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

Tópicos

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Resumo

CKGROUND: 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).

Resumo Limpo

ckground bystand intervent approach offer promis reduc rate sexual violenc colleg campus intervent inperson smallgroup format limit reach reduc overal public health impactobject studi evalu efficaci realcons webbas bystand approach sexual violenc prevent enhanc prosoci interven behavior prevent sexual violenc perpetrationmethod random probabl sampl male undergradu student age year attend larg urban univers locat southeastern unit state recruit onlin random either realcons n webbas general health promot program n particip survey onlin baselin postintervent month postintervent realcons deliv via passwordprotect web portal contain six minut mediabas interact modul cover knowledg inform consent communic skill regard sex role alcohol male social sexual violenc empathi rape victim bystand educ primari outcom selfreport prosoci interven behavior sexual violenc perpetr secondari outcom theoret mediat eg knowledg attitudesresult month followup realcons particip interven often p engag less sexual violenc perpetr p compar control addit realcons particip report greater legal knowledg sexual assault p greater knowledg effect consent p less rape myth p greater empathi rape victim p less negat date rape attitud p less hostil toward women p greater intent interven p less hypergend ideolog p less posit outcom expect nonconsensu sex p posit outcom expect interven p less comfort men inappropri behavior pconclus result support efficaci realcons due webbas format realcons potenti broadbas dissemin therebi increas overal public health impact sexual violencetri registr clinicaltrialsgov nct httpclinicaltrialsgovshownct archiv webcit httpwwwwebcitationorgspxxwkt

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