Safer Bars: A Cluster-Randomized Effectiveness Evaluation of Alcohol-related Sexual Violence Prevention through Bar Staff Bystander Training

更安全的酒吧：通过酒吧工作人员旁观者培训预防酒精相关性暴力的整群随机有效性评估

• 批准号: 10544299
• 负责人: Kelly Cue Davis
• 金额: $ 61.47万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-01 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10544299
• 关键词: Alcohol consumption; Alcohols; Area; Arizona; Attitude; Behavior; Behavior Control; Behavioral; Characteristics; Cluster randomized trial; Communities; Data; Education; Educational Curriculum; Effectiveness; Environment; Evaluation; Financial Hardship; Forcible intercourse; Foundations; Funding; Geographic Information Systems; Geography; Health; Health Services; Hot Spot; Individual; Intervention; Licensing; Maps; Mediating; Mediator; Methodology; Methods; Modeling; Outcome; Participant; Performance; Physical aggression; Physical environment; Planning Theory; Police; Policies; Prevention; Prevention approach; Prevention program; Proliferating; Public Health; Publishing; Quasi-experiment; Radial; Randomized; Randomized, Controlled Trials; Reporting; Research; Research Project Grants; Risk Management; Safety; Safety Management; Sampling; Social Environment; Statistical Data Interpretation; Statistical Models; Testing; Training; Universities; Violence; Woman; alcohol involvement; alcohol measurement; behavior measurement; behavioral construct; behavioral outcome; comparison intervention; density; distilled alcoholic beverage; effectiveness evaluation; effectiveness testing; efficacy testing; evidence base; expectation; experience; field study; follow-up; improved; innovation; interdisciplinary approach; interest; intervention effect; member; multiple data sources; operation; perpetrators; post intervention; programs; prospective; recruit; scale up; service programs; sex; sexual aggression; sexual assault; sexual violence; social norm; theories; treatment arm; trial design; violence perpetration; violence prevention

Abstract Background and Significance: Sexual violence perpetration is robustly associated with social contexts that support high levels of alcohol consumption. Beginning in 2007, the Arizona Department of Health Services (ADHS) developed and field-tested the Safer Bars curriculum with support from the CDC Rape Prevention and Education (RPE) funding program. Safer Bars is a bystander prevention training for staff of alcohol serving establishments. This application proposes a theory-driven, quasi-experimental effectiveness evaluation by an independent team at The University of Arizona. Our approach is significant because few evaluations have measured behavioral outcomes as well as the mediators that explain the observed changes in bystander behavior, or community-level outcomes associated with such interventions. Specific Aims: the specific aims are to: (1) Test a hypothesized mediational model of individual-level behavioral outcomes based on the Theory of Planned Behavior; (2) assess the effect of the program on bar-level risk management safety policies; and (3) examine the community-level impact of the Safer Bars program on reducing the number of police dispatches in areas with high densities of alcohol-serving establishments. Methods: A cluster-randomized trial design with crossover to randomize participants at the bar level into intervention and delayed intervention arms is proposed. Assessments are at baseline, completion of training, and at three and six months post-training. The sample bars will be selected using Geographical Information System (GIS) mapping of “hot spots” for police dispatches within a three-mile radius of the three major Arizona universities, all of which have a high density of alcohol-serving establishments adjacent to campus. ADHS will focus their program delivery on bars within these identified geographic parameters. Our analytical model will assess a hypothesized moderated mediational model based in the Theory of Planned Behavior (TPB). Outcomes of interest include: (a) the extent to which Behavioral Intent, the central construct of TPB, mediates bar staff performance of intended bystander behaviors at three-month follow-up and the extent to which this relationship is moderated by personal characteristics and bar environment; (b) the effects of the program on bar-level risk management patron safety policies; and, (c) the community-level effects as demonstrated by number of police dispatches in areas with a high density of alcohol-serving establishments at baseline and at the end of the project using GIS data. With evidence of efficacy, Safer Bars is feasible for scale-up without excessive financial burden in other states, which all receive RPE funding.

抽象的 背景和意义：性暴力持续性与社会环境有着牢固的联系 支持高水平的饮酒量。从2007年开始，亚利桑那州卫生服务部 （ADHS）在预防CDC强奸和 教育（RPE）资金计划。更安全的酒吧是针对酒精服务人员的旁观者预防培训 机构。该申请提出了一个理论驱动的准实验效力评估 亚利桑那大学的独立团队。我们的方法很重要，因为很少有评估 测量的行为结果以及解释旁观者观察到的变化的调解人 行为或与此类干预措施相关的社区级别的结果。具体目的：具体目的 是：（1）基于 计划行为理论； （2）评估该计划对酒吧级风险管理安全政策的影响； （3）检查更安全的酒吧计划对减少警察数量的社区级别的影响 在饮酒场所密度较高的地区进行派遣。方法：群集随机试验 与跨界的设计，将酒吧级别的参与者随机进行干预和延迟干预臂 提出了。评估是在基线，培训的完成以及训练后三个月和六个月的。 将使用“热点”的地理信息系统（GIS）映射选择样品栏 警方在亚利桑那州三所主要大学的三英里半径内派遣 酒精服务机构的密度与校园相邻。 ADHS将把他们的计划交付重点放在酒吧上 在这些确定的地理参数中。我们的分析模型将评估一个假设的调节 基于计划行为理论（TPB）的中介模型。感兴趣的结果包括：（a） 行为意图的范围，TPB的中心结构，介导了律师工作人员的表现。 旁观者的行为为期三个月的随访以及这种关系的调节程度 个人特征和酒吧环境； （b）该计划对酒吧级风险管理的影响 赞助人安全政策； （c）由警察派遣数量证明的社区级效应 使用GIS时，在基线和项目结束时具有高密度酒精服务场所的区域 数据。有了效率的证据，更安全的酒吧可用于扩大规模，而没有过多的财务燃烧 州，所有这些都获得了RPE资金。