Collaborative Opportunities for Reducing Alcohol and Sexual Violence Together
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-24
SponsorState University of New York at Buffalo
About this trial
The goal of this clinical trial is to test if a modified peer-based motivational intervention (the Military PAIRS; MPAIRS) is reasonable and practical for military contexts. The main questions it aims to answer are:
* Does it works to reduce SV? * Does it works to reduce risky drinking? To test this, participants will answer questions about their SV history and risky drinking. Then they will be given MPAIRS. After 1 month, they will be asked about their SV history and risky drinking again.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Enlisted U.S. Navy service members on active duty status
Meet criteria for risky drinking (i.e. score of 4+ for men, 2+ for women according to the AUDIT-C)
Have an eligible peer and the pair must socialize together at least twice a month
Disqualifiers
Individuals who endorse evidence of withdrawal (Item 6 on the AUDIT)
Trial design
Design model
Parallel
Treatments tested in this trial
Peer-Based Motivational Interview
BehavioralThe intervention will use Motivational Interviewing's (MI) collaborative conversation style for strengthening commitment to change, to motivate and prepare service members to work together to reduce Sexual Violence (SV) risk. This intervention will target ways that the peer dyad may support, encourage, and share responsibility with one another in protecting against SV. The Peer-based MI (PMI) will then use the responsibility and relationship of peers as a framework to foster collaborative efforts to increase readiness and decrease barriers to helping behavior. As part of this, the PMI will focus on the identification and implementation of skills peers can use to help one another prevent SV. PMI will include a focused discussion of the ways drinking may impede helping efforts. Moreover, the PMI will encourage service members to identify personal, specific strategies for reducing the effects of alcohol on helping.
Health and Well-Being for All
BehavioralThis single-session intervention, is designed to be delivered to peers in a group or dyad-based format, examines social determinants of health and wellness across a variety of domains. The intervention outlines a 6-step process for improving overall wellness. The CDC offers a number of handouts and other materials (e.g., peer dialogue exercises, data cards) that accompany the didactic material. In this study, the HWBA intervention will be delivered by a project interventionist. The session will be designed to be time equivalent (90 minutes) to the MPAIRs intervention. (Pember, 2018)
Treatment groups
132 Participants
are divided into 3 treatment groupsGroup A: Peer-Based Motivational Interview (PMI) (Phase One)Experimental treatment 1 intervention
Group B: Peer-Based Motivational Interview (PMI) (Phase Two)Experimental treatment 1 intervention
Group C: Health and Well-Being for AllActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Readiness to intervene
10 item scale scored on a 5 point likert type scale with higher value indicating they are more ready to intervene on behalf of the other member of the dyad in areas of concern for abuse. Modeled after: Center for Evidence-Based Practices at Case Western Reserve University (2010). Readiness Ruler. Center for Evidence-Based Practices, Case Western Reserve University.
Time frame
In Phase 1, at baseline and 4 week follow up. In Phase 2, at baseline, 1 month follow up, 2 month follow up, and 3 month follow up.2
Peer -Directed Bystander Behaviors Scale for Friends
44 item scale. The answers provided are yes/no/"I did not perceive an opportunity to do this" for each item in 3 different contexts (Friend, Stranger, Someone in Military). Each item is a situation that the participant may have been in to help someone in the past month. The participant reports if they did that helped, didn't help, or didn't have that situation for each context. Banyard, V. L., Moynihan, M. M., Cares, A. C., \& Warner, R. A. (2014). How do we know if it works? Defining measurable outcomes in bystander-focused violence prevention. Psychology of Violence, 4(1), 101-115.
Time frame
In Phase 1, at baseline and 4 week follow up. In Phase 2, at baseline, 1 month follow up, 2 month follow up, and 3 month follow up.3
Assault Protective Strategies
20 item scale. It is scored on a 4 point likert type scale with an option for "I prefer to not answer" and an option for "I did not perceive an opportunity to do this". The scale is made up of items of strategies that people do either before going out, or while they are out to reduce risk for sexual assault. The participant reports to what extent they use each strategy with a higher number meaning they use the strategy to a greater extent.
Time frame
In Phase 1, at baseline and 4 week follow up. In Phase 2, at baseline, 1 month follow up, 2 month follow up, and 3 month follow up.4
PBSS-20 Alcohol Protective Strategy
20 item scale. It is scored on a 6 point likert type scale. The scale is made up of items of different strategies people often use to protect against negative consequences of alcohol use. The participant reports to what extent they use each strategy with a higher number meaning they use the strategy to a greater extent. Treloar H, Martens MP, McCarthy DM. The Protective Behavioral Strategies Scale-20: improved content validity of the Serious Harm Reduction subscale. Psychol Assess. 2015 Mar;27(1):340-6. doi: 10.1037/pas0000071.
Time frame
In Phase 1, at baseline and 4 week follow up. In Phase 2, at baseline, 1 month follow up, 2 month follow up, and 3 month follow up.Secondary outcomes
1
Sexual Assault Experiences
Revised Sexual Experiences Survey (R-SES) will be used to assess how many times different sexual assault situations have occurred over the last month. The number of events will be added together to give the number of times the participant was assaulted.
Time frame
In Phase 1, at baseline and 4 week follow up. In Phase 2, at baseline, 1 month follow up, 2 month follow up, and 3 month follow up.2
Change in Drinking
Using a grid-based average assessment measure based in the Daily Drinking Questionnaire, participants will report on alcohol consumption. Higher scores indicate greater alcohol consumption.
Time frame
In Phase 1, at baseline and 4 week follow up. In Phase 2, at baseline, 1 month follow up, 2 month follow up, and 3 month follow up.Sponsors and contacts
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Source ClinicalTrials.gov