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Code of Respect (X-CoRe): Trial of a Multi-level Sexual Assault and Sexual Harassment Prevention Intervention for Active Duty Airmen

Not Applicable
Recruiting
Conditions
Sexual Harassment
Sexual Assault
Interventions
Behavioral: Junior Enlisted Component
Behavioral: Leadership Component
Behavioral: Social Marketing Campaign
Registration Number
NCT06101056
Lead Sponsor
The University of Texas Health Science Center, Houston
Brief Summary

The purpose of this study is to examine the efficacy of Code of Respect (X-CoRe) multi-level sexual assault (SA) and harassment (SH) prevention program in improving psychosocial determinants (e.g., knowledge, skills, self-efficacy, attitudes) related to respectful/disrespectful relationships, to examine the efficacy of X-CoRe in reducing SA and sexual harassment SH victimization and to examine the efficacy of X-CoRe increasing bystander behavior and improving unit cohesion and mission readiness by decreasing secondary risk and harmful behaviors (e.g., alcohol misuse, intimate partner violence, suicide ideation). The study will be conducted at at Joint Base McGuire Dix-Lakehurst (JBMDL) located in Burlington County, New Jersey, and participants will be cluster-randomized at the level of the squadron to one of two conditions: the X-CoRe program or a control condition.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
1200
Inclusion Criteria
  • Active Duty, stationed at JBMDL
  • assigned to one of the 26 Air Force squadrons within the three Air Force Wings at JBMDL (87 Air Base Wing (ABW), 305 Air Mobility Wing (ABM), and 621 Contingency Response Wing (CRW))
  • English speaking
  • access to an electronic device with internet capabilities
Exclusion Criteria
  • being in service branches other than Air Force (e.g., Army or Navy)
  • Airmen not ranked E1-E4 at JBMDL

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Code of Respect (X-CoRe) Multi-Level Sexual Assault (SA) and Harassment (SH) Prevention ProgramSocial Marketing Campaign-
Code of Respect (X-CoRe) Multi-Level Sexual Assault (SA) and Harassment (SH) Prevention ProgramJunior Enlisted Component-
Code of Respect (X-CoRe) Multi-Level Sexual Assault (SA) and Harassment (SH) Prevention ProgramLeadership Component-
Control ConditionLeadership Component-
Control ConditionSocial Marketing Campaign-
Primary Outcome Measures
NameTimeMethod
Change in SA victimization as assessed by the Sexual Experiences Surveybaseline,6 months follow up, 12 months follow up

This is a 10 item questionnaire and each is scored on a 4 point scale from 0-3 or more higher number indicating worse outcome

Change in SH victimization as assessed by the (Sexual Experience Questionnaire (SEQ-DoD)baseline, 6 months follow up, 12 months follow up

This is a 23 item questionnaire and each is scored on a 5 point scale from 0, 1-2,3-5,6-9 or more, higher number indicating worse

Secondary Outcome Measures
NameTimeMethod
Change in knowledge of Sexual Harassment and Assault as assessed by the Knowledge of Sexual Harassment and Assault Scalebaseline,6 months follow up, 12 months follow up

This is a 6 item questionnaire and each question is answered as true or false

Change in Rape Myth Acceptance as assessed by the Illinois Rape Myth Acceptance Scale -Short Formbaseline,6 months follow up, 12 months follow up

This is a 20 item questionnaire and each is scored on a 7 point scale from not at all agree-very much agree a higher number indicating worse outcome

Change in Gender Role Beliefs as assessed by the Hypergender Ideology Scale -Short Formbaseline,6 months follow up, 12 months follow up

This is a 19 item questionnaire and each is scored on a 6 point scale from strongly disagree to strongly agree, higher number indicating worse outcome

Change in attitudes towards Alcohol Use as assessed by the Drinking Values Scalebaseline,6 months follow up, 12 months follow up

This is a 10 item questionnaire and each is scored on a 5 point scale from strongly disagree to strongly agree, higher number indicating worse outcome

Change in Relationships Skills Self-Efficacy as assessed by the Interpersonal competence Questionnaire - Negative assertion subscalebaseline,6 months follow up, 12 months follow up

This is an 8 item questionnaire and each is scored on a 5 point scale from I am poor at this-I am extremely good at this, lower number indicating worse outcome

Change in attitudes towards Sexual Harassment as assessed by the Sexual Harassment Attitude Scalebaseline,6 months follow up, 12 months follow up

This is a 17 item questionnaire and each is scored on a 5 point scale from strongly disagree-strongly agree, higher number indicating worse outcome

Change in Bystander Behavior as assessed by the Bystander Behavior Scale - Risky Situations and Party Safety Subscalebaseline,6 months follow up, 12 months follow up

This is a 25 item questionnaire and each is scored on a 4 point scale categorically from 0, 1, 2,3 or more times a higher number indicating better outcome

Change in Overall Health Functioning as assessed by the World Health Organization Disability Assessment Schedule (WHODAS) 2.0) - Short Formbaseline,6 months follow up, 12 months follow up

This is a 12 item questionnaire and each is scored on a 5 point scale from none-extreme or cannot do a higher number indicating worse outcome

Change in Attitudes towards Relationship Violence as assessed by the Acceptance of Couple Violence Scalebaseline,6 months follow up, 12 months follow up

This is a 17 item questionnaire and each is scored on a 4 point scale from strongly disagree-strongly agree , higher number indicating worse outcome

Change in Attitudes towards Preventing Sexual Harassment and Assault as assessed by the Attitudes Toward Preventing Dating Violence Subscalebaseline,6 months follow up, 12 months follow up

This is a 3 item questionnaire and each is scored on a 4 point scale from strongly disagree to strongly agree, higher number indicating better outcome

Change in Attitudes towards Cyberbullying as assessed by the Harmful Cyberbullying Attitudes Scalebaseline,6 months follow up, 12 months follow up

This is a 5 item questionnaire and each is scored on a 5 point scale from strongly disagree to strongly agree

, higher number indicating worse outcome

Change in Barriers to Sexual Assault Intervention as assessed by the Barriers to Sexual Assault Bystander Intervention Scalebaseline,6 months follow up, 12 months follow up

This is a 23 item questionnaire and each is scored on a 7 point scale from strongly disagree-strongly agree a higher number indicating worse outcome

Change in Vertical Unit Cohesion as assessed by the Vertical cohesion Scalebaseline,6 months follow up, 12 months follow up

This is a11 item questionnaire and each is scored on a 5 point scale from strongly disagree-strongly agree a higher number indicating better outcome

Change in Alcohol Use as assessed by the Alcohol 30-day Quantity and Frequencybaseline,6 months follow up, 12 months follow up

Participants are asked the following two questions: one regarding the frequency of consumption (number of days), and a second regarding the usual quantity of consumption (number of drinks) on drinking days, higher number indicating more alcohol use

Change in Depression as assessed by the Patient Health Questionnaire 9 (PHQ-9)baseline,6 months follow up, 12 months follow up

This is a 9 item questionnaire and each is scored on a 4 point scale from not at all-nearly every day a higher number indicating worse outcome

Change in Bystander Self-Efficacy as assessed by the Bystander Efficacy Scalebaseline,6 months follow up, 12 months follow up

This is an 18 item questionnaire and each is scored from 0(can't do) to 100(very certain) higher number indicating better outcome

Change in Anxiety as assessed by the Generalized Anxiety Disorder Screenerbaseline,6 months follow up, 12 months follow up

This is a 7 item questionnaire and each is scored on a 4 point scale from not at all-nearly every day a higher number indicating worse outcome

Change in PTSD as assessed by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Cross Cutting Symptom Measurebaseline,6 months follow up, 12 months follow up

This is a 23 item questionnaire and each is scored on a 5 point scale from not at all-nearly every day a higher number indicating worse outcome

Change in Conflict Communication Skills as assessed by the Conflict Communication Scale - Confrontation Subscalebaseline,6 months follow up, 12 months follow up

This is a 15 item questionnaire and each is scored on a 6 point scale from strongly disagree-strongly agree a higher number indicating worse outcome

Change in Horizontal Unit Cohesion as assessed by the Horizontal Cohesion Scalebaseline,6 months follow up, 12 months follow up

This is a 6 item questionnaire and each is scored on a 5 point scale from strongly disagree-strongly agree a higher number indicating better outcome

Change in Intimate Partner Violence as assessed by the Composite Abuse Scale (Revised) - Short Formbaseline,6 months follow up, 12 months follow up

This is a 15 item questionnaire and each is scored on a 5 point scale from not in the past 12 months to daily/almost daily a higher number indicating worse outcome

Change in Suicide Ideation as assessed by the Columbia -Suicide Severity Rating Scale - Severity of Suicidal Ideation Subscalebaseline,6 months follow up, 12 months follow up

This is a 5 item questionnaire and each is scored on a 5 point scale from wish to be dead-suicidal intent with plan a higher number indicating worse outcome

Trial Locations

Locations (1)

The University of Texas Health Science Center at Houston

🇺🇸

Houston, Texas, United States

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