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.

摘要 尽管越来越多的人关注重度间歇性饮酒（HED）和性攻击行为（SAB）， 发病率持续存在，现有的预防方案收效甚微。同时针对 HED和SAB可能更有效，因为大多数性侵犯发生在犯罪者，受害者或两者都有 喝酒了这些项目在女大学生中显示出了一定的前景，但只有一个小的开放试验（n = 10）。 20)都是在大学男生中进行的危险性行为（RSB）也与HED高度共病 和SAB。尽管针对HED和RSB的预防计划已经证明了两者的减少， 行为，拟议的研究将是第一个测试综合预防计划的有效性， 同时针对SAB、HED和RSB。拟议的研究还开辟了新的领域， 从尖端认知科学方法中获得的技能培训。我们之前的研究表明， SAB的风险较高，表明对女性性兴趣的看法存在基于表现的缺陷， 初步数据为认知训练的有效性提供了证据，在这种训练中，男性接受逐个试验， 一个接一个的反馈他们处理与女性性兴趣相关的线索的能力。掺入 认知训练成分可能会增加SAB预防方法的有效性，这些方法通常 专注于意识或教育，而不是技能发展。个性化反馈方法 代表HED最有效的预防方法之一，类似的方法已经显示 在解决SAB风险方面的承诺。通过结合个性化反馈和认知技能训练 通过这些方法，有可能针对SAB的关键可改变的风险因素，包括对性行为的误解， 兴趣，强奸支持态度，同伴影响，HED和RSB。据我们所知，拟议的研究将 成为第一个整合个性化反馈和认知技能培训方法的人，以减少男性的风险。 实施SAB。这项拟议的研究将包括三个阶段，共涉及190名性活跃和 酗酒的大学生I期将检查可行性（n = 10），II期将是一项开放试验（n = 40） 检查干预措施的可接受性和有效性。成果和质量数据， 第二阶段的访谈将用于改进和简化干预措施。III期将是一个小型研究（n = 140） 一项随机对照试验（RCT），将这种新型计算机管理程序与常规服务进行比较 （SAU）。预防计划将包括两个计算机管理的会议（每个60-90分钟） 整合个性化反馈和认知训练方法。我们假设，相对于SAU， 预防计划将导致个性化反馈和认知训练目标的变化（例如， 准备改变和认知技能），较少参与和态度支持HED，SAB， RSB。这项初步研究的结果将支持一个更大的临床试验的完全基于网络的程序， 这是一种易于广泛实施并可能受到年轻人欢迎的方法。