Assessing the feasibility, acceptability, and initial efficacy of a multiple behavior change intervention addressing alcohol use, sexual risk taking, and bystander intervention.

IF 2.4 3区 医学 Q2 PSYCHOLOGY Journal of studies on alcohol and drugs Pub Date : 2024-07-15 DOI:10.15288/jsad.24-00009
Lucy E Napper, Shannon R Kenney, Laura C Wolter, Nicole L Johnson, Lindsay M Orchowski, Prachi H Bhuptani, Nancy Barnett
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Abstract

Objective: Prevention programs that address the intersecting health problems of risky alcohol use, unsafe sexual behaviors, and sexual violence are needed. This pilot project assessed the feasibility, acceptability, and preliminary efficacy of a two-session group-based intervention, Sex Positive Lifestyles: Addressing Alcohol & Sexual Health (SPLASH), targeting these highly interconnected risks for college students across genders.

Method: A total of 217 participants (51.6% male, ages 18-24) took part in the SPLASH intervention or a nutrition/exercise control condition. SPLASH included three approaches aimed at reducing the incidence of alcohol problems, unsafe sex, and sexual victimization: normative feedback to modify misperceptions around peers' drinking, sexual behaviors, and support of bystander intervention; drinking and sexual-related protective behavioral strategy training to enhance safer drinking and sex-risk behaviors; and bystander intervention skills training to promote bystander efficacy and engagement. Participants completed baseline and follow-up (1-month and 6-month) online assessments.

Results: SPLASH demonstrated high acceptability and feasibility, as well as preliminary efficacy. SPLASH participants reported strong acceptability of the intervention, particularly its integrated content and interactive, in-person group format. Successful enrollment (70% randomized) and retainment point to the feasibility of recruiting students to this two-session in-person intervention. Results showed sustained trends toward more accurate perceived sex-related norms and indications of increasing bystander norms among intervention but not control participants.

Conclusions: Results demonstrate the potential for SPLASH to effectively address the interrelated health risks of risky alcohol use, unsafe sex, and sexual violence on college campuses and point to the need for larger-scale studies.

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评估针对饮酒、性冒险和旁观者干预的多种行为改变干预的可行性、可接受性和初步效果。
目标:需要针对危险饮酒、不安全的性行为和性暴力等相互交织的健康问题制定预防计划。本试点项目评估了以小组为基础的两节干预课程 "积极的性生活方式 "的可行性、可接受性和初步效果:解决酒精和性健康问题 (SPLASH)",针对不同性别大学生面临的这些高度关联的风险:共有 217 名参与者(51.6% 为男性,18-24 岁)参加了 SPLASH 干预或营养/运动对照。SPLASH包括三种旨在降低酒精问题、不安全性行为和性侵害发生率的方法:规范反馈,以改变对同伴饮酒、性行为和支持旁观者干预的误解;饮酒和与性相关的保护性行为策略培训,以加强安全饮酒和性风险行为;旁观者干预技能培训,以提高旁观者的效率和参与度。参与者完成了基线和后续(1 个月和 6 个月)在线评估:结果:SPLASH 显示出较高的可接受性和可行性,以及初步的有效性。SPLASH 参与者对干预措施的接受度很高,尤其是其综合内容和互动式现场小组形式。成功的入学率(70%为随机抽样)和保留率表明,招募学生参加这种为期两节课的面对面干预是可行的。结果表明,干预参与者(而非对照参与者)对性相关规范的感知呈更准确的持续趋势,旁观者规范也有增加的迹象:结果表明,SPLASH 有可能有效解决大学校园中危险饮酒、不安全性行为和性暴力等相互关联的健康风险问题,并指出需要进行更大规模的研究。
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来源期刊
CiteScore
4.80
自引率
5.90%
发文量
224
审稿时长
3 months
期刊介绍: The Journal of Studies on Alcohol and Drugs began in 1940 as the Quarterly Journal of Studies on Alcohol. It was founded by Howard W. Haggard, M.D., director of Yale University’s Laboratory of Applied Physiology. Dr. Haggard was a physiologist studying the effects of alcohol on the body, and he started the Journal as a way to publish the increasing amount of research on alcohol use, abuse, and treatment that emerged from Yale and other institutions in the years following the repeal of Prohibition in 1933. In addition to original research, the Journal also published abstracts summarizing other published documents dealing with alcohol. At Yale, Dr. Haggard built a large team of alcohol researchers within the Laboratory of Applied Physiology—including E.M. Jellinek, who became managing editor of the Journal in 1941. In 1943, to bring together the various alcohol research projects conducted by the Laboratory, Dr. Haggard formed the Section of Studies on Alcohol, which also became home to the Journal and its editorial staff. In 1950, the Section was renamed the Center of Alcohol Studies.
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