Development of an Alcohol, Cannabis, and Sexual Assault Risk Reduction Program for High Risk College Women

项目摘要 这一指导研究科学家职业发展奖(K01)的总体目标是为博士提供。 拉谢尔·里昂拥有成为独立调查员所需的培训和研究活动。她 研究计划将侧重于开发和评估针对重播节目的创新综合计划 酗酒、吸食大麻和性侵犯。研究估计，每5名大学女生中就有1人经历过性侵。 酒精、大麻和性侵犯受害者之间有相互关联；酒精和大麻是已知的 性侵犯的风险因素，经历过性侵犯的女性患上 酒精和大麻使用障碍。尽管针对潜在肇事者和旁观者的预防努力 至关重要的是，这些计划尚未证明性侵犯受害者的比率或 犯罪行为。作为全面性侵规划的一部分，女权主义学者呼吁使用 通过提高女性识别和抗拒性行为的能力来增强女性能力的风险降低计划 通过提供避免、解释和抗拒性侵犯的技能来进行攻击。然而，这些项目还没有 在一个综合框架内直接针对酒精和大麻的使用。这项创新的建议包括 培训活动，以确保Leone博士实现以下四个新的职业目标：1)在以下方面发展专门知识 减少酒精滥用、大麻使用和性侵犯；2)接受开发和测试 酒精滥用、大麻使用和性侵犯受害的综合干预；3)获得先进的 多层次和纵向数据分析方面的培训；4)磨练编写赠款的技能，负责任地开展 研究和专业发展。导师团队包括专业心理学家、内科医生和 以下领域的公共卫生科学家：制定基于网络的酒精和性行为干预措施 攻击(Gilmore)、酒精和大麻使用治疗(Gray)、酒精和大麻的社会规范干预和 大麻预防(邻居)，减少性侵犯风险方案(SENN)，定性方法 干预开发(Salazar)、临床试验设计和分析(Hayat)以及项目实施 (Self-Brown)Leone博士将把在培训活动中获得的技能应用于重点研究项目 关于制定关于间歇性酗酒、大麻使用和性侵犯风险的综合方案 还原。研究项目包括混合方法研究，以开发计划内容，评估 对大量饮酒和吸食大麻的大学女性的可用性和可接受性，以及 进行可行性随机对照试验。该项目将确立进行更大规模 随机临床试验，检验综合方案的疗效。拟议的培训和研究 活动将为Leone博士的独立研究生涯做好准备，重点是发展和评价 针对大量间歇性饮酒、大麻使用和性侵犯的创新综合方案。这个项目是 直接与NIH的几个优先事项保持一致，并将通知R级拨款进行随机临床试验。

PROJECT ABSTRACT The overarching goal of this Mentored Research Scientist Career Development Award (K01) is to provide Dr. Ruschelle Leone with the training and research activities needed to become an independent investigator. Her program of research will focus on developing and evaluating innovative integrated programs for heavy episodic drinking, cannabis use, and sexual assault. Research estimates 1 in 5 college women experiences sexual assault. Alcohol, cannabis, and sexual assault victimization have a reciprocal association; alcohol and cannabis are known risk factors for sexual assault, and women who experience sexual assault are at an increased risk of developing alcohol and cannabis use disorders. Although prevention efforts targeting potential perpetrators and bystanders is critical, these programs have yet to demonstrate reductions in rates of sexual assault victimization or perpetration. As part of comprehensive sexual assault programming, feminist scholars have called for the use of risk reduction programs to empower women by increasing a woman's ability to recognize and resist sexual assault by providing skills to avoid, interpret, and resist sexual assault. However, these programs have yet to directly target alcohol and cannabis use within an integrated framework. This innovative proposal includes training activities to ensure that Dr. Leone achieves the following four new career goals: 1) Develop expertise in reducing alcohol misuse, cannabis use, and sexual assault; 2) Receive training in the development and testing of integrated interventions for alcohol misuse, cannabis use, and sexual assault victimization; 3) Obtain advanced training in multilevel and longitudinal data analyses; and 4) Hone skills in grant-writing, responsible conduct of research, and professional development. The mentorship team includes expert psychologists, physicians, and public health scientists in the following areas: development of web-based interventions for alcohol and sexual assault (Gilmore), treatments for alcohol and cannabis use (Gray), social norm interventions for alcohol and cannabis prevention (Neighbors), sexual assault risk reduction programs (Senn), qualitative methods for intervention development (Salazar), design and analysis of clinical trials (Hayat), and program implementation (Self-Brown). Dr. Leone will apply the skills acquired during the training activities to a research project focused on the development of an integrated program for heavy episodic drinking, cannabis use, and sexual assault risk reduction. The research project includes mixed-methods research to develop program content, assess the usability and acceptability with college women who engaging in heavy episodic drinking and cannabis use, and conduct a feasibility randomized controlled trial. This project will establish feasibility of conducting a larger randomized clinical trial testing the efficacy of the integrated program. The proposed training and research activities will prepare Dr. Leone for an independent research career focused on the development and evaluation innovative integrated programs for heavy episodic drinking, cannabis use, and sexual assault. This project is directly in line with several NIH priorities and will inform a R-level grant to conduct a randomized clinical trial.