Development and Pilot Trial of an Intervention to Reduce Disclosure Recipients Negative Social Reactions and Victims Psychological Distress and Problem Drinking

制定和试点一项干预措施，以减少披露接收者的负面社会反应和受害者的心理困扰和饮酒问题

• 批准号: 9370893
• 负责人: Katie M Edwards
• 金额: $ 22.87万
• 依托单位: UNIVERSITY OF NEW HAMPSHIRE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-15 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9370893
• 关键词: Address; Alcohol abuse; Alcohol consumption; Alcohols; Attention; Baseline Surveys; Behavioral; Clinical Trials; Control Groups; Coping Behavior; Data; Development; Disclosure; Effectiveness; Effectiveness of Interventions; Emotional; Empathy; Ensure; Evaluation; Exposure to; Forcible intercourse; Gender; Health; Healthy People 2020; Individual; Intervention; Intervention Trial; Interview; Lead; Light; Manuals; Measures; Mediator of activation protein; Mental Depression; Methodology; Methods; New England; Outcome; Participant; Play; Population; Post-Traumatic Stress Disorders; Public Health; Randomized; Randomized Controlled Trials; Reaction; Recruitment Activity; Reporting; Research; Risk; Role; Sampling; Self Care; Self-control as a personality trait; Surveys; Survivors; Target Populations; Testing; Time; Training; Universities; Waiting Lists; Work; alcohol misuse; alcohol related consequences; alcohol related problem; assault; college; college drinking; coping; cost; demographics; drinking; experience; follow-up; informal support; informant; intimate partner violence; physical conditioning; pilot trial; prospective; psychologic; psychological distress; psychological symptom; reduce symptoms; reduced substance use; response; sexual assault; social; trend; university student; young adult

Project Summary Intimate partner violence (IPV) and sexual assault (SA) are public health issues among college students that can lead to problem drinking and related deleterious outcomes (e.g., depression). A robust predictor of undesirable victim outcomes is negative social reactions to disclosure (e.g., disbelieving the victim). To date, however, there is no intervention that specifically targets potential recipients of IPV and SA disclosure to inform them of the best methods for responding to an IPV or SA disclosure. The purpose of the proposed study is to test an intervention (Supporting Survivors and Self [SSS] developed by Edwards [PI] and colleagues) created for potential informal support disclosure recipients. The SSS intervention provides individuals with information on the reasons why positive social reactions are important and why negative social reactions can be harmful, examples of what to say and not to say, opportunities for role play, and an emphasis on the importance of self-care and ways in which self-care can be balanced with the needs of IPV and SA victims. Given the key role that alcohol plays in risk for and outcomes associated with IPV and SA—especially among college students (the targeted audience of this intervention)—the role of alcohol in risk for and outcomes associated with IPV and SA, including alcohol-specific social reactions, is addressed in the SSS intervention. The proposed study seeks to further develop and manualize the SSS intervention. Additionally, we seek to conduct a rigorous pilot examination of the effects of SSS intervention. Young adults from a medium-sized New England university will be (a) randomly selected from the college population, (b) invited to participate in baseline surveys, (c) randomly assigned to participate in the SSS intervention or a wait-list control group, and (c) asked to complete a six-month follow-up survey. Participants who report at the six-month follow-up that they were the recipient of an IPV or SA disclosure will be asked to invite the victim who disclosed to them to participate in the research; victims who agree to participate will be asked to complete surveys. Analyses will determine if exposure to the SSS intervention compared to the control condition leads to increases in positive social reactions and decreases in negative social reactions in disclosure recipients, and reductions in problem drinking and related deleterious outcomes (e.g., depression) in victims. Mediators (e.g., victim empathy, encouragement of healthy coping behaviors) and moderators (e.g., demographics, victim use of alcohol at time of the assault) of SSS intervention effectiveness will be examined. College students were chosen as the targeted population given the high rates of IPV, SA, and problem drinking among this population. If shown to be effective, the SSS intervention could be adapted and implemented in a variety of settings beyond college campuses.

项目概要 亲密伴侣暴力（IPV）和性侵犯（SA）是大学生中的公共卫生问题， 可能导致饮酒问题和相关的有害后果（例如抑郁症）。稳健的预测器 不良的受害者后果是对披露的负面社会反应（例如，不相信受害者）。迄今为止， 然而，没有专门针对 IPV 和 SA 披露的潜在接收者的干预措施 告知他们应对 IPV 或 SA 披露的最佳方法。拟议研究的目的 是测试一项干预措施（由 Edwards [PI] 及其同事开发的支持幸存者和自我 [SSS]） 为潜在的非正式支持披露接受者创建。 SSS 干预为个人提供 关于为什么积极的社会反应很重要以及为什么消极的社会反应可以 是有害的、该说什么和不该说什么的例子、角色扮演的机会以及对 自我保健的重要性以及如何平衡自我保健与 IPV 和 SA 受害者的需求。 鉴于酒精在 IPV 和 SA 的风险和相关结果中发挥着关键作用，尤其是在 大学生（本干预的目标受众）——酒精在风险和结果中的作用 SSS 干预中解决了与 IPV 和 SA 相关的问题，包括酒精特定的社会反应。 拟议的研究旨在进一步开发 SSS 干预措施并使之自动化。此外，我们力求 对 SSS 干预的效果进行严格的试点检查。来自中等规模新公司的年轻人 英格兰大学将 (a) 从大学人口中随机抽取，(b) 受邀参加 基线调查，(c) 随机分配参加 SSS 干预或等待名单对照组，以及 (c) 要求完成为期六个月的跟踪调查。在六个月的随访中报告的参与者 他们是 IPV 或 SA 披露的接收者，将被要求邀请向他们披露信息的受害者 参与研究；同意参与的受害者将被要求完成调查。分析将 确定与对照条件相比，暴露于 SSS 干预是否会导致阳性率增加 社会反应以及信息披露接收者负面社会反应的减少以及问题的减少 受害者饮酒和相关的有害后果（例如抑郁症）。调解者（例如，受害者同理心， 鼓励健康的应对行为）和调节因素（例如，人口统计数据、受害者当时饮酒的情况） SSS 干预效果的攻击）将受到检验。大学生被选为目标 鉴于该人群中 IPV、SA 和酗酒问题的发生率很高。如果显示为 SSS 干预措施有效，可以在大学以外的各种环境中进行调整和实施 校园。