Assessing the Feasibility of a New Prevention to Reduce Alcohol-related Sexual Revictimization of College Women

本申请是对PA-18-775中试和药物和酒精制剂可行性研究的响应 预防虐待试验(R34)。在本阶段1a/1b研究中，我们建议开发和试行预防措施 对大学女生酒精相关性侵再受害行为的干预。我们的研究表明 超过35%的女性在大学期间经历过SRV。到目前为止，预防方案已经 在降低女大学生中SRV感染率方面取得的成功有限。既往性侵害(童年、 青少年、成人)是SRV的最强危险因素之一。此外，50%-85%的大学性行为 受害涉及受害者丧失行为能力，主要是由于危险饮酒(HD)。因此，高清也是一个强大的 SRV的风险因素。到目前为止，还没有任何预防性干预措施包括侧重于 HD与SRV的关系。醉酒和性侵害史都有关联 风险感知较低，在口头上对潜在的攻击性情况做出反应的可能性降低 或身体上强硬的方式(例如，大声说‘不’，推开一个男人)。此应用程序建议 解决HD和SA病史，这是大学女生SRV的两个最强烈的风险因素。由An指导 有效的风险降低模型，我们建议发展一种包括两组的多模式干预 会议和两个在线单元，旨在为妇女提供信息、技能培训、 行为排练和解决问题的技能。干预将在两周内进行，并在- 干预，以及干预后3个月和6个月的随访评估。将为以下人员制作培训视频 在小组会议中使用，以提高妇女对风险线索的感知，并协助进行适当的培训 对潜在SRV情况的行为反应(例如，断言反应)。网上材料将协调 通过这些课程来增加女性对约会和保护行为策略的了解 喝酒。一年级和二年级的女性，有SA史(从14岁开始)和目前的HD(≥4饮酒 在≥上30天内2次)将被招募并随机分配到主动干预恢复 大学女性预防(RPCW)或积极的健康教育控制(HEC)情况。建议数 先导性随机临床试验将用于证明其可行性、可接受性、安全性和初步疗效。 我们提议的RPCW干预。此外，这项试验的结果将被用于计算 为进入第二阶段疗效试验做准备。

This application is responsive to PA-18-775 Pilot and Feasibility Studies in Preparation for Drug and Alcohol Abuse Prevention Trials (R34). In this Stage 1a/1b study, we propose to develop and pilot test a prevention intervention for alcohol-related sexual assault revictimization (SRV) of college women. Our research indicates that more than 35% of women experience SRV during the college years. To date, prevention programs have had limited success in reducing rates of SRV among college women. Prior sexual victimization (childhood, adolescent, adult) is one of the strongest risk factors for SRV. In addition, 50-85% of college sexual victimizations involve victim incapacitation, primarily due to hazardous drinking (HD). Thus, HD is also a strong risk factor for SRV. To date, no preventive interventions have included components that focus on the relationship between HD and SRV. Both intoxication and a history of sexual victimization have been associated with lower risk perception and reduced likelihood of responding to a potential assaultive situation in a verbally or physically assertive way (e.g., saying ‘No’ loudly, pushing a man away). This application proposes to address HD and a history of SA, two of the strongest risk factors for SRV of college women. Guided by an effective risk reduction model, we propose to develop a multi-modal intervention that includes two group sessions and two on-line modules designed to provide women with information, skills-based training, behavioral rehearsal, and problem solving skills. The intervention will occur over two weeks with post- intervention, and 3- and 6-month post-intervention follow-up assessments. Training videos will be created for use in the group sessions to improve women’s perception of risk cues and assist in training appropriate behavioral responses (e.g., assertive responding) to potential SRV situations. On-line materials will coordinate with these sessions to increase women’s knowledge of protective behavioral strategies for both dating and drinking. First- and second-year college women with a history of SA (since age 14) and current HD (≥ 4 drinks on ≥ 2 times in 30 days) will be recruited and randomly assigned to the active intervention Revictimization Prevention for College Women (RPCW) or an active Health Education Control (HEC) condition. The proposed pilot randomized clinical trial will be used to demonstrate the feasibility, acceptability, safety, and initial efficacy of our proposed RPCW intervention. In addition, the results of this trial will be used to calculate effect sizes in preparation for moving to a Stage II efficacy trial.