Text message intervention for alcohol use and sexual violence in collegestudents

项目总结 这项K23提案的总体目标是开发多目标文本消息(TM)传递的干预措施，以 解决大学校园酗酒和性暴力(SV)的重叠问题。使用 社会认知理论框架，建议的干预措施将提供普及教育和量身定做 旨在增加对SV减少伤害行为的使用并减少酒精使用的行为改变消息 在寻求校园卫生中心护理的男大学生和女大学生中。一系列三个连续的 AIMS将为一个迭代的、利益攸关方参与的干预发展和 试行测试。这些目标包括：1)从大学生那里获得关于信息的质量反馈 多目标(酒精使用和减少SV伤害)TM的内容、时间、频率和个性化 2)试行校园多目标干预的可行性和可接受性 卫生中心；以及3)进行试点随机试验，以评估完整的试验方案并产生 多靶点干预效果的评估与减少酒精使用TM干预的比较。在.期间 每个目标、结果都将与由青少年健康专家组成的指导团队一起审查， 酒精使用、流动健康干预和临床试验研究。要实现这些目标，要掌握三个 包括必要的培训目标(ToS)。这些目标可解决与以下方面相关的关键技能差距：1)理论和 酒精使用的测量；2)设计以理论为基础、技术提供的干预措施；以及3) 实施利益相关者参与的临床试验。这项K23培训和研究建立在Dr。 安德森作为性侵犯护士检查员的临床工作及其对性和性伴侣的研究 暴力。完成拟议的研究和培训计划将有助于安德森博士实现长期- 对技术交付进行干预开发和实施研究的任期职业目标 预防和应对SV和酒精使用的交叉问题以促进健康和 年轻人的安全。这项研究阐述了NIAAA的使命，即开发、评估和促进有效 预防酒精相关问题的策略。同时解决酗酒和SV问题 以减少伤害策略为重点的TM干预是一种针对大量高危人群的创新方式 学生们。面向男性和女性学生的通用消息传递方法提供了一个机会 解决增加性暴力受害者和犯罪风险的行为。TM平台提供了可扩展的 广泛传播的干预措施。使用迭代的、利益相关者参与的方法将确保最终的 干预措施很容易实施和采用。这项研究的发现有望导致适应性 技术提供的干预措施，以减少与酒精使用和SV相关的负面后果。

PROJECT SUMMARY The overall goal of this K23 proposal is to develop a multi-target text message (TM)-delivered intervention to address the overlapping issues of binge drinking and sexual violence (SV) on college campuses. Using a Social Cognitive Theory framework, the proposed intervention will provide universal education and tailored behavior change messaging designed to increase use of SV harm reduction behaviors and reduce alcohol use among male and female college students seeking care at campus health centers. A series of three sequential aims will provide an opportunity for an iterative, stakeholder-engaged process of intervention development and pilot testing. These aims include: 1) Obtaining qualitative feedback from college students regarding message content, timing, frequency, and personalization for the multi-target (alcohol use and SV harm reduction) TM intervention; 2) Piloting the feasibility and acceptability of implementing the multi-target intervention in campus health centers; and 3) Conducting a pilot randomized trial to assess the full trial protocol and to generate estimates of multi-target intervention efficacy compared to an alcohol use reduction TM intervention. During each aim, results will be reviewed with a mentorship team comprised of experts in adolescent health, SV, alcohol use, mobile health interventions, and clinical trials research. To achieve these aims, mastery of three necessary training objectives (TOs) is included. These TOs address key skill gaps related to: 1) theory and measurement of alcohol use; 2) designing theory-based, technology-delivered interventions; and 3) implementation of stakeholder-engaged clinical trials. This K23 training and research builds upon Dr. Anderson’s prior clinical work as a Sexual Assault Nurse Examiner and her research on sexual and partner violence. Completing the proposed research and training plans will assist Dr. Anderson in achieving the long- term career goal of conducting intervention development and implementation research on technology-delivered interventions to prevent and respond to the intersecting issues of SV and alcohol use to promote health and safety in young adults. This study addresses NIAAA’s mission to develop, evaluate, and promote effective strategies for preventing alcohol-related problems. Simultaneously addressing binge drinking and SV with a TM intervention focused on harm reduction strategies is an innovative way to target a large number of at-risk students. A universal messaging approach, targeting male and female students, presents an opportunity to address behaviors that increase risk of SV victimization and perpetration. The TM platform provides a scalable intervention for wide spread. Use of an iterative, stakeholder-engaged approach will ensure the final intervention is easily implemented and adopted. Findings from this study are expected to lead to adaptable technology-delivered interventions to reduce negative outcomes associated with alcohol use and SV.