Integrated Alcohol and Sexual Assault Prevention for Bisexual Women

双性恋女性的酒精和性侵犯综合预防

基本信息

批准号：
10700869
负责人：
Lindsay Marie Orchowski
金额：
$ 19.41万
依托单位：
RHODE ISLAND HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-10 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10700869
关键词：
Address Adherence Age Age Years Alcohol consumption Alcohols Anxiety Assertiveness Behavior Bisexual Clinical Trials Communities Competence Control Groups Development Education Enrollment Evidence based intervention Face Feedback Focus Groups Forcible intercourse Fostering Frequencies Goals Harm Reduction Health Heavy Drinking Heterosexuals Individual Intervention Interview Lesbian Lesbian Gay Bisexual Lesbian Gay Bisexual Transgender Queer Manuals Measures Mental Depression Mental Health Methods Modification National Institute on Alcohol Abuse and Alcoholism Outcome Participant Patient Self-Report Personal Satisfaction Phase Pilot Projects Prevention Prevention approach Prevention program Procedures Public Health Randomized Recording of previous events Reporting Research Research Design Resistance Risk Risk Factors Risk Reduction Sampling Social support Strategic Planning Structure Surveys Target Populations Testing Training Trauma Violence Waiting Lists Woman Women&apos s Group acceptability and feasibility alcohol behavior alcohol intervention alcohol misuse alcohol misuse prevention binge drinking college coping drinking empowerment evidence base follow-up high risk population homonegativity informant information gathering innovation intervention delivery intimate partner violence marginalization men microaggression mindfulness mindfulness-based stress reduction minority stress model development motivational enhancement therapy peer pilot trial programs protective factors psychological distress public health relevance randomized trial recruit reduced alcohol use revictimization risk sharing sexual assault sexual coercion sexual health intervention sexual minority women sexual victimization sexual violence skills skills training stress reduction stressor therapy design therapy development university student young adult

项目摘要

PROJECT SUMMARY/ABSTRACT Alcohol misuse, sexual assault, and psychological distress (anxiety, depression) are significant interconnected problems among bisexual women. Heavy drinking is a primary risk factor for sexual victimization and increases risk for revictimization. Bisexual women report higher rates of heavy episodic drinking compared to heterosexual women, as well as higher rates of sexual assault compared to heterosexual or lesbian women. Bisexual women also report higher levels of minority stress, lower levels of connection to the LGBTQ+ community, and greater psychological distress (anxiety, depression) compared to lesbian women. Taken together, there is a strong need to target alcohol use, sexual assault, and psychological distress among bisexual women. Problematically, existing integrated alcohol and sexual assault interventions do not consider the unique stressors (minority stress, disconnection from the LGBTQ+ community) faced by bisexual women. Bisexual women also report less benefit from existing prevention approaches interventions. An integrated alcohol and sexual assault prevention program specifically tailored to bisexual women is therefore warranted. The proposed research will develop an intervention targeted toward bisexual college women between the ages of 18 – 30 with a history of sexual victimization who report heavy episodic drinking, a particularly high-risk group. The intervention will integrate (a) evidence-based motivational interviewing with personalized feedback to address risky alcohol use, (b) mindfulness skills training to reduce psychological distress, and (c) sexual assault risk reduction and resistance education as well as bystander intervention skills training with the goal of decreasing revictimization. Following a Stage 1A and 1B treatment development model, in Stage 1A information from informant interviews (N = 10), three focus groups (N = 30), stakeholder interviews (N = 6), and a campus advisory board will guide the development of the integrated intervention. The integrated intervention will be tested in an open trial (N = 20) in which interview and self-report methods will be utilized to gather information regarding the feasibility and acceptability of the intervention. The intervention will be revised and then evaluated in a Stage 1B randomized pilot trial involving 90 women assigned to the proposed intervention or a wait list control group. Women will be followed at 2- and 4- months post-baseline. In the Revision Phase, we will conduct exit interviews and revise the intervention to prepare for a larger clinical trial. Results of this research are expected to inform the development of interventions that not only target the intersection of alcohol use and sexual assault among bisexual college women, but also promote the overall wellbeing of bisexual women. This integrated approach represents a shift in how these public health problems are typically addressed and has the potential for significant impact across several cross-cutting outcomes.

项目概要/摘要酗酒、性侵犯和心理困扰（焦虑、抑郁）很严重双性恋女性之间相互关联的问题。酗酒是性受害的主要危险因素。相比之下，双性恋女性的酗酒率更高。与异性恋或女同性恋女性相比，性侵犯发生率更高。双性恋女性还报告称，少数族裔压力更大，与 LGBTQ+ 的联系程度更低与女同性恋者相比，其心理困扰（焦虑、抑郁）更大。总之，迫切需要解决双性恋者的酗酒、性侵犯和心理困扰问题问题在于，现有的酒精和性侵犯综合干预措施并未考虑到女性的独特性。双性恋女性面临的压力源（少数群体压力、与 LGBTQ+ 群体的脱节）。妇女还报告说，现有的预防方法干预措施的益处较少。因此，有必要制定专门针对双性恋女性的性侵犯预防计划。研究将针对 18 至 30 岁之间的双性恋女大学生制定一项干预措施有性受害史的人报告称偶尔酗酒，是特别高危的人群。干预措施将（a）基于证据的动机访谈与个性化反馈相结合，以解决有风险的饮酒，(b) 正念技能培训以减少心理困扰，以及 (c) 性侵犯风险减少和抵抗教育以及旁观者干预技能培训，以减少遵循第 1A 阶段和第 1B 阶段的治疗发展模型，第 1A 阶段的信息来自知情者访谈 (N = 10)、三个焦点小组 (N = 30)、利益相关者访谈 (N = 6) 和校园咨询委员会将指导综合干预措施的制定。综合干预措施将在一个测试中进行测试。公开试验（N = 20），其中将利用访谈和自我报告方法收集有关干预措施的可行性和可接受性将在第 1B 阶段进行修订和评估。随机试点试验涉及 90 名女性，她们被分配到提议的干预组或等候名单对照组。我们将在基线后 2 个月和 4 个月对女性进行跟踪。在修订阶段，我们将进行离职面谈。并修改干预措施，为更大规模的临床试验做准备，预计这项研究的结果将提供信息。制定干预措施，不仅针对酒精使用和性侵犯的交叉点双性恋大学女性，也促进了双性恋女性的整体福祉。代表了这些公共卫生问题通常解决方式的转变，并有可能产生重大影响跨领域成果的影响。