Preliminary Efficacy of Positive Change(+Change): A Pilot Randomized Controlled Trial of an Integrated Alcohol and Sexual Assault Prevention Program Tailored by Gender and Sexual Orientation

IF 2.6 3区心理学 Q1 CRIMINOLOGY & PENOLOGY Journal of Interpersonal Violence Pub Date : 2024-09-27 DOI:10.1177/08862605241275994

Amanda K. Gilmore, Karen E. Nielsen, Nashalys K. Salamanca, Daniel W. Oesterle, Anushka Parekh, Ruschelle M. Leone, Lindsay M. Orchowski, Viswanathan Ramakrishnan, Debra Kaysen, Kelly Cue Davis

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Abstract

The current study presents preliminary efficacy findings of a pilot randomized controlled trial of Positive Change© ( +Change© ). +Change© utilizes personalized normative feedback to target alcohol use, sexual assault (SA) victimization, SA perpetration, and bystander intervention tailored for heterosexual cisgender men, heterosexual cisgender women, and sexual and gender-minoritized (SGM) groups. Participants included 165 undergraduate students aged 18 to 25 years old from a large public university in the Southwestern U.S. who engaged in past month heavy episodic drinking. Participants (57 cisgender heterosexual men; 54 cisgender heterosexual women; and 54 SGM) were randomized to +Change© ( n = 83) or an assessment-only control ( n = 82) and completed surveys online at baseline and 3-month follow-up in a parallel design with a 1:1 ratio (NCT04089137). The current study presents the secondary outcomes of the pilot randomized controlled trial which include alcohol use, SA victimization, SA perpetration, and bystander intervention behavior. +Change© was associated with significantly less severe SA victimization and more bystander intervention behavior at 3-month follow-up relative to the control. There were no significant differences between conditions in alcohol use at 3-month follow-up, however, the magnitude of decreases in drinking in the +Change© condition in this pilot study were consistent with other personalized normative feedback interventions. The present study was unable to assess differences in SA perpetration due to low base rates. No adverse effects among those receiving the intervention were observed. Findings suggested that +Change© may be a feasible strategy to prevent SA, by reducing student SA victimization and increasing bystander intervention. A fully powered randomized clinical trial is needed to examine the effects of +Change©.

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积极改变（+改变）的初步效果：按性别和性取向定制的酒精和性侵犯综合预防计划的试点随机对照试验

本研究介绍了 "积极改变©"（+Change©）试点随机对照试验的初步效果。+Change©利用个性化的规范反馈，针对饮酒、性侵犯（SA）受害、性侵犯实施以及旁观者干预等问题，为异性恋顺性别男性、异性恋顺性别女性以及性和性别轻视（SGM）群体量身定制。参与者包括来自美国西南部一所大型公立大学的 165 名年龄在 18-25 岁之间的本科生，他们在过去的一个月中经常大量饮酒。参与者（57 名顺性异性恋男性、54 名顺性异性恋女性和 54 名 SGM）被随机分配到 +Change©（n = 83）或仅评估的对照组（n = 82），并在基线和 3 个月的随访中以 1:1 的比例完成在线调查（NCT04089137）。本研究介绍了试点随机对照试验的次要结果，包括饮酒、SA 受害、SA 施行和旁观者干预行为。与对照组相比，"+Change©"在 3 个月的随访中明显减少了严重的自伤行为，并增加了旁观者干预行为。在 3 个月的随访中，不同条件下的饮酒量没有明显差异，但是，在这项试点研究中，"+Change©"条件下的饮酒量下降幅度与其他个性化规范反馈干预措施是一致的。由于基数较低，本研究无法评估 SA 行为的差异。在接受干预的人群中没有观察到不良影响。研究结果表明，"+Change©"可能是预防自闭症的一种可行策略，它可以减少学生自闭症的受害情况，增加旁观者的干预。我们需要进行一项完全有效的随机临床试验，以检验+Change© 的效果。

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来源期刊

Journal of Interpersonal Violence Multiple-

CiteScore

6.20

自引率

12.00%

发文量

375

期刊介绍： The Journal of Interpersonal Violence is devoted to the study and treatment of victims and perpetrators of interpersonal violence. It provides a forum of discussion of the concerns and activities of professionals and researchers working in domestic violence, child sexual abuse, rape and sexual assault, physical child abuse, and violent crime. With its dual focus on victims and victimizers, the journal will publish material that addresses the causes, effects, treatment, and prevention of all types of violence. JIV only publishes reports on individual studies in which the scientific method is applied to the study of some aspect of interpersonal violence. Research may use qualitative or quantitative methods. JIV does not publish reviews of research, individual case studies, or the conceptual analysis of some aspect of interpersonal violence. Outcome data for program or intervention evaluations must include a comparison or control group.