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一项针对男大学生的基于网络的性暴力旁观者干预措施:随机对照试验。

A web-based sexual violence bystander intervention for male college students: randomized controlled trial.

作者信息

Salazar Laura F, Vivolo-Kantor Alana, Hardin James, Berkowitz Alan

机构信息

Georgia State University, School of Public Health, Atlanta, GA, United States.

出版信息

J Med Internet Res. 2014 Sep 5;16(9):e203. doi: 10.2196/jmir.3426.

Abstract

BACKGROUND

Bystander intervention approaches offer promise for reducing rates of sexual violence on college campuses. Most interventions are in-person small-group formats, which limit their reach and reduce their overall public health impact.

OBJECTIVE

This study evaluated the efficacy of RealConsent, a Web-based bystander approach to sexual violence prevention, in enhancing prosocial intervening behaviors and preventing sexual violence perpetration.

METHODS

A random probability sample of 743 male undergraduate students (aged 18 to 24 years) attending a large, urban university located in the southeastern United States was recruited online and randomized to either RealConsent (n=376) or a Web-based general health promotion program (n=367). Participants were surveyed online at baseline, postintervention, and 6-months postintervention. RealConsent was delivered via a password-protected Web portal that contained six 30-minute media-based and interactive modules covering knowledge of informed consent, communication skills regarding sex, the role of alcohol and male socialization in sexual violence, empathy for rape victims, and bystander education. Primary outcomes were self-reported prosocial intervening behaviors and sexual violence perpetration. Secondary outcomes were theoretical mediators (eg, knowledge, attitudes).

RESULTS

At 6-month follow-up RealConsent participants intervened more often (P=.04) and engaged in less sexual violence perpetration (P=.04) compared to controls. In addition, RealConsent participants reported greater legal knowledge of sexual assault (P<.001), greater knowledge of effective consent (P<.001), less rape myths (P<.001), greater empathy for rape victims (P<.001), less negative date rape attitudes (P<.001), less hostility toward women (P=.01), greater intentions to intervene (P=.04), less hyper-gender ideology (P<.001), less positive outcome expectancies for nonconsensual sex (P=.03), more positive outcome expectancies for intervening (P<.001), and less comfort with other men's inappropriate behaviors (P<.001).

CONCLUSIONS

Our results support the efficacy of RealConsent. Due to its Web-based format, RealConsent has potential for broad-based dissemination thereby increasing its overall public health impact on sexual violence.

TRIAL REGISTRATION

Clinicaltrials.gov: NCT01903876; http://clinicaltrials.gov/show/NCT01903876 (Archived by WebCite at http://www.webcitation.org/6S1PXxWKt).

摘要

背景

旁观者干预方法有望降低大学校园性暴力发生率。大多数干预采用面对面小组形式,这限制了其覆盖面并降低了整体公共卫生影响。

目的

本研究评估了RealConsent(一种基于网络的性暴力预防旁观者方法)在增强亲社会干预行为和预防性暴力实施方面的效果。

方法

在美国东南部一所大型城市大学中,通过网络招募了743名年龄在18至24岁之间的男性本科生随机概率样本,并将其随机分为RealConsent组(n = 376)或基于网络的一般健康促进计划组(n = 367)。在基线、干预后和干预后6个月对参与者进行在线调查。RealConsent通过一个受密码保护的网络门户提供,其中包含六个30分钟的基于媒体的互动模块,内容涵盖知情同意知识、关于性的沟通技巧、酒精和男性社会化在性暴力中的作用、对强奸受害者的同理心以及旁观者教育。主要结果是自我报告的亲社会干预行为和性暴力实施情况。次要结果是理论中介因素(如知识、态度)。

结果

在6个月的随访中,与对照组相比,RealConsent组的参与者干预更频繁(P = 0.04),性暴力实施更少(P = 0.04)。此外,RealConsent组的参与者报告了更多关于性侵犯的法律知识(P < 0.001)、更多关于有效同意的知识(P < 0.001)、更少的强奸谬见(P < 0.001)、对强奸受害者更多的同理心(P < 0.001)、更少的负面约会强奸态度(P < 0.001)、对女性更少的敌意(P = 0.01)、更强的干预意愿(P = 0.04)、更少的超性别意识形态(P < 0.001)、对非自愿性行为更少的积极结果预期(P = 0.03)、对干预更多的积极结果预期(P < 0.001)以及对其他男性不当行为更少的容忍度(P < 0.001)。

结论

我们的结果支持RealConsent的有效性。由于其基于网络的形式,RealConsent有广泛传播的潜力,从而增加其对性暴力的整体公共卫生影响。

试验注册

Clinicaltrials.gov:NCT01903876;http://clinicaltrials.gov/show/NCT01903876(由WebCite存档于http://www.webcitation.org/6S1PXxWKt)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e89/4180355/a99df43476b8/jmir_v16i9e203_fig1.jpg

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