SCALE: Strategies for Implementing GlobalConsent to Prevent Sexual Violence in University Men

SCALE：实施全球共识以防止大学男性性暴力的策略

• 批准号: 10672800
• 负责人: KATHRYN M YOUNT
• 金额: $ 75.15万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2028-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10672800
• 关键词: Acute; Address; Adherence; Adolescence; Adoption; Adult; Affect; Affective; Aftercare; Asia; Attention; Attitude; Behavior; Behavioral; Belief; Chronic; Consent; Country; Data; Drama; Education; Education and Outreach; Effectiveness; Eligibility Determination; Empathy; Etiology; Exposure to; Faculty; Focus Groups; Forcible intercourse; Fostering; Gender; Generations; Grant; Health; Incentives; Income; Institution; Interruption; Interview; Knowledge; Leadership; Learning; Learning Module; Link; Manuals; Mediator; Medical; Mental Health; Methods; Modification; North Vietnam; Online Systems; Outcome; Penetration; Perception; Persons; Prevention program; Primary Prevention; Qualitative Research; Randomized; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Reporting; Research; Research Priority; Risk; Risk Factors; Series; Sex Behavior; Societies; Students; Surveys; Techniques; Testing; Time; Training; Training Programs; Universities; Vietnam; Violence; Woman; behavior change; behavioral health; college; comparative; comparative cost effectiveness; compare effectiveness; cost; cost effective; cost effectiveness; cost-effectiveness evaluation; design; effectiveness outcome; evidence base; experience; follow-up; health inequalities; implementation barriers; implementation facilitators; implementation fidelity; implementation strategy; implementation trial; implementation/effectiveness; improved; informant; innovation; low and middle-income countries; male; men; novel; online delivery; outreach; peer; perpetrators; physical conditioning; post implementation; post intervention; prevent; programs; remote delivery; scale up; sexual debut; sexual violence; synergism; theories; university student; violence prevention

PROJECT SUMMARY ABSTRACT Significance. Globally and in Asia/Pacific, women 15–24 years (y) are at heightened risk of exposure to sexual violence, including at university. The burden of sexual violence is higher for women than men, and men most often are the perpetrators. Sexual violence in adolescence is a risk factor for gender-differentiated mental, physical, and behavioral health conditions in adulthood and is costly for victims and societies. Evidence-based prevention programs tailored to university men in low- and middle-income countries (LMICs) are rare. Our team developed GlobalConsent, a theory-based, six-module educational entertainment program adapted from an efficacious program tested with university men in the US. In a large attention-controlled trial at two universities in North Vietnam, GlobalConsent reduced men’s sexually violent behavior (OR=0.71, 95%CI 0.50-1.00) and increased pro-social bystander behavior (OR=1.51, 1.00-2.28) 9 months post-treatment. Evidence on real-world implementation is needed. Aims. We will compare the 1) implementation, 2) implementation drivers and outcomes, 3) implementation effectiveness, and 4) cost-effectiveness of delivering GlobalConsent using one of two bundled implementation strategies. Approach. We will randomize six medical universities in North, Central, and South Vietnam to deliver GlobalConsent to eligible first-year male students using lower-intensity (standard) or higher-intensity implementation strategies salient to university stakeholders in Vietnam. Higher-intensity strategies will include those in the lower-intensity group plus more 1) implementation and post-implementation educational outreach with university leaders, 2) pre-implementation leadership training and external implementation support to university facilitators, and 3) pre-implementation educational outreach, implementa- tion follow-up, and incentives to foster student adherence and demand to complete GlobalConsent. Our mixed- methods comparative interrupted time-series design includes 1) qualitative research with university leaders and implementation teams to compare implementation and implementation settings; 2) repeated surveys with leaders, implementation teams, faculty, and male students to compare implementation drivers and outcomes, 3) 10 quarterly surveys with male students to compare primary behavioral and secondary knowledge, attitudinal, and affective outcomes, and 4) cost data to compare the cost effectiveness of the two implementation strategies bundles on incidents of sexual violence averted. Innovation/Impact. This project is the first to assess two bundled implementation strategies to deliver an efficacious web-based sexual-violence-prevention program tailored to university men in Vietnam. Including university partners across Vietnam enables us to test these strategies in diverse regions and to synergize this effort with in an on-going violence-prevention training initiative (D43TW012188). Our state-of-the-art approach will produce rigorous evidence that can inform dialogue with officials about how to deliver GlobalConsent nationally. This project is poised to reduce gender-based health inequities linked to early sexual violence and to strengthen national capacity to bring GlobalConsent to scale.

项目总结摘要 意义重大。在全球和亚太地区，15-24岁(Y)的女性接触性行为的风险更高 暴力，包括在大学里。性暴力对女性的负担比男性更重，其中男性最多。 往往是肇事者。青春期的性暴力是性别差异心理的危险因素， 成年期的身体和行为健康状况，对受害者和社会来说代价高昂。循证的 为低收入和中等收入国家(LMIC)的大学男性量身定做的预防计划很少见。我们队 开发了GlobalConsent，这是一个基于理论的六模块教育娱乐计划，改编自 有效的计划在美国的大学男生中进行了测试。在两所大学的一项大型注意力控制试验中 在越南北部，GlobalConsent减少了男性的性暴力行为(OR=0.71，95%CI为0.50-1.00)， 治疗后9个月亲社会旁观者行为增加(OR=1.51，1.00~2.28)。现实世界中的证据 实施是必要的。目标。我们将比较1)实施、2)实施驱动和 结果，3)实施效果，以及4)使用以下方法之一交付GlobalConent的成本效益 两个捆绑的实施战略。接近。我们将随机抽取北部、中部、 和南越使用低强度(标准)向符合条件的一年级男生提供GlobalConsend 或者更高强度的实施战略，这对越南的大学利益攸关方来说是非常重要的。更高强度 战略将包括低强度组的战略，外加更多1)实施和实施后战略 与大学领导进行教育宣传，2)实施前领导力培训和外部 向大学辅导员提供实施支助，以及3)实施前教育外展，实施- 后续行动，激励学生遵守和要求完成GlobalConsend。我们的混合- 方法比较中断时间序列设计包括1)与大学领导的定性研究和 实施团队比较实施和实施设置；2)重复调查 领导、实施团队、教职员工和男学生比较实施驱动因素和结果，3) 对男性学生进行10次季度调查，比较主要行为和次要知识、态度、 和情感结果，以及4)成本数据，以比较两种实施战略的成本效益 避免了性暴力事件的捆绑。创新/影响。这个项目是第一个评估两个 捆绑实施战略，以提供有效的基于网络的性暴力预防计划 为越南的大学男生量身定做的。包括越南各地的大学合作伙伴使我们能够测试这些 在不同区域制定战略，并将这一努力与正在进行的预防暴力培训倡议相结合 (D43TW012188)。我们最先进的方法将产生严格的证据，为与 官员们就如何在全国范围内传递GlobalConsend进行了讨论。这一项目将减少基于性别的健康 与早期性暴力有关的不平等现象，并加强国家能力，使GlobalConsend规模化。