A web-based sexual violence bystander intervention for male college students: randomized controlled trial.
A web-based sexual violence bystander intervention for male college students: randomized controlled trial.
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DOI：
10.2196/jmir.3426
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发表时间：
2014-09-05
影响因子：
7.4
通讯作者：
Berkowitz A
中科院分区：
文献类型：
--
作者：
Salazar LF;Vivolo-Kantor A;Hardin J;Berkowitz A
旁观者干预方法为降低大学校园性暴力发生率提供了希望。大多数干预措施是面对面的小组模式，这限制了他们的覆盖范围，并减少了他们对公共卫生的总体影响。这项研究评估了RealConent，一种基于网络的旁观者防止性暴力的方法，在加强亲社会干预行为和防止性暴力方面的有效性。在线招募了743名就读于美国东南部一所大型城市大学的男性本科生(年龄在18岁至24岁之间)，随机抽样，并将其随机分为RealConsend(n=376)或基于网络的一般健康促进计划(n=367)。参与者在基线、干预后和干预后6个月进行在线调查。RealConsend是通过一个受密码保护的门户网站提供的，该门户网站包含六个30分钟的基于媒体和互动的模块，涵盖知情同意的知识、关于性的沟通技能、酒精和男性社交在性暴力中的作用、对强奸受害者的同情以及旁观者教育。主要结果是自我报告的亲社会干预行为和性暴力行为。次要结果是理论中介(例如，知识、态度)。在6个月的随访中，RealConsent参与者比对照组更频繁地进行干预(P=0.04)，性暴力行为更少(P=0.04)。此外，RealConent参与者报告了更多关于性侵犯的法律知识(P<；.001)，更多关于有效同意的知识(P<；.001)，更少的强奸神话(P<；.001)，更多的对强奸受害者的同情(P<；.001)，更少的消极约会强奸态度(P<；.001)，更少的对女性的敌意(P=.01)，更多的干预意图(P=.04)，更少的过度性别意识形态(P<；对非自愿性行为的积极结果预期较低(P=.03)，对干预的积极结果预期较多(P<；.001)，对其他男性的不当行为不太舒服(P<；.001)。我们的结果支持RealConsent的有效性。由于其基于网络的格式，RealConsent具有广泛传播的潜力，从而增加了其对性暴力的总体公共卫生影响。ClinicalTrials.gov：nct01903876；http://clinicaltrials.gov/show/NCT01903876(由网站http://www.webcitation.org/6S1PXxWKt).存档
Bystander intervention approaches offer promise for reducing rates of sexual violence on college campuses. Most interventions are in-person small-group formats, which limit their reach and reduce their overall public health impact. This study evaluated the efficacy of RealConsent, a Web-based bystander approach to sexual violence prevention, in enhancing prosocial intervening behaviors and preventing sexual violence perpetration. A random probability sample of 743 male undergraduate students (aged 18 to 24 years) attending a large, urban university located in the southeastern United States was recruited online and randomized to either RealConsent (n=376) or a Web-based general health promotion program (n=367). Participants were surveyed online at baseline, postintervention, and 6-months postintervention. RealConsent was delivered via a password-protected Web portal that contained six 30-minute media-based and interactive modules covering knowledge of informed consent, communication skills regarding sex, the role of alcohol and male socialization in sexual violence, empathy for rape victims, and bystander education. Primary outcomes were self-reported prosocial intervening behaviors and sexual violence perpetration. Secondary outcomes were theoretical mediators (eg, knowledge, attitudes). At 6-month follow-up RealConsent participants intervened more often (P=.04) and engaged in less sexual violence perpetration (P=.04) compared to controls. In addition, RealConsent participants reported greater legal knowledge of sexual assault (P<.001), greater knowledge of effective consent (P<.001), less rape myths (P<.001), greater empathy for rape victims (P<.001), less negative date rape attitudes (P<.001), less hostility toward women (P=.01), greater intentions to intervene (P=.04), less hyper-gender ideology (P<.001), less positive outcome expectancies for nonconsensual sex (P=.03), more positive outcome expectancies for intervening (P<.001), and less comfort with other men’s inappropriate behaviors (P<.001). Our results support the efficacy of RealConsent. Due to its Web-based format, RealConsent has potential for broad-based dissemination thereby increasing its overall public health impact on sexual violence. Clinicaltrials.gov: NCT01903876; http://clinicaltrials.gov/show/NCT01903876 (Archived by WebCite at http://www.webcitation.org/6S1PXxWKt).
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