This cluster-randomized controlled trial across 28+ college campuses focuses on undergraduate
      college students at elevated risk for sexual violence and hazardous drinking (i.e., students
      with prior history of sexual violence, students who are sexual or gender minority, and
      students with disabilities). "Reducing Alcohol Involved Sexual violence in higher Education
      (RAISE)" is a longitudinal study that will test research-informed strategies to improve
      implementation of a prevention intervention in college health and counseling centers,
      integrate a safety decision aid (via computer or mobile device) to more directly target harm
      reduction among students particularly vulnerable to hazardous drinking and SV, and evaluate
      campus policies that increase accessibility and uptake of confidential services for students.
      This is the first study to situate a sexual violence prevention intervention in college
      health and counseling centers to address two significant public health concerns --
      alcohol-involved sexual violence and hazardous drinking on college campuses.

Reducing Alcohol Involved Sexual Violence in Higher Education

Sexual Violence

Drinking Heavy

This is a collaborative study across 28+ college campuses focused on tailored harm reduction
      interventions to reduce risk for sexual violence (SV) among undergraduate college students
      receiving care from college health and counseling centers (CHCs). "Reducing Alcohol Involved
      Sexual violence in higher Education (RAISE)" is a longitudinal study that builds on a
      previous cluster-randomized controlled trial on college campuses in Pennsylvania and West
      Virginia (R01 AA023260). The study aims to reach students at elevated risk for SV and
      hazardous drinking: students with history of SV, students who identify as sexual/gender
      minority, and students who have disabilities (65% of our previous sample). SV, particularly
      alcohol-involved SV, remains highly prevalent on college campuses. A previous study by this
      research team found that a large proportion of students seeking care in CHCs have experienced
      SV victimization (n=2291, 64% of women, 32% of men re-port lifetime SV) which is associated
      with binge drinking. Students identifying as sexual or gender minority or endorsing a
      disability (i.e., physical, emotional, sensory, neurologic, and learning impairments) report
      particularly high lifetime prevalence of SV that is associated with greater odds of binge
      drinking compared to students not exposed to SV. The previous RCT involved training CHC staff
      to deliver a brief educational intervention to re-duce SV risk, titled "Giving Information
      for Trauma Support and Safety" (GIFTSS), to all students seeking care. Implementation varied
      across CHCs. Among students who received GIFTSS as intended, the study found significant
      increases in self-efficacy to use harm reduction strategies and SV-related services. Students
      with history of SV had greater than four-fold increase in odds of disclosing this history to
      providers. The study identified provider-, clinic-and campus-level changes needed to improve
      intervention delivery. To more directly target use of harm reduction strategies among
      students at elevated risk for SV and hazardous drinking, this current study will also
      integrate a safety decision aid (myPlan app for use on smartphone or computer) which
      increases harm reduction behaviors among college women experiencing partner violence. The
      focus of this renewal is to 1) test strategies to improve implementation of GIFTSS, 2) offer
      support for students at elevated risk for SV and hazardous drinking with tailored harm
      reduction strategies delivered via the myPlan app after the clinic visit, and 3) strengthen
      campus policies to promote access to SV services and reduce hazardous drinking. A 2x2 cluster
      randomized controlled trial will compare two implementation strategies for GIFTSS in CHCs
      (provider scripts vs. learning collaborative) focusing on undergraduate students ages 18-24
      (N= 2400 across 28 campuses) with follow-up at 4 months and 12 months (Aim 1). The trial will
      also assess effectiveness of myPlan in increasing uptake of tailored harm reduction
      strategies for those at elevated risk for SV and hazardous drinking (Aim 2). Finally, the
      study will examine alcohol and SV policy changes on each campus that may increase access to
      and uptake of confidential services among students at elevated risk for hazardous drinking
      and SV (Aim 3).

GIFTSS Training

Learning Collaborative

Provider Scripts

Yes to any items about SV and alcohol-involved SV talking points covered by provider during college health center visit (assessed in exit survey after visit)

Participant self-report of receipt of the GIFTSS safety card during the visit (assessed in exit survey after visit)

Director, Adolescent and Young Adult Medicine

self-efficacy to use SV and drinking-related harm reduction behaviors (mean score, range 1 to 5, 5 indicating greater self-efficacy)

use of SV and drinking-related harm reduction behaviors (summary score; 0 to 10, 10 being maximum number of strategies assessed)

self-efficacy to use confidential SV services (including college health center, off campus advocate) (mean score, range 1 to 5, 5 indicating greater self-efficacy)

use of SV-related services (including college health center, off campus advocate) in past 3 months and past year (summary score; 0 to 10, 10 being maximum number of services assessed)

experience of SV victimization (including alcohol as context) in past 3 months and past year (summary score; 0 to 10, 10 being maximum number of types of violence exposure assessed)

Patterns of alcohol use (frequency and quantity of alcohol use in past month); frequency of binge drinking in past month; problem alcohol use (risk for alcohol use disorder using AUDIT); drinking motivations

Training for college health center clinicians and staff in implementation of GIFTSS Training

Training for college health center clinicians and staff in implementation of GIFTSS Training combined with learning collaborative to support implementation

Training for college health center clinicians and staff in implementation of GIFTSS Training combined with provider scripts to support implementation

Training for college health center clinicians and staff in implementation of GIFTSS Training combined with learning collaborative as well as provider scripts to support implementation

Reducing Alcohol Involved Sexual Violence in Higher Education

About this trial

Study ID

Status

Type

Phase

Placebo

Accepting

Trial Timing

What is this trial about?

What are the participation requirements?

Locations

Location

Status