Promoting prosocial bystander behavior in intoxicated men: Evaluation of RealConsent2.0

促进醉酒男性的亲社会旁观者行为：RealConsent2.0 的评估

• 批准号: 10266769
• 负责人: Dominic Parrott
• 金额: $ 65.73万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-15 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10266769
• 关键词: Acute; Address; Adult; Age; Alcohol consumption; Alcoholic Intoxication; Alcohols; Attitude; Behavior; Behavioral; Beverages; Bystander Effect; Centers for Disease Control and Prevention (U.S.); Communities; Decision Making; Development; Educational Intervention; Evaluation; Event; Female; Forcible intercourse; Foundations; Future; Geographic Locations; Goals; Intervention; Intervention Studies; Laboratories; Measurement; Measures; Methods; Midwestern United States; Modeling; Online Systems; Outcome; Participant; Patient Self-Report; Pharmacology; Placebos; Population; Prevention; Prevention Research; Prevention program; Procedures; Process; Public Health; Publishing; Randomized Clinical Trials; Randomized Controlled Trials; Reporting; Research; Risk; Sampling; Translating; United States; Victimization; Work; age group; aged; aging population; alcohol effect; alcohol involvement; alcohol myopia; base; behavioral outcome; binge drinking; cognitive process; college; comparative efficacy; efficacy evaluation; efficacy testing; follow-up; improved; innovation; intervention program; male; men; novel; post intervention; prevent; programs; real world application; recruit; response; sexual assault; sexual violence; sobriety; statistics; theories; university student; violence perpetration; violence prevention; virtual; virtual environment; virtual reality; virtual reality environment; young adult; young man

Sexual violence (SV) is a significant public health problem in the United States, particularly among 18-24 year old (college and non-college) populations. Females 18 to 24 have the highest rate of rape and sexual assault victimization (6.1 per 1,000 for female college students; 7.6 per 1,000 for female nonstudents) compared to males of the same age and females of other age groups. Despite these alarming statistics, the CDC reports that there is only one program (“RealConsent”) rigorously shown to be effective in both increasing prosocial bystander behaviors and preventing SV perpetration among college students. Thus, there is a major gap in SV prevention programming. Of particular importance is the fact that RealConsent and other bystander intervention programs and their respective evaluations suffer from critical weaknesses and limitations that reduce overall impact on SV rates. These include: (1) an overemphasis on bystander attitudes or intentions versus actual behavior, (2) measures that rely upon self-report and are void of context when behavior is assessed, (3) not addressing the proximal effect of alcohol on bystander decision making and behavior in situations at-risk for SV, and (4) poor generalizability given the minimal focus on young adults who do not attend college. Intervention research must directly address these limitations in order to close this critical gap. The scientific premise of this proposal is that by integrating new content specific to alcohol use within the context of SV intervention into RealConsent, we can more effectively facilitate prosocial and effective bystander behavior – even among intoxicated bystanders. We aim to first examine the effects of proximal alcohol use on virtual bystander behaviors and then test the efficacy of the revised RealConsent program (i.e., RealConsent2.0). These goals will be achieved by (1) developing new program content for RealConsent2.0 that is informed by the integration of two theoretical perspectives – Alcohol Myopia Theory and the Bystander Decision-Making Model, (2) implementing a randomized controlled trial (RCT) in two distinct geographic areas (the Southeast and Midwest) with a sufficiently-powered, community-based sample of N=840 young men, (3) comparing the relative efficacy of RealConsent1.0 and 2.0 on observable bystander behavior among intoxicated and sober bystanders in a virtual reality environment 1-month post-intervention, and (4) comparing the efficacy of RealConsent1.0 and 2.0 on self-reported bystander behavior as a function of proximal alcohol use and the presence of alcohol within the behavioral context at 6- and 12-months post- intervention. The most significant contribution of the proposed project will be to provide the first evidence of how to promote prosocial bystander behavior in men who consume alcohol and improve future development, evaluation, and dissemination of bystander intervention programs. In doing so, this project will provide the necessary empirical foundation for existing bystander prevention programming to translate these findings directly into real-world applications that will ultimately have a significant impact on SV.

性暴力（SV）是美国的重大公共卫生问题，尤其是在18 - 24年中 老（大学和非大学）人口。 18至24岁的女性的强奸和性侵犯率最高 受害（女大学生每1,000名每1,000名6.1；女性非学生每1,000名7.6） 其他年龄段的男性和女性。尽管这些令人震惊的统计数据，CDC报告说 严格地证明只有一个程序（“实质性”）有效地提高了亲社会 旁观者的行为和防止大学生的SV持续性。那是SV的主要差距 预防节目。尤其重要的是，实地和其他旁观者 干预计划及其各自的评估遭受着关键的弱点和局限性 降低对SV率的总体影响。其中包括：（1）对旁观者的参与者或意图过分强调 与实际行为相对于实际行为，（2）依赖自我报告并且在行为为时没有上下文的措施 评估，（3）没有解决酒精对旁观者决策和行为的替代效果 鉴于不关心的年轻人的关注最少 上大学。干预研究必须直接解决这些限制，以缩小这一关键差距。 该提议的科学前提是，通过将特定于酒精使用的新内容整合在 SV干预对实质性的背景，我们可以更有效地促进亲社会和有效的旁观者 行为 - 甚至在进入的旁观者中。我们的目的是首先检查近端饮酒对 虚拟旁观者行为，然后测试修订的实质程序的效率（即 RealconSent2.0）。这些目标将通过（1）为realconsent2.0开发新的程序内容来实现 通过两种理论观点的整合 - 酒精近视理论和旁观者所告知 决策模型，（2）在两个不同的地理中实施随机对照试验（RCT） 区域（东南和中西部），有足够的基于社区的n = 840年轻的样本 男性，（3）比较realconsent1.0和2.0对可观察旁观者行为的相对效率 干预后1个月的虚拟现实环境中陶醉和清醒的旁观者，（4） 比较RealconSent1.0和2.0对自我报告的旁观者行为的效率 近端酒精以及在行为背景下在6个月和12个月的行为环境中存在酒精 干涉。拟议项目的最重要贡献是提供第一个证据 如何在食用酒精并改善未来发展的男性中促进亲社会的旁观者行为， 评估和旁观者干预计划的传播。这样，这个项目将提供 现有旁观者预防计划的必要经验基础，以翻译这些发现 直接进入现实的应用程序，最终将对SV产生重大影响。