Expanding the uSafeUS Mobile App to Reduce Alcohol-Involved Sexual Assault on College Campuses

扩展 uSafeUS 移动应用程序以减少大学校园中涉及酒精的性侵犯

• 批准号: 10790804
• 负责人: Nichole M Scaglione
• 金额: $ 23.44万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-21 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10790804
• 关键词: Address; Administrator; Alcohol consumption; Alcoholic Intoxication; Alcohols; Behavioral; Complex; Control Groups; Data; Development; Enrollment; Ensure; Evaluable Disease; Evaluation; Event; Feedback; Focus Groups; Frequencies; Goals; Harm Reduction; Heavy Drinking; Home; Individual; Infrastructure; Intervention; Life; Link; Location; Methodology; Methods; Outcome; Persons; Pilot Projects; Prevention; Prevention strategy; Procedures; Process; Property; Psychometrics; Public Health; Randomized, Controlled Trials; Reporting; Research; Risk; Risk Reduction; Signal Transduction; Site; Social Environment; Structure; Students; Technology; Testing; Time; Trust; Universities; acceptability and feasibility; alcohol intervention; alcohol involvement; alcohol misuse; alcohol prevention; arm; behavioral outcome; college; college drinking; design; diaries; drinking; effectiveness/implementation trial; efficacy trial; evidence base; feasibility testing; follow-up; implementation study; innovation; instrument; longitudinal design; mHealth; meetings; mobile application; peer; prototype; randomized, clinical trials; response; service providers; sexual assault; smartphone application; student participation; therapy development; tool; university student; usability

PROJECT SUMMARY This R34 application aims to develop and test an innovative mobile application (app) to reduce college student drinking and sexual assault risk in real time. Over 75% of campus sexual assaults involve alcohol, yet existing campus alcohol and SA prevention efforts designed for universal delivery are often siloed and limited in their ability to provide students with in-the-moment assistance to reduce risk. Smartphone apps are an integral part of college student life and are increasingly used to engage students in real-time alcohol prevention; however, none have integrated alcohol and sexual assault prevention into a single cross-cutting tool. This study addresses this gap by expanding a promising campus sexual assault prevention and response app (uSafeUS®) to include evidence-based alcohol harm reduction tools and real-time messaging to support students’ use of protective behavioral strategies (PBS) in the moments when they most need them. The uSafeUS app, currently in use on 24 US college campuses, utilizes sexual assault PBS (e.g., sharing current locations and an expected return home time with trusted peers) as the primary risk reduction mechanism for students to use in social contexts where alcohol is present, yet none of the existing features directly address alcohol consumption. This project will leverage the existing uSafeUS infrastructure and a proven user-centered development process to expand app features to include an interactive drink tracker and personalized feedback messaging to reduce alcohol consumption and increase PBS use. The expanded app (uSafeUS+) will be beta tested in an open trial to gather end-user (student) and campus administrator feedback about the app’s practical utility in the field and feasibility of the proposed implementation and evaluation plans. This will be followed by a pilot 3-arm randomized controlled trial (N = 90, 30/arm) to examine the acceptability, feasibility, and initial efficacy of uSafeUS+, relative to active (uSafeUS) and assessment-only control groups. In the short term, results from the current study will optimize the planned app and inform a fully powered multi-site hybrid effectiveness-implementation trial. Longer term, findings have the potential to inform the use of mHealth approaches for integrating prevention tools to universally deliver personalized real time prevention on college campuses where heavy drinking and sexual assault often co-occur.

项目概要 此 R34 应用程序旨在开发和测试创新的移动应用程序 (app)，以减少大学生 实时饮酒和性侵犯风险。超过 75% 的校园性侵犯涉及酒精，但仍然存在。 旨在普遍提供的校园酗酒和 SA 预防工作往往是孤立的且其作用有限 为学生提供即时帮助以降低风险的能力是不可或缺的一部分。 然而，越来越多地用于让学生参与实时酒精预防； 没有一个研究将酒精和性侵犯预防整合到一个单一的交叉工具中。 通过扩展一个有前途的校园性侵犯预防和应对应用程序来弥补这一差距 (uSafeUS®) 包括基于证据的酒精危害减少工具和实时消息传递以支持 学生在最需要的时刻使用保护性行为策略（PBS）。 uSafeUS 应用程序目前在 24 个美国大学校园使用，该应用程序利用性侵犯 PBS（例如，分享当前 地点和与值得信赖的同伴预计回家时间）作为主要的风险降低机制 学生可以在存在酒精的社交环境中使用，但现有的功能都没有直接解决 该项目将利用现有的 uSafeUS 基础设施和经过验证的以用户为中心的系统。 扩展应用程序功能以包括交互式饮料跟踪器和个性化反馈的开发流程 旨在减少饮酒和增加 PBS 使用的消息传递功能扩展后的应用程序 (uSafeUS+) 将进入测试版。 在公开试验中进行测试，以收集最终用户（学生）和校园管理员有关该应用程序的反馈 拟议的实施和评估计划在该领域的实际效用和可行性。 随后进行试点 3 组随机对照试验（N = 90，每组 30 人），以检查可接受性、可行性、 简而言之，uSafeUS+ 相对于主动组 (uSafeUS) 和仅评估对照组的初步疗效。 短期内，当前研究的结果将优化计划的应用程序并为全功能的多站点混合动力提供信息 从长远来看，有效性实施试验的结果有可能为移动医疗的使用提供信息。 集成预防工具以在大学中普遍提供个性化实时预防的方法 酗酒和性侵犯经常同时发生的校园。