A cluster-randomized trial of a college health center-based alcohol and sexual violence intervention (GIFTSS): Design, rationale, and baseline sample

Kaleab Z. Abebe, Kelley A. Jones, Dana Rofey, Heather L. McCauley, Duncan B. Clark, Rebecca Dick, Theresa Gmelin, Janine Talis, Jocelyn Anderson, Carla Chugani, Gabriela Algarroba, Ashley Antonio, Courtney Bee, Clare Edwards, Nadia Lethihet, Justin Macak, Joshua Paley, Irving Torres, Courtney Van Dusen, Elizabeth Miller

Research output: Contribution to journalArticle

Abstract

Introduction Sexual violence (SV) on college campuses is common, especially alcohol-related SV. This is a 2-arm cluster randomized controlled trial to test a brief intervention to reduce risk for alcohol-related sexual violence (SV) among students receiving care from college health centers (CHCs). Intervention CHC staff are trained to deliver universal SV education to all students seeking care, to facilitate patient and provider comfort in discussing SV and related abusive experiences (including the role of alcohol). Control sites provide participants with information about drinking responsibly. Methods Across 28 participating campuses (12 randomized to intervention and 16 to control), 2292 students seeking care at CHCs complete surveys prior to their appointment (baseline), immediately after (exit), 4 months later (T2) and one year later (T3). The primary outcome is change in recognition of SV and sexual risk. Among those reporting SV exposure at baseline, changes in SV victimization, disclosure, and use of SV services are additional outcomes. Intervention effects will be assessed using generalized linear mixed models that account for clustering of repeated observations both within CHCs and within students. Results Slightly more than half of the participating colleges have undergraduate enrollment of ≥ 3000 students; two-thirds are public and almost half are urban. Among participants there were relatively more Asian (10 v 1%) and Black/African American (13 v 7%) and fewer White (58 v 74%) participants in the intervention compared to control. Conclusions This study will offer the first formal assessment for SV prevention in the CHC setting. Clinical Trials #: NCT02355470

LanguageEnglish (US)
Pages130-143
Number of pages14
JournalContemporary Clinical Trials
Volume65
DOIs
StatePublished - Feb 1 2018

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Sex Offenses
Alcohols
Health
Students
Crime Victims
Disclosure
African Americans
Drinking
Cluster Analysis
Linear Models
Appointments and Schedules
Randomized Controlled Trials
Clinical Trials
Delivery of Health Care
Education

Keywords

  • Alcohol
  • Campus sexual assault
  • College health center
  • Sexual assault
  • Sexual violence

ASJC Scopus subject areas

  • Pharmacology (medical)

Cite this

A cluster-randomized trial of a college health center-based alcohol and sexual violence intervention (GIFTSS) : Design, rationale, and baseline sample. / Abebe, Kaleab Z.; Jones, Kelley A.; Rofey, Dana; McCauley, Heather L.; Clark, Duncan B.; Dick, Rebecca; Gmelin, Theresa; Talis, Janine; Anderson, Jocelyn; Chugani, Carla; Algarroba, Gabriela; Antonio, Ashley; Bee, Courtney; Edwards, Clare; Lethihet, Nadia; Macak, Justin; Paley, Joshua; Torres, Irving; Van Dusen, Courtney; Miller, Elizabeth.

In: Contemporary Clinical Trials, Vol. 65, 01.02.2018, p. 130-143.

Research output: Contribution to journalArticle

Abebe, KZ, Jones, KA, Rofey, D, McCauley, HL, Clark, DB, Dick, R, Gmelin, T, Talis, J, Anderson, J, Chugani, C, Algarroba, G, Antonio, A, Bee, C, Edwards, C, Lethihet, N, Macak, J, Paley, J, Torres, I, Van Dusen, C & Miller, E 2018, 'A cluster-randomized trial of a college health center-based alcohol and sexual violence intervention (GIFTSS): Design, rationale, and baseline sample' Contemporary Clinical Trials, vol. 65, pp. 130-143. https://doi.org/10.1016/j.cct.2017.12.008
Abebe, Kaleab Z. ; Jones, Kelley A. ; Rofey, Dana ; McCauley, Heather L. ; Clark, Duncan B. ; Dick, Rebecca ; Gmelin, Theresa ; Talis, Janine ; Anderson, Jocelyn ; Chugani, Carla ; Algarroba, Gabriela ; Antonio, Ashley ; Bee, Courtney ; Edwards, Clare ; Lethihet, Nadia ; Macak, Justin ; Paley, Joshua ; Torres, Irving ; Van Dusen, Courtney ; Miller, Elizabeth. / A cluster-randomized trial of a college health center-based alcohol and sexual violence intervention (GIFTSS) : Design, rationale, and baseline sample. In: Contemporary Clinical Trials. 2018 ; Vol. 65. pp. 130-143.
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abstract = "Introduction Sexual violence (SV) on college campuses is common, especially alcohol-related SV. This is a 2-arm cluster randomized controlled trial to test a brief intervention to reduce risk for alcohol-related sexual violence (SV) among students receiving care from college health centers (CHCs). Intervention CHC staff are trained to deliver universal SV education to all students seeking care, to facilitate patient and provider comfort in discussing SV and related abusive experiences (including the role of alcohol). Control sites provide participants with information about drinking responsibly. Methods Across 28 participating campuses (12 randomized to intervention and 16 to control), 2292 students seeking care at CHCs complete surveys prior to their appointment (baseline), immediately after (exit), 4 months later (T2) and one year later (T3). The primary outcome is change in recognition of SV and sexual risk. Among those reporting SV exposure at baseline, changes in SV victimization, disclosure, and use of SV services are additional outcomes. Intervention effects will be assessed using generalized linear mixed models that account for clustering of repeated observations both within CHCs and within students. Results Slightly more than half of the participating colleges have undergraduate enrollment of ≥ 3000 students; two-thirds are public and almost half are urban. Among participants there were relatively more Asian (10 v 1{\%}) and Black/African American (13 v 7{\%}) and fewer White (58 v 74{\%}) participants in the intervention compared to control. Conclusions This study will offer the first formal assessment for SV prevention in the CHC setting. Clinical Trials #: NCT02355470",
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AU - McCauley, Heather L.

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AU - Dick, Rebecca

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AU - Anderson, Jocelyn

AU - Chugani, Carla

AU - Algarroba, Gabriela

AU - Antonio, Ashley

AU - Bee, Courtney

AU - Edwards, Clare

AU - Lethihet, Nadia

AU - Macak, Justin

AU - Paley, Joshua

AU - Torres, Irving

AU - Van Dusen, Courtney

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N2 - Introduction Sexual violence (SV) on college campuses is common, especially alcohol-related SV. This is a 2-arm cluster randomized controlled trial to test a brief intervention to reduce risk for alcohol-related sexual violence (SV) among students receiving care from college health centers (CHCs). Intervention CHC staff are trained to deliver universal SV education to all students seeking care, to facilitate patient and provider comfort in discussing SV and related abusive experiences (including the role of alcohol). Control sites provide participants with information about drinking responsibly. Methods Across 28 participating campuses (12 randomized to intervention and 16 to control), 2292 students seeking care at CHCs complete surveys prior to their appointment (baseline), immediately after (exit), 4 months later (T2) and one year later (T3). The primary outcome is change in recognition of SV and sexual risk. Among those reporting SV exposure at baseline, changes in SV victimization, disclosure, and use of SV services are additional outcomes. Intervention effects will be assessed using generalized linear mixed models that account for clustering of repeated observations both within CHCs and within students. Results Slightly more than half of the participating colleges have undergraduate enrollment of ≥ 3000 students; two-thirds are public and almost half are urban. Among participants there were relatively more Asian (10 v 1%) and Black/African American (13 v 7%) and fewer White (58 v 74%) participants in the intervention compared to control. Conclusions This study will offer the first formal assessment for SV prevention in the CHC setting. Clinical Trials #: NCT02355470

AB - Introduction Sexual violence (SV) on college campuses is common, especially alcohol-related SV. This is a 2-arm cluster randomized controlled trial to test a brief intervention to reduce risk for alcohol-related sexual violence (SV) among students receiving care from college health centers (CHCs). Intervention CHC staff are trained to deliver universal SV education to all students seeking care, to facilitate patient and provider comfort in discussing SV and related abusive experiences (including the role of alcohol). Control sites provide participants with information about drinking responsibly. Methods Across 28 participating campuses (12 randomized to intervention and 16 to control), 2292 students seeking care at CHCs complete surveys prior to their appointment (baseline), immediately after (exit), 4 months later (T2) and one year later (T3). The primary outcome is change in recognition of SV and sexual risk. Among those reporting SV exposure at baseline, changes in SV victimization, disclosure, and use of SV services are additional outcomes. Intervention effects will be assessed using generalized linear mixed models that account for clustering of repeated observations both within CHCs and within students. Results Slightly more than half of the participating colleges have undergraduate enrollment of ≥ 3000 students; two-thirds are public and almost half are urban. Among participants there were relatively more Asian (10 v 1%) and Black/African American (13 v 7%) and fewer White (58 v 74%) participants in the intervention compared to control. Conclusions This study will offer the first formal assessment for SV prevention in the CHC setting. Clinical Trials #: NCT02355470

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