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Integrated Alcohol and Sexual Assault Prevention for Bisexual Women

双性恋女性的酒精和性侵犯综合预防

基本信息

批准号：
10700869
负责人：
Lindsay Marie Orchowski
金额：
$ 19.41万
依托单位：
RHODE ISLAND HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-10 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10700869
关键词：
Address Adherence Age Age Years Alcohol consumption Alcohols Anxiety Assertiveness Behavior Bisexual Clinical Trials Communities Competence Control Groups Development Education Enrollment Evidence based intervention Face Feedback Focus Groups Forcible intercourse Fostering Frequencies Goals Harm Reduction Health Heavy Drinking Heterosexuals Individual Intervention Interview Lesbian Lesbian Gay Bisexual Lesbian Gay Bisexual Transgender Queer Manuals Measures Mental Depression Mental Health Methods Modification National Institute on Alcohol Abuse and Alcoholism Outcome Participant Patient Self-Report Personal Satisfaction Phase Pilot Projects Prevention Prevention approach Prevention program Procedures Public Health Randomized Recording of previous events Reporting Research Research Design Resistance Risk Risk Factors Risk Reduction Sampling Social support Strategic Planning Structure Surveys Target Populations Testing Training Trauma Violence Waiting Lists Woman Women&apos s Group acceptability and feasibility alcohol behavior alcohol intervention alcohol misuse alcohol misuse prevention binge drinking college coping drinking empowerment evidence base follow-up high risk population homonegativity informant information gathering innovation intervention delivery intimate partner violence marginalization men microaggression mindfulness mindfulness-based stress reduction minority stress model development motivational enhancement therapy peer pilot trial programs protective factors psychological distress public health relevance randomized trial recruit reduced alcohol use revictimization risk sharing sexual assault sexual coercion sexual health intervention sexual minority women sexual victimization sexual violence skills skills training stress reduction stressor therapy design therapy development university student young adult

项目摘要

PROJECT SUMMARY/ABSTRACT Alcohol misuse, sexual assault, and psychological distress (anxiety, depression) are significant interconnected problems among bisexual women. Heavy drinking is a primary risk factor for sexual victimization and increases risk for revictimization. Bisexual women report higher rates of heavy episodic drinking compared to heterosexual women, as well as higher rates of sexual assault compared to heterosexual or lesbian women. Bisexual women also report higher levels of minority stress, lower levels of connection to the LGBTQ+ community, and greater psychological distress (anxiety, depression) compared to lesbian women. Taken together, there is a strong need to target alcohol use, sexual assault, and psychological distress among bisexual women. Problematically, existing integrated alcohol and sexual assault interventions do not consider the unique stressors (minority stress, disconnection from the LGBTQ+ community) faced by bisexual women. Bisexual women also report less benefit from existing prevention approaches interventions. An integrated alcohol and sexual assault prevention program specifically tailored to bisexual women is therefore warranted. The proposed research will develop an intervention targeted toward bisexual college women between the ages of 18 – 30 with a history of sexual victimization who report heavy episodic drinking, a particularly high-risk group. The intervention will integrate (a) evidence-based motivational interviewing with personalized feedback to address risky alcohol use, (b) mindfulness skills training to reduce psychological distress, and (c) sexual assault risk reduction and resistance education as well as bystander intervention skills training with the goal of decreasing revictimization. Following a Stage 1A and 1B treatment development model, in Stage 1A information from informant interviews (N = 10), three focus groups (N = 30), stakeholder interviews (N = 6), and a campus advisory board will guide the development of the integrated intervention. The integrated intervention will be tested in an open trial (N = 20) in which interview and self-report methods will be utilized to gather information regarding the feasibility and acceptability of the intervention. The intervention will be revised and then evaluated in a Stage 1B randomized pilot trial involving 90 women assigned to the proposed intervention or a wait list control group. Women will be followed at 2- and 4- months post-baseline. In the Revision Phase, we will conduct exit interviews and revise the intervention to prepare for a larger clinical trial. Results of this research are expected to inform the development of interventions that not only target the intersection of alcohol use and sexual assault among bisexual college women, but also promote the overall wellbeing of bisexual women. This integrated approach represents a shift in how these public health problems are typically addressed and has the potential for significant impact across several cross-cutting outcomes.

项目总结/文摘