A cluster-randomized trial of a college health center-based alcohol and sexual violence intervention (GIFTSS): Design, rationale, and baseline sample
A cluster-randomized trial of a college health center-based alcohol and sexual violence intervention (GIFTSS): Design, rationale, and baseline sample
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DOI：
10.1016/j.cct.2017.12.008
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发表时间：
2018-02-01
影响因子：
2.2
通讯作者：
Miller, Elizabeth
中科院分区：
文献类型：
--
作者：
Abebe, Kaleab Z.;Jones, Kelley A.;Miller, Elizabeth
导读：大学校园中的性暴力（SV）很常见，尤其是与酒精有关的SV。这是一项2组随机对照试验，旨在测试一种简短的干预措施，以降低接受大学健康中心（CHC）护理的学生中与酒精相关的性暴力（SV）的风险。干预CHC工作人员接受培训，为所有寻求护理的学生提供普遍的SV教育，以促进患者和提供者在讨论SV和相关虐待经历（包括酒精的作用）时感到舒适。对照网站提供参与者饮酒responsibily.Methods的信息：在28个参与，校园（12随机干预和16控制），2292名学生寻求照顾在CHCs完成调查之前，他们的任命（基线），立即（退出），4个月后（T2）和一年后（T3）。主要结果是对SV和性风险认识的变化。在那些报告SV暴露在基线，SV受害，披露和使用SV服务的变化是额外的结果。干预效果将评估使用广义线性混合模型，占CHCs内和students.Results内的重复观察聚类：略多于一半的参与高校有本科招生>= 3000名学生，三分之二是公共和近一半是城市。在参与者中有相对较多的亚洲（10比1%）和黑人/非洲裔美国人（13比7%）和更少的白色（58比74%）参与者在干预相比control.Conclusions：这项研究将提供第一个正式的评估SV预防在CHC设置。
Introduction: Sexual violence (SV) on college campuses is common, especially alcohol-related SV. This is a 2-arm cluster randomized controlled trial to test a brief intervention to reduce risk for alcohol-related sexual violence (SV) among students receiving care from college health centers (CHCs). Intervention CHC staff are trained to deliver universal SV education to all students seeking care, to facilitate patient and provider comfort in discussing SV and related abusive experiences (including the role of alcohol). Control sites provide participants with information about drinking responsibly.Methods: Across 28 participating, campuses (12 randomized to intervention and 16 to control), 2292 students seeking care at CHCs complete surveys prior to their appointment (baseline), immediately after (exit), 4 months later (T2) and one year later (T3). The primary outcome is change in recognition of SV and sexual risk. Among those reporting SV exposure at baseline, changes in SV victimization, disclosure, and use of SV services are additional outcomes. Intervention effects will be assessed using generalized linear mixed models that account for clustering of repeated observations both within CHCs and within students.Results: Slightly more than half of the participating colleges have undergraduate enrollment of >= 3000 students; two-thirds are public and almost half are urban. Among participants there were relatively more Asian (10 v 1%) and Black/African American (13 v 7%) and fewer White (58 v 74%) participants in the intervention compared to control.Conclusions: This study will offer the first formal assessment for SV prevention in the CHC setting.