Reducing Alcohol-Related Sexual Risk Behavior

减少与酒精相关的性危险行为

• 批准号: 9914821
• 负责人: William R Corbin
• 金额: $ 30.78万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-02-01 至 2023-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9914821
• 关键词: Address; Advisory Committees; Affect; Aggressive behavior; Alcohol consumption; Alcohols; Attention; Attitude; Awareness; Behavior; Behavioral; Clinical Trials; Cognitive Science; Computers; Cues; Data; Education; Effectiveness; Failure; Feedback; Forcible intercourse; Goals; Health; Heavy Drinking; Individual; Intervention; Interview; Learning Skill; Link; Literature; Mental Health; Meta-Analysis; Methods; Midwestern United States; Modeling; Multiple Partners; National Institute on Alcohol Abuse and Alcoholism; Online Systems; Outcome; Participant; Perception; Performance; Phase; Prevention; Prevention approach; Prevention program; Problem behavior; Process; Public Health; Publishing; Randomized; Randomized Controlled Trials; Readiness; Research; Risk; Risk Behaviors; Risk Factors; Series; Services; Southwestern United States; Theoretical model; Training; Translating; Treatment Efficacy; Universities; Unsafe Sex; Woman; Work; alcohol prevention; base; behavioral outcome; binge drinking; cognitive process; cognitive skill; cognitive training; college; college drinking; comorbidity; computerized; drinking; efficacy testing; experience; follow-up; high risk men; high risk sexual behavior; innovation; interest; men; modifiable risk; normative feedback; novel; peer; peer influence; perpetrators; physical conditioning; programs; protective behavior; risk perception; sex; sexual assault; sexual risk behavior; sexually active; skill acquisition; skills; skills training; social; theories; trial comparing; university student; young adult

Abstract Despite increased attention to heavy episodic drinking (HED) and sexually aggressive behavior (SAB), high rates persist, and existing prevention programs are minimally effective. Programs that simultaneously target HED and SAB may be more effective as most sexual assaults occur when the perpetrator, victim, or both have been drinking. Such programs have shown some promise in college women but only one small open trial (n = 20) has been conducted with college men. Risky sexual behaviors (RSB) are also highly comorbid with HED and SAB. Although prevention programs targeting HED and RSB have demonstrated reductions in both behaviors, the proposed study will be the first to test the efficacy of an integrative prevention program that simultaneously targets SAB, HED, and RSB. The proposed study also breaks new ground by incorporating skills training derived from cutting-edge cognitive science methods. Our prior research shows that men at higher risk for SAB demonstrate performance-based deficits in perceptions of women’s sexual interest, and our preliminary data provide evidence for the efficacy of cognitive training, in which men receive trial-by-trial and block-by-block feedback on their ability to process cues relevant to women’s sexual interest. Incorporation of a cognitive training component may increase the efficacy of prevention approaches for SAB, which have typically focused on awareness or education rather than skill development. Personalized feedback approaches represent one of the most effective prevention approaches for HED and similar approaches have shown promise in addressing risk for SAB. By combining personalized feedback and cognitive skills training approaches, it is possible to target the key modifiable risk factors for SAB, including misperceptions of sexual interest, rape supportive attitudes, peer influence, HED, and RSB. To our knowledge, the proposed study will be the first to integrate personalized feedback and cognitive skills-training approaches to reduce men’s risk of perpetrating SAB. The proposed study will include three phases and involve a total of 190 sexually active and heavy drinking college men. Phase I will examine feasibility (n = 10), and Phase II will be an open trial (n = 40) examining the acceptability and efficacy of intervention components. Outcome and qualitative data from interviews in Phase II will be used to refine and streamline the intervention. Phase III will be a small (n = 140) randomized controlled trial (RCT) comparing this novel computer-administered program to services as usual (SAU). The prevention program will include two computer-administered sessions (60-90 minutes each) integrating personalized feedback and cognitive-training approaches. We hypothesize that, relative to SAU, the prevention program will lead to changes in personalized feedback and cognitive training targets (e.g., readiness to change and cognitive skills) and less engagement in and attitudes supportive of HED, SAB, and RSB. Findings of this preliminary study will support a larger clinical trial of a fully web-based program, an approach that could easily be implemented on a broad scale and is likely to be well received by young adults.

抽象的 尽管对大量饮酒（HED）和性侵略性行为（SAB）的关注越来越高，但 费率持续存在，现有的预防计划至少有效。简单针对的程序 HED和SAB可能更有效，因为大多数性侵犯发生肇事者，受害者或两者都有 在喝酒。这样的计划在大学妇女中表现出了一些希望，但只有一次小型开放试验（n = 20）与女大学生一起进行。有风险的性行为（RSB）也与HED高度合并 尽管针对HED和RSB的预防计划已显示出两者的减少 行为，拟议的研究将是第一个测试综合预防计划效率的研究， 类似地靶向SAB，HED和RSB。拟议的研究还通过合并来打破新的基础 从最先进的认知科学方法获得的技能培训。我们先前的研究表明，男人在 SAB的较高风险表明对妇女性兴趣的看法表现出基于绩效的缺陷，而我们的 初步数据提供了认知培训效率的证据 对他们处理与妇女性兴趣相关的提示能力的反馈。合并 认知训练组件可能会提高SAB的预防方法的效率，而SAB通常 专注于意识或教育，而不是技能发展。个性化的反馈方法 代表了HED和类似方法的最有效的预防方法之一 承诺解决SAB的风险。通过结合个性化的反馈和认知技能培训 方法，有可能针对SAB的关键可修改风险因素，包括性行为 兴趣，强奸支持者，同伴影响力，HED和RSB。据我们所知，拟议的研究将 成为第一个整合个性化的反馈和认知技能培训方法，以降低男性的风险 施用SAB。拟议的研究将包括三个阶段，总共涉及190个性活动， 大量喝酒的大学生。第一阶段将检查可行性（n = 10），而第二阶段将是一项开放式试验（n = 40） 检查干预组件的可接受性和效率。结果和定性数据 第二阶段的访谈将用于完善和简化干预措施。第三阶段将很小（n = 140） 比较这个新颖的计算机管理程序与服务的随机对照试验（RCT） （Sau）。预防计划将包括两个计算机管理的会话（每次60-90分钟） 整合个性化的反馈和认知培训方法。我们假设相对于Sau， 预防计划将导致个性化反馈和认知培训目标的变化（例如， 准备改变和认知技能），参与的参与度更少，并参加了HED，SAB和 RSB。这项初步研究的结果将支持一个完全基于网络的程序的更大的临床试验，这是一个 很容易大规模实施的方法，很可能会受到年轻人的好评。