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Reducing Alcohol Involved Sexual violence in higher Education (RAISE)

减少高等教育中的酒精性暴力（RAISE）

基本信息

批准号：
10630215
负责人：
Elizabeth Miller
金额：
$ 57.86万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-08-20 至 2026-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10630215
关键词：
Address Age Alcohols Awareness Behavior Caring Cellular Phone Clinic Clinic Visits Coercion Computers Counseling Data Data Collection Decision Aid Education Educational Intervention Emotional Forcible intercourse Glass Harm Reduction Health Impairment Individual Intervention Learning Longitudinal Studies Neurologic Participant Pennsylvania Policies Prevalence Provider Public Health Randomized Randomized, Controlled Trials Recording of previous events Relative Risks Reporting Research Risk Risk Reduction Safety Sampling Self Efficacy Sensory Services Sexual and Gender Minorities Students Testing Training Trauma Victimization West Virginia Woman alcohol involvement alcohol risk reduction binge drinking care seeking clinical practice college comparison control disability disabled students effectiveness evaluation efficacy testing experience follow-up gender minority handheld mobile device hazardous drinking higher education implementation barriers implementation strategy improved intervention delivery longitudinal analysis men partner violence preventive intervention psychoeducational intervention reproductive coercion sexual minority sexual violence undergraduate student university student uptake violence victimization

项目摘要

This is a competitive renewal of a stakeholder-engaged study across 28 college campuses focused on tailored harm reduction interventions to reduce risk for sexual violence (SV) among undergraduate college students receiving care from college health and counseling centers (CHCs). “Reducing Alcohol Involved Sexual vio- lence in higher Education (RAISE)” is a longitudinal study that builds on a previous cluster-randomized con- trolled trial on college campuses in Pennsylvania and West Virginia (R01 AA023260). We aim to reach stu- dents at elevated risk for SV and hazardous drinking: students with history of SV, students who identify as sex- ual/gender minority, and students who have disabilities (65% of our previous sample). SV, particularly alcohol- involved SV, remains highly prevalent on college campuses. Our previous study found that a large proportion of students seeking care in CHCs have experienced SV victimization (n=2291, 64% of women, 32% of men report lifetime SV) which is associated with binge drinking. Students identifying as sexual or gender minority or endorsing a disability (i.e., physical, emotional, sensory, neurologic, and learning impairments) report particu- larly high lifetime prevalence of SV that is associated with greater odds of binge drinking compared to students not exposed to SV. The previous RCT involved training CHC staff to deliver a brief educational intervention to reduce SV risk, titled “Giving Information for Trauma Support and Safety” (GIFTSS), to all students seeking care. Implementation varied across CHCs. Among students who received GIFTSS as intended, we found sig- nificant increases in self-efficacy to use harm reduction strategies and SV-related services. Students with his- tory of SV had greater than four-fold increase in odds of disclosing this history to providers. We identified pro- vider-, clinic-and campus-level changes needed to improve intervention delivery. To more directly target use of harm reduction strategies among students at elevated risk for SV and hazardous drinking, we also propose to integrate a safety decision aid (myPlan app for use on smartphone or computer) which increases harm reduc- tion behaviors among college women experiencing partner violence. The focus of this renewal is to 1) test strategies to improve implementation of GIFTSS, 2) offer support for students at elevated risk for SV and haz- ardous drinking with tailored harm reduction strategies delivered via the myPlan app after the clinic visit, and 3) strengthen campus policies to promote access to SV services and reduce hazardous drinking. A 2x2 cluster randomized controlled trial will compare two implementation strategies for GIFTSS in CHCs (provider scripts vs. learning collaborative) focusing on undergraduate students ages 18-24 (N= 2400 across 28 campuses) with follow-up at 4 months and 12 months (Aim 1). We will evaluate the effectiveness of myPlan in increasing uptake of tailored harm reduction strategies for those at elevated risk for SV and hazardous drinking (Aim 2). Finally, we will assess for alcohol and SV policy changes on each campus that may increase access to and uptake of confidential services among students at elevated risk for hazardous drinking and SV (Aim 3).

这是一项涉及 28 个大学校园的利益相关者参与研究的竞争性更新，重点关注量身定制的减少伤害干预措施，以降低本科生性暴力 (SV) 的风险接受大学健康和咨询中心 (CHC) 的护理。 “减少酒精涉及的性暴力高等教育中的学习（RAISE）”是一项纵向研究，建立在之前的整群随机对照研究的基础上。在宾夕法尼亚州和西弗吉尼亚州的大学校园进行的钓鱼试验（R01 AA023260）。我们的目标是达到stu- 发生 SV 和危险饮酒的风险较高的凹痕：有 SV 病史的学生、自认为具有性别倾向的学生少数群体和残疾学生（占我们之前样本的 65%）。 SV，特别是酒精- 涉及 SV 的现象在大学校园中仍然非常普遍。我们之前的研究发现，很大一部分在 CHC 寻求护理的学生中经历过 SV 受害（n=2291，其中 64% 的女性，32% 的男性报告与酗酒相关的终生SV）。被认定为性少数或性别少数的学生或支持残疾（即身体、情感、感觉、神经和学习障碍）报告特别与学生相比，SV 的终生患病率非常高，这与酗酒的可能性更大有关没有接触过SV。之前的随机对照试验涉及培训 CHC 工作人员向以下人群提供简短的教育干预：降低 SV 风险，标题为“提供创伤支持和安全信息”(GIFTSS)，面向所有寻求帮助的学生关心。各 CHC 的实施情况各不相同。在按预期接受 GIFTSS 的学生中，我们发现：使用减少伤害策略和 SV 相关服务的自我效能显着提高。学生们有他的—— SV 的历史向提供商披露这段历史的可能性增加了四倍以上。我们确定亲需要在患者、诊所和校园层面进行变革，以改善干预措施的实施。更直接地定位使用针对 SV 和有害饮酒风险较高的学生制定减少危害的策略，我们还建议集成安全决策辅助工具（用于智能手机或计算机的 myPlan 应用程序），可减少伤害遭受伴侣暴力的女大学生的行为。本次更新的重点是1）测试改善 GIFTSS 实施的策略，2) 为 SV 和危险品风险较高的学生提供支持就诊后通过 myPlan 应用程序提供针对酗酒的定制减害策略，以及 3) 加强校园政策，促进获得 SV 服务并减少危险饮酒。 2x2 簇随机对照试验将比较 CHC 中 GIFTSS 的两种实施策略（提供者脚本与学习协作）重点关注 18-24 岁的本科生（N = 2400 人，分布于 28 个校区） 4 个月和 12 个月进行随访（目标 1）。我们将评估 myPlan 在增加针对 SV 和有害饮酒风险较高的人群采取量身定制的减害策略（目标 2）。最后，我们将评估每个校园的酒精和 SV 政策变化，这些变化可能会增加获得和为危险饮酒和 SV 风险较高的学生提供保密服务（目标 3）。

项目成果

期刊论文数量（17）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Provider perspectives on implementing a student health and counseling center intervention for sexual violence.

DOI：
10.1080/07448481.2020.1797752
发表时间：
2022-07
期刊：
Journal of American college health : J of ACH
影响因子：
0
作者：
Anderson JC;Feinstein Z;Edwards C;Jones KA;Van Dusen C;Kehr V;Burrell C;Coulter RWS;Miller E;Chugani CD
通讯作者：
Chugani CD

Prevention of sexual violence among college students: Current challenges and future directions.

DOI：
10.1080/07448481.2020.1757681
发表时间：
2022-03
期刊：
Journal of American college health : J of ACH
影响因子：
0
作者：
Bonar EE;DeGue S;Abbey A;Coker AL;Lindquist CH;McCauley HL;Miller E;Senn CY;Thompson MP;Ngo QM;Cunningham RM;Walton MA
通讯作者：
Walton MA

Sexual Communication and Sexual Consent Self-Efficacy Among College Students: Implications for Sexually Transmitted Infection Prevention.

DOI：
10.1016/j.jadohealth.2021.08.012
发表时间：
2022-03
期刊：
JOURNAL OF ADOLESCENT HEALTH
影响因子：
7.6
作者：
Edison, Briana;Coulter, Robert W. S.;Miller, Elizabeth;Stokes, Lynissa R.;Hill, Ashley, V
通讯作者：
Hill, Ashley, V

Campus Service Use Among Students With Disabilities Who Have Experienced Sexual Violence: A Conceptual Model.

DOI：
10.1177/1049732321998054
发表时间：
2021-06
期刊：
Qualitative health research
影响因子：
3.2
作者：
Richter RK;Anderson JC;Miller E;Bonomi AE;De Genna NM;Feinstein Z;Kass G;Lampe K;Mathier A;Chugani CD
通讯作者：
Chugani CD

College students' experiences of sexual violence and reasons for seeking care in campus health and counseling centers.

DOI：
10.1080/07448481.2022.2057189
发表时间：
2024-04
期刊：
JOURNAL OF AMERICAN COLLEGE HEALTH
影响因子：
2.4
作者：
Anderson, Jocelyn C.;Boakye, Michelle D. S.;Feinstein, Zoe;Miller-Walfish, Summer;Jones, Kelley A.;Chugani, Carla D.;Schmulevich, Alexandra;Jackson, Reesha;Miller, Elizabeth
通讯作者：
Miller, Elizabeth