Assessing the Feasibility of a New Prevention to Reduce Alcohol-related Sexual Revictimization of College Women

评估减少女大学生酒精相关性再次受害的新预防措施的可行性

基本信息

批准号：
10244902
负责人：
Clara Margaret Bradizza
金额：
$ 20.43万
依托单位：
STATE UNIVERSITY OF NEW YORK AT BUFFALO
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：
2019-09-05 至 2023-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10244902
关键词：
Address Adolescent Adult Age Alcohols Assertiveness Behavior Behavioral Childhood Cues Data Development Drug Compounding Drug abuse E-learning Emotional Feasibility Studies Goals Guidelines Health behavior Health education High Risk Woman Intervention Intoxication Knowledge Learning Learning Module Loudness Measures Modeling Motivation National Institute on Alcohol Abuse and Alcoholism Outcome Participant Perception Persons Phase Pilot Projects Preparation Prevention Prevention program Prevention trial Problem Solving Randomized Randomized Clinical Trials Recording of previous events Reporting Research Risk Risk Factors Risk Reduction Safety Sampling Signal Transduction Testing Time Training Victimization Woman alcohol abuse prevention alcohol intervention alcohol involvement assault base behavioral response college condoms control trial design drinking efficacy trial experience follow up assessment follow-up hazardous drinking high risk population improved man multi-component intervention novel post intervention preventive intervention primary outcome recruit rehearsal response revictimization risk perception secondary outcome sexual assault sexual victimization skills success therapy design therapy development tool young woman

项目摘要

This application is responsive to PA-18-775 Pilot and Feasibility Studies in Preparation for Drug and Alcohol Abuse Prevention Trials (R34). In this Stage 1a/1b study, we propose to develop and pilot test a prevention intervention for alcohol-related sexual assault revictimization (SRV) of college women. Our research indicates that more than 35% of women experience SRV during the college years. To date, prevention programs have had limited success in reducing rates of SRV among college women. Prior sexual victimization (childhood, adolescent, adult) is one of the strongest risk factors for SRV. In addition, 50-85% of college sexual victimizations involve victim incapacitation, primarily due to hazardous drinking (HD). Thus, HD is also a strong risk factor for SRV. To date, no preventive interventions have included components that focus on the relationship between HD and SRV. Both intoxication and a history of sexual victimization have been associated with lower risk perception and reduced likelihood of responding to a potential assaultive situation in a verbally or physically assertive way (e.g., saying ‘No’ loudly, pushing a man away). This application proposes to address HD and a history of SA, two of the strongest risk factors for SRV of college women. Guided by an effective risk reduction model, we propose to develop a multi-modal intervention that includes two group sessions and two on-line modules designed to provide women with information, skills-based training, behavioral rehearsal, and problem solving skills. The intervention will occur over two weeks with post- intervention, and 3- and 6-month post-intervention follow-up assessments. Training videos will be created for use in the group sessions to improve women’s perception of risk cues and assist in training appropriate behavioral responses (e.g., assertive responding) to potential SRV situations. On-line materials will coordinate with these sessions to increase women’s knowledge of protective behavioral strategies for both dating and drinking. First- and second-year college women with a history of SA (since age 14) and current HD (≥ 4 drinks on ≥ 2 times in 30 days) will be recruited and randomly assigned to the active intervention Revictimization Prevention for College Women (RPCW) or an active Health Education Control (HEC) condition. The proposed pilot randomized clinical trial will be used to demonstrate the feasibility, acceptability, safety, and initial efficacy of our proposed RPCW intervention. In addition, the results of this trial will be used to calculate effect sizes in preparation for moving to a Stage II efficacy trial.

此应用程序响应 PA-18-775 药物和酒精准备中的试点和可行性研究滥用预防试验 (R34) 在本阶段 1a/1b 研究中，我们建议开发并试点测试一种预防措施。我们的研究表明，对大学女性与酒精相关的性侵犯再受害（SRV）进行干预。迄今为止，超过 35% 的女性在大学期间经历过 SRV。在降低大学女性先前的性受害率（童年、青少年、成人）是 SRV 的最强危险因素之一。此外，50-85% 的大学性行为。受害涉及受害人丧失行为能力，主要是由于危险饮酒（HD），因此，HD 也是一种严重的伤害。迄今为止，尚无预防性干预措施包含针对 SRV 的风险因素。 HD 和 SRV 之间的关系。中毒和性受害史都相关。风险感知较低，以口头方式应对潜在攻击性情况的可能性也较低或身体上的自信方式（例如，大声说“不”，将一个人推开）。解决 HD 和 SA 病史，这是大学女性 SRV 的两个最强风险因素。有效的风险降低模型，我们建议开发一种多模式干预措施，包括两组课程和两个在线模块，旨在为妇女提供信息、基于技能的培训、行为排练和问题技能解决将在两周内进行。干预以及干预后 3 个月和 6 个月的后续评估将制作培训视频。在小组会议中使用，以提高妇女对风险提示的感知并协助进行适当的培训对潜在 SRV 情况的行为反应（例如，自信的反应）将协调。通过这些课程来增加女性对约会和约会时的保护性行为策略的了解有 SA 病史（自 14 岁起）且当前 HD（≥ 4 次饮酒）的大学一年级和二年级女性。 30 天内 ≥ 2 次）将被招募并随机分配至主动干预再受害组大学女性预防 (RPCW) 或积极的健康教育控制 (HEC) 状况。将采用试点随机临床试验来证明可行性、可接受性、安全性和初步疗效此外，该试验的结果将用于计算效果大小。为进入第二阶段疗效试验做准备。