SCALE: Strategies for Implementing GlobalConsent to Prevent Sexual Violence in University Men

SCALE：实施全球共识以防止大学男性性暴力的策略

基本信息

批准号：
10672800
负责人：
KATHRYN M YOUNT
金额：
$ 75.15万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-01 至 2028-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10672800
关键词：
Acute Address Adherence Adolescence Adoption Adult Affect Affective Aftercare Asia Attention Attitude Behavior Behavioral Belief Chronic Consent Country Data Drama Education Education and Outreach Effectiveness Eligibility Determination Empathy Etiology Exposure to Faculty Focus Groups Forcible intercourse Fostering Gender Generations Grant Health Incentives Income Institution Interruption Interview Knowledge Leadership Learning Learning Module Link Manuals Mediator Medical Mental Health Methods Modification North Vietnam Online Systems Outcome Penetration Perception Persons Prevention program Primary Prevention Qualitative Research Randomized Reach, Effectiveness, Adoption, Implementation, and Maintenance Reporting Research Research Priority Risk Risk Factors Series Sex Behavior Societies Students Surveys Techniques Testing Time Training Training Programs Universities Vietnam Violence Woman behavior change behavioral health college comparative comparative cost effectiveness compare effectiveness cost cost effective cost effectiveness cost-effectiveness evaluation design effectiveness outcome evidence base experience follow-up health inequalities implementation barriers implementation facilitators implementation fidelity implementation strategy implementation trial implementation/effectiveness improved informant innovation low and middle-income countries male men novel online delivery outreach peer perpetrators physical conditioning post implementation post intervention prevent programs remote delivery scale up sexual debut sexual violence synergism theories university student violence prevention

项目摘要

PROJECT SUMMARY ABSTRACT Significance. Globally and in Asia/Pacific, women 15–24 years (y) are at heightened risk of exposure to sexual violence, including at university. The burden of sexual violence is higher for women than men, and men most often are the perpetrators. Sexual violence in adolescence is a risk factor for gender-differentiated mental, physical, and behavioral health conditions in adulthood and is costly for victims and societies. Evidence-based prevention programs tailored to university men in low- and middle-income countries (LMICs) are rare. Our team developed GlobalConsent, a theory-based, six-module educational entertainment program adapted from an efficacious program tested with university men in the US. In a large attention-controlled trial at two universities in North Vietnam, GlobalConsent reduced men’s sexually violent behavior (OR=0.71, 95%CI 0.50-1.00) and increased pro-social bystander behavior (OR=1.51, 1.00-2.28) 9 months post-treatment. Evidence on real-world implementation is needed. Aims. We will compare the 1) implementation, 2) implementation drivers and outcomes, 3) implementation effectiveness, and 4) cost-effectiveness of delivering GlobalConsent using one of two bundled implementation strategies. Approach. We will randomize six medical universities in North, Central, and South Vietnam to deliver GlobalConsent to eligible first-year male students using lower-intensity (standard) or higher-intensity implementation strategies salient to university stakeholders in Vietnam. Higher-intensity strategies will include those in the lower-intensity group plus more 1) implementation and post-implementation educational outreach with university leaders, 2) pre-implementation leadership training and external implementation support to university facilitators, and 3) pre-implementation educational outreach, implementa- tion follow-up, and incentives to foster student adherence and demand to complete GlobalConsent. Our mixed- methods comparative interrupted time-series design includes 1) qualitative research with university leaders and implementation teams to compare implementation and implementation settings; 2) repeated surveys with leaders, implementation teams, faculty, and male students to compare implementation drivers and outcomes, 3) 10 quarterly surveys with male students to compare primary behavioral and secondary knowledge, attitudinal, and affective outcomes, and 4) cost data to compare the cost effectiveness of the two implementation strategies bundles on incidents of sexual violence averted. Innovation/Impact. This project is the first to assess two bundled implementation strategies to deliver an efficacious web-based sexual-violence-prevention program tailored to university men in Vietnam. Including university partners across Vietnam enables us to test these strategies in diverse regions and to synergize this effort with in an on-going violence-prevention training initiative (D43TW012188). Our state-of-the-art approach will produce rigorous evidence that can inform dialogue with officials about how to deliver GlobalConsent nationally. This project is poised to reduce gender-based health inequities linked to early sexual violence and to strengthen national capacity to bring GlobalConsent to scale.

项目概要摘要意义：在全球和亚太地区，15-24 岁的女性面临性暴露风险。暴力，包括在大学里，女性遭受性暴力的负担高于男性，其中男性最为严重。青少年时期的性暴力往往是造成性别差异心理的危险因素。成年期的身体和行为健康状况对受害者和社会来说代价高昂。我们的团队很少有针对中低收入国家 (LMIC) 大学生的预防计划。开发了 GlobalConsent，这是一个基于理论的六模块教育娱乐程序，改编自在美国两所大学进行的一项大型注意力控制试验中，该项目进行了有效的测试。在越南北部，GlobalConsent 减少了男性的性暴力行为（OR=0.71，95%CI 0.50-1.00）治疗后 9 个月亲社会旁观者行为增加 (OR=1.51, 1.00-2.28) 现实世界的证据。需要实施。我们将比较 1) 实施、2) 实施驱动因素和结果，3) 实施的有效性，以及 4) 使用以下之一提供 GlobalConsent 的成本效益采取两种捆绑实施策略。和南越以较低强度（标准）向符合条件的一年级男学生提供 GlobalConsent 或对越南大学利益相关者重要的更高强度的实施策略。策略将包括低强度组中的策略以及更多 1) 实施和实施后与大学领导进行教育推广，2) 实施前的领导力培训和外部向大学协调员提供实施支持，以及 3) 实施前的教育推广、实施化后续行动，以及促进学生遵守和要求完成我们的混合的激励措施。比较中断时间序列设计的方法包括 1) 与大学领导进行定性研究实施团队比较实施和实施环境；2) 重复调查领导者、实施团队、教师和男学生比较实施驱动因素和结果，3) 对男学生进行 10 次季度调查，比较初级行为和次级知识、态度、和情感结果，以及 4) 用于比较两种实施策略的成本效益的成本数据避免性暴力事件的捆绑包创新/影响该项目是第一个评估两个的项目。捆绑实施战略，以提供有效的基于网络的性暴力预防计划为越南的大学男士量身定制，包括越南各地的大学合作伙伴，使我们能够测试这些内容。不同地区的战略，并将这一努力与正在进行的暴力预防培训举措相结合 (D43TW012188)。我们最先进的方法将产生严格的证据，为对话提供信息。该项目旨在减少基于性别的健康问题。解决与早期性暴力相关的不平等问题，并加强国家能力，以扩大全球共识的规模。