controlled trial will compare two implementation strategies for GIFTSS in CHCs (provider scripts vs. learning collaborative) focusing on undergraduate students ages 18-24 (N= 2400 across 28 campuses) with follow-up at 4 months and 12 months (Aim 1). We will evaluate the effectiveness of myPlan in increasing uptake of tailored harm reduction strategies for those at elevated risk for SV and hazardous drinking (Aim 2). Finally, we will assess for alcohol and SV policy changes on each campus that may increase access to and uptake of confidential services among students at elevated risk for hazardous drinking and SV (Aim 3).

这是对28个专注于量身定制的大学校园的利益相关者参与研究的竞争续约减少危害干预措施以减少大学生的性暴力风险（SV）从大学卫生和咨询中心（CHCS）获得护理。 “减少酒精涉及性野酒 - 高等教育（加薪）中的透镜”是一项纵向研究在宾夕法尼亚州和西弗吉尼亚州的大学校园进行了拖钓试验（R01 AA023260）。我们的目标是达到Stu- SV和危险饮酒风险较高的凹痕：具有SV历史的学生，认同性别的学生 - UAL/性别少数派，以及有残疾的学生（占我们以前样本的65％）。 SV，特别是酒精 - 涉及SV，在大学校园中仍然非常普遍。我们以前的研究发现很大一部分在CHC中寻求护理的学生中有SV胜利（n = 2291，女性中有64％，男性的32％报告与暴饮暴食有关的寿命SV）。学生认为是性或性别少数民族或认可残疾（即身体，情感，感觉，神经系统和学习障碍）的报道与学生相比，SV的终身患病率很高不暴露于SV。以前的RCT涉及培训CHC员工，进行简短的教育干预措施将SV风险降低给所有寻求的学生，标题为“提供创伤支持和安全信息”（礼物）关心。 CHC的实施不同。在收到预期礼物的学生中，我们发现了sig- 使用减少危害策略和与SV相关的服务的自我效能增强。与他的学生 SV的托里（Tory）向提供者披露这一历史的几率增加了四倍以上。我们确定了亲 vider-，诊所和校园级别的变化以改善干预措施。更直接地针对使用 SV和危险饮酒风险较高的学生减少损害策略，我们还建议集成了安全决策援助（用于在智能手机或计算机上使用的Myplan应用程序），以增加危害减少 - 经历伴侣暴力的大学妇女的行为。此续约的重点是1）测试改善礼物实施的策略，2）为SV和HAZ-风险较高的学生提供支持诊所访问后通过Myplan应用程序提供的量身定制危害策略的热心饮酒，3）加强校园政策，以促进获得SV服务并减少危险饮酒。 2x2群集随机对照试验将比较CHC中礼物的两种实施策略（提供商脚本）与学习协作）专注于18-24岁的本科生（在28个校园中n = 2400）在4个月零12个月时进行随访（AIM 1）。我们将评估Myplan在增加的有效性对SV风险和危险饮酒风险较高的人采取量身定制的减少伤害策略（AIM 2）。最后，我们将评估每个校园的酒精和SV政策变化，以增加对和的机会在危险饮酒和SV风险较高的学生中，对机密服务的吸收（AIM 3）。