Integrated Alcohol and Sexual Assault Intervention for College Men

描述（由申请人提供）：酒精是性侵犯的主要危险因素，酒精使用和性侵犯是大学校园的重大问题。令人惊讶的是，没有针对大学男性的实质性侵犯干预措施严格将饮酒作为风险因素。因此，拟议的研究将开发一种新的干预措施，将基于证据的酒精干预策略和有希望的性侵犯预防策略相结合，以减少报告大量饮酒的男性的性侵犯;这是一个特别高风险的群体。根据阶段1A和1B模型，这种干预措施的发展受到关于酒精作为性侵犯风险因素的理论和实证研究的指导，以及减少大学男性饮酒和性侵犯的基于药物的方法。新开发的方法将由我们有前途的基于技能的性侵犯预防计划提供信息，该计划针对增加暴力倾向的态度和行为，并鼓励男性在目睹同龄人不适当的约会行为时采取积极的旁观者行为。新开发的方法还将包括一个人的简短动机访谈（BMI），这已被确定为最有效的个人层面的干预，以减少大学酒精滥用。这些干预内容将进行修订，以特别关注酒精在攻击中的作用。在开发阶段，我们将通过知情人访谈、焦点小组和公开试点试验，修订和整合现有的酒精干预和性侵犯预防计划手册。在试点研究阶段，我们将进行一项随机对照试点试验，样本为90名报告重度饮酒的大学男性，以证明拟议干预措施的可行性和可接受性。在修订阶段，我们会进行离职面谈，并修订介入、招募和培训程序，以备R 01申请，以测试介入的成效 在更大的临床试验中。这项研究的结果预计将为制定综合性攻击和酒精干预措施提供信息，这些干预措施可以针对其他高风险群体进行修改，并在大学校园中广泛传播和维护。

DESCRIPTION (provided by applicant): Alcohol is a primary risk factor for sexual assault, and alcohol use and sexual assault are significant problems on college campuses. Surprisingly, no substantive sexual assault interventions for college men have rigorously targeted alcohol use as a risk factor. The proposed research will therefore develop a new intervention that integrates evidence-based alcohol intervention strategies and promising sexual assault prevention strategies with the goal of decreasing sexual aggression among men who report heavy drinking; a particularly high risk group. Following a Stage 1A and 1B model, the development of this intervention is being guided by theory and empirical research regarding the role of alcohol as a risk factor for sexual aggression, as well as empirically-based approaches to reducing alcohol use and sexual assault among college men. The newly developed approach will informed by our promising skills-based sexual assault prevention program that targets attitudes and behaviors that increase proclivity for violence and encourages men to engage in proactive bystander behavior when witnessing inappropriate dating behavior among their peers. The newly developed approach will also include an individual Brief Motivational Interview (BMI), which has been identified as the most efficacious individual-level intervention for reducing collegiate alcohol abuse. These intervention components will be revised to have a specific focus on the role of alcohol in aggression. In the Development Phase, we will revise and integrate the existing alcohol intervention and sexual assault prevention program manuals through informant interviews, focus groups and an open pilot trial. In the Pilot Study Phase, we will conduct a randomized controlled pilot trial with a sample of 90 college men who report heavy drinking to demonstrate the feasibility and acceptability of the proposed intervention. In the Revision Phase, we will conduct exit interviews, and revise the intervention, recruitment and training procedures in anticipation of preparing an R01 application to test the efficacy of the intervention in a larger clinical trial. Results of this research are expected to inform the development of integrated sexual assault and alcohol interventions that can be modified for other high-risk groups, and widely disseminated and maintained on college campuses.