Reducing Alcohol Use and Sexual Dysfunction in Survivors of Sexual Trauma

减少性创伤幸存者的饮酒和性功能障碍

基本信息

批准号：
10614913
负责人：
Lindsay Marie Orchowski
金额：
$ 24.85万
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：
2022-05-01 至 2025-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10614913
关键词：
Address Adherence Alcohol consumption Arousal Attention Classification Clinical Clinical Trials Cognitive Therapy Competence Control Groups Data Development Disease Distress Dose Education Empirical Research Event Feedback Female Focus Groups Forcible intercourse Foundations Frequencies Functional disorder Genital Genitalia Goals Health Health Promotion Heavy Drinking Intervention Interview Manuals Mediator Methods Mindfulness Training Modeling Modification National Institute on Alcohol Abuse and Alcoholism Outcome Pain Participant Patient Self-Report Pharmaceutical Preparations Phase Pilot Projects Population Prevention approach Prevention strategy Procedures Protocols documentation Public Health Randomized Readiness Recording of previous events Reporting Research Research Design Research Infrastructure Resistance Risk Risk Factors Risk Reduction Role Sampling Seasons Severities Sex Behavior Sexual Dysfunction Sexual Health Strategic Planning Structure Substance Addiction Survivors Techniques Testing Training Trauma Victimization Woman Women&apos s Group Women&apos s Health acceptability and feasibility alcohol expectancy alcohol intervention alcohol misuse alcohol misuse prevention alcohol related consequences alcohol use disorder assault college coping drinking empowerment evidence base experience follow-up high risk population improved inclusion criteria informant information gathering innovation intervention delivery model development motivational enhancement therapy perpetrators pilot trial prevent programs public health relevance recruit reduced alcohol use retention rate revictimization sex sexual assault sexual trauma sexual victimization sexually active sound theories therapy development trauma symptom university student

项目摘要

PROJECT SUMMARY/ABSTRACT Alcohol misuse and sexual assault are significant public health problems, especially among college women. Heavy drinking is a primary risk factor for sexual victimization and increases risk for revictimization and sexual dysfunction. Sex-related distress is also a common – yet rarely addressed – consequence of sexual victimization. Women with a history of sexual victimization report drinking to cope with sex-related distress; thereby increasing risk for revictimization. Despite strong associations between alcohol use, sexual distress, and sexual victimization among college women, there are no interventions that concurrently target these intersecting health outcomes. The proposed research will therefore develop an intervention that integrates evidence-based alcohol intervention strategies, techniques to reduce sex-related distress, and sexual assault risk reduction and resistance education with the goal of decreasing revictimization among sexually active college women with a history of sexual victimization who report heavy drinking and sex-related distress; a particularly high-risk group. 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 an attention and dose-matched control group. Women will be followed at 2- and 6- 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 college women, but also promote the overall sexual health of women. This integrated approach represents a shift in how these public health problems are typically addressed and has the potential to be widely disseminated and tailored for other populations.

项目概要/摘要酗酒和性侵犯是严重的公共卫生问题，尤其是在大学中酗酒是性受害的主要危险因素，并增加再次受害的风险。性功能障碍也是一种常见但很少得到解决的后果。性受害。有性受害史的女性报告称，饮酒是为了应对与性有关的问题。尽管饮酒与性行为之间存在密切联系，但会增加再次受害的风险。大学女性的痛苦和性受害问题，但没有同时针对的干预措施因此，拟议的研究将开发一种干预措施整合基于证据的酒精干预策略、减少性相关痛苦的技术，以及减少性侵犯风险和抵抗教育，以减少性侵犯再次受害的情况性活跃、有性受害史、报告酗酒且与性有关的女大学生处于阶段 1A 和 1B 治疗开发模式的特别高危人群。 1A 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)、校园咨询委员会将指导综合干预措施的制定。干预措施将在公开试验（N = 20）中进行测试，其中将采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的信息。修改后，然后在 1B 阶段随机试点试验中进行评估，该试验将 90 名女性分配到拟议的项目中，涉及干预或关注和剂量匹配的对照组将在 2 个月和 6 个月时对女性进行随访。在修订阶段，我们将进行离职面谈并修订干预措施，以做好准备。这项研究的结果预计将为干预措施的开发提供信息。不仅针对大学女性中酗酒和性侵犯的交叉点，而且还促进这种综合方法代表了这些公共卫生方式的转变。问题通常会得到解决，并有可能广泛传播并针对其他问题进行定制人口。