Reducing Alcohol Use and Sexual Dysfunction in Survivors of Sexual Trauma

减少性创伤幸存者的饮酒和性功能障碍

• 批准号: 10614913
• 负责人: Lindsay Marie Orchowski
• 金额: $ 24.85万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10614913
• 关键词: Address; Adherence; Alcohol consumption; Arousal; Attention; Classification; Clinical; Clinical Trials; Cognitive Therapy; Competence; Control Groups; Data; Development; Disease; Distress; Dose; Education; Empirical Research; Event; Feedback; Female; Focus Groups; Forcible intercourse; Foundations; Frequencies; Functional disorder; Genital; Genitalia; Goals; Health; Health Promotion; Heavy Drinking; Intervention; Interview; Manuals; Mediator; Methods; Mindfulness Training; Modeling; Modification; National Institute on Alcohol Abuse and Alcoholism; Outcome; Pain; Participant; Patient Self-Report; Pharmaceutical Preparations; Phase; Pilot Projects; Population; Prevention approach; Prevention strategy; Procedures; Protocols documentation; Public Health; Randomized; Readiness; Recording of previous events; Reporting; Research; Research Design; Research Infrastructure; Resistance; Risk; Risk Factors; Risk Reduction; Role; Sampling; Seasons; Severities; Sex Behavior; Sexual Dysfunction; Sexual Health; Strategic Planning; Structure; Substance Addiction; Survivors; Techniques; Testing; Training; Trauma; Victimization; Woman; Women' s Group; Women' s Health; acceptability and feasibility; alcohol expectancy; alcohol intervention; alcohol misuse; alcohol misuse prevention; alcohol related consequences; alcohol use disorder; assault; college; coping; drinking; empowerment; evidence base; experience; follow-up; high risk population; improved; inclusion criteria; informant; information gathering; innovation; intervention delivery; model development; motivational enhancement therapy; perpetrators; pilot trial; prevent; programs; public health relevance; recruit; reduced alcohol use; retention rate; revictimization; sex; sexual assault; sexual trauma; sexual victimization; sexually active; sound; theories; therapy development; trauma symptom; university student

PROJECT SUMMARY/ABSTRACT Alcohol misuse and sexual assault are significant public health problems, especially among college women. Heavy drinking is a primary risk factor for sexual victimization and increases risk for revictimization and sexual dysfunction. Sex-related distress is also a common – yet rarely addressed – consequence of sexual victimization. Women with a history of sexual victimization report drinking to cope with sex-related distress; thereby increasing risk for revictimization. Despite strong associations between alcohol use, sexual distress, and sexual victimization among college women, there are no interventions that concurrently target these intersecting health outcomes. The proposed research will therefore develop an intervention that integrates evidence-based alcohol intervention strategies, techniques to reduce sex-related distress, and sexual assault risk reduction and resistance education with the goal of decreasing revictimization among sexually active college women with a history of sexual victimization who report heavy drinking and sex-related distress; a particularly high-risk group. 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 an attention and dose-matched control group. Women will be followed at 2- and 6- 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 college women, but also promote the overall sexual health of women. This integrated approach represents a shift in how these public health problems are typically addressed and has the potential to be widely disseminated and tailored for other populations.

项目总结/摘要 酗酒和性侵犯是重要的公共卫生问题，特别是在大学生中。 妇女酗酒是性受害的主要风险因素，并增加了再次受害的风险 和性功能障碍。与性有关的痛苦也是一种常见的-但很少解决-后果， 性侵害有性受害史的妇女报告说，饮酒是为了科普与性有关的问题。 痛苦;从而增加再次受害的风险。尽管酒精使用、性行为 苦恼，和性受害的女大学生，有没有干预措施，同时针对 这些交叉的健康结果。因此，拟议的研究将开发一种干预措施， 整合基于证据的酒精干预策略，减少性相关痛苦的技术， * 开展减少性攻击风险和抵制性攻击的教育， 性活跃的女大学生，有性受害史，报告酗酒和性相关 痛苦;特别高风险的群体。在1A和1B阶段治疗开发模型之后， 1A信息来自线人访谈（N = 10）、三个焦点小组（N = 30）、利益相关者访谈（N = 6）， 一个校园咨询委员会将指导综合干预的发展。集成 干预措施将在一项开放试验（N = 20）中进行测试，其中将使用访谈和自我报告方法， 收集有关干预的可行性和可接受性的信息。干预将是 修订，然后在1B期随机试点试验中进行评估，该试验涉及90名被分配到拟议的 干预或注意和剂量匹配的对照组。女性将在2个月和6个月时接受随访 基线后。在修订阶段，我们将进行离职面谈，并修订干预措施， 更大的临床试验这项研究的结果预计将为制定干预措施提供信息， 不仅针对大学女生中酒精使用和性侵犯的交叉点，而且还促进 女性的整体性健康。这种综合方法代表了这些公共卫生如何 这些问题通常得到解决，并有可能被广泛传播和针对其他 人口。