Promoting prosocial bystander behavior in intoxicated men: Evaluation of RealConsent2.0

促进醉酒男性的亲社会旁观者行为：RealConsent2.0 的评估

基本信息

批准号：
10693223
负责人：
Dominic Parrott
金额：
$ 64.88万
依托单位：
GEORGIA STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-15 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10693223
关键词：
Acute Address Adult Age Alcohol consumption Alcoholic Intoxication Alcohols Attitude Behavior Behavior assessment Behavioral Beverages Bystander Effect Communities Compensation Decision Making Development Educational Intervention Educational process of instructing Evaluation Event Female Forcible intercourse Foundations Future Geographic Locations Goals Intervention Intervention Studies Intoxication Laboratories Measurement Measures Methods Midwestern United States Modeling Online Systems Outcome Participant Patient Self-Report Placebos Population Prevention Prevention Research Prevention program Procedures Process Public Health Publishing Randomized, Controlled Trials Reporting Research Risk Sampling Self Assessment Theoretical model Translating United States Victimization Work age group aged aging population alcohol effect alcohol involvement alcohol myopia behavioral outcome binge drinking cognitive process college comparative efficacy efficacy evaluation efficacy testing follow-up improved innovation intervention program male men novel pharmacologic post intervention prevent programs randomized, clinical trials real world application recruit response sexual assault sexual violence sobriety statistics theories university student violence perpetration violence prevention virtual virtual assessment virtual environment virtual reality virtual reality environment young adult young man

项目摘要

Sexual violence (SV) is a significant public health problem in the United States, particularly among 18-24 year old (college and non-college) populations. Females 18 to 24 have the highest rate of rape and sexual assault victimization (6.1 per 1,000 for female college students; 7.6 per 1,000 for female nonstudents) compared to males of the same age and females of other age groups. Despite these alarming statistics, the CDC reports that there is only one program (“RealConsent”) rigorously shown to be effective in both increasing prosocial bystander behaviors and preventing SV perpetration among college students. Thus, there is a major gap in SV prevention programming. Of particular importance is the fact that RealConsent and other bystander intervention programs and their respective evaluations suffer from critical weaknesses and limitations that reduce overall impact on SV rates. These include: (1) an overemphasis on bystander attitudes or intentions versus actual behavior, (2) measures that rely upon self-report and are void of context when behavior is assessed, (3) not addressing the proximal effect of alcohol on bystander decision making and behavior in situations at-risk for SV, and (4) poor generalizability given the minimal focus on young adults who do not attend college. Intervention research must directly address these limitations in order to close this critical gap. The scientific premise of this proposal is that by integrating new content specific to alcohol use within the context of SV intervention into RealConsent, we can more effectively facilitate prosocial and effective bystander behavior – even among intoxicated bystanders. We aim to first examine the effects of proximal alcohol use on virtual bystander behaviors and then test the efficacy of the revised RealConsent program (i.e., RealConsent2.0). These goals will be achieved by (1) developing new program content for RealConsent2.0 that is informed by the integration of two theoretical perspectives – Alcohol Myopia Theory and the Bystander Decision-Making Model, (2) implementing a randomized controlled trial (RCT) in two distinct geographic areas (the Southeast and Midwest) with a sufficiently-powered, community-based sample of N=840 young men, (3) comparing the relative efficacy of RealConsent1.0 and 2.0 on observable bystander behavior among intoxicated and sober bystanders in a virtual reality environment 1-month post-intervention, and (4) comparing the efficacy of RealConsent1.0 and 2.0 on self-reported bystander behavior as a function of proximal alcohol use and the presence of alcohol within the behavioral context at 6- and 12-months post- intervention. The most significant contribution of the proposed project will be to provide the first evidence of how to promote prosocial bystander behavior in men who consume alcohol and improve future development, evaluation, and dissemination of bystander intervention programs. In doing so, this project will provide the necessary empirical foundation for existing bystander prevention programming to translate these findings directly into real-world applications that will ultimately have a significant impact on SV.

性暴力 (SV) 是美国的一个重大公共卫生问题，特别是在 18-24 岁人群中 18 至 24 岁的老年（大学和非大学）女性遭受强奸和性侵犯的比例最高。受害率（每 1,000 名女大学生中有 6.1 人受害；每 1,000 名女非学生中有 7.6 人受害）尽管有这些令人震惊的统计数据，但疾病预防控制中心报告称，同龄男性和其他年龄段的女性。只有一项计划（“RealConsent”）被严格证明在增强亲社会性方面是有效的旁观者行为和预防大学生的 SV 实施因此，在 SV 方面存在重大差距。特别重要的是 RealConsent 和其他旁观者。干预计划及其各自的评估存在严重的弱点和局限性，减少对 SV 率的总体影响包括：(1) 过分强调旁观者的态度或意图。与实际行为相比，（2）依赖于自我报告的测量，并且在行为发生时缺乏背景。评估，（3）没有解决酒精对旁观者决策和行为的近端影响存在 SV 风险的情况，以及 (4) 普遍性较差，因为很少关注那些不具备 SV 的年轻人干预研究必须直接解决这些局限性，以缩小这一关键差距。该提案的科学前提是，通过将特定于酒精使用的新内容纳入在 SV 干预 RealConsent 的背景下，我们可以更有效地促进亲社会和有效的旁观者行为——即使是在醉酒的旁观者中。我们的目标是首先检查近期饮酒对人的影响。虚拟旁观者的行为，然后测试修订后的 RealConsent 计划的功效（即， RealConsent2.0）将通过（1）为 RealConsent2.0 开发新的程序内容来实现。融合了两种理论观点——酒精近视理论和旁观者理论决策模型，(2) 在两个不同的地理区域实施随机对照试验 (RCT) 地区（东南部和中西部）拥有足够强大的、基于社区的 N=840 名年轻人样本男性，(3) 比较 RealConsent1.0 和 2.0 对可观察到的旁观者行为的相对功效干预后 1 个月，虚拟现实环境中醉酒和清醒的旁观者，以及 (4) 比较 RealConsent1.0 和 2.0 对自我报告的旁观者行为的功效作为函数饮酒后 6 个月和 12 个月的近期饮酒情况以及行为背景中是否存在酒精拟议项目最重要的贡献将是提供第一个证据。如何促进饮酒男性的亲社会旁观者行为并改善未来发展，在此过程中，该项目将提供旁观者干预计划的评估和传播。现有旁观者预防规划必要的经验基础来转化这些发现直接进入现实世界的应用程序，最终将对 SV 产生重大影响。