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Across two studies with cohorts of undergraduate students who previously completed a bystander intervention program, a consciousness-raising intervention called Define It! was evaluated for its efficacy in increasing critically conscious intentions. Data were collected pre, post, and one-month using the Illinois Rape Myth Acceptance Scale (IRMAS-SF; Payne et al., 1999) and Critically Conscious Bystander Scale (CCBS; Johnson et al., 2019). Following recommendations for novel intervention research by Rounsaville et al., we present our findings across two studies. Study 1 demonstrated that the program was feasible, acceptable, and specified the CCBS as an adequate measure of change. Study 2, (n = 38) randomly assigned student participants to control or intervention groups. Results demonstrated significant increases on CBBS for intervention participants compared to the control.

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This paper examines accuracy, acceptability, and respondent burden of integrated screening to facilitate tailored sexual assault (SA) prevention program delivery in a basic military training (BMT) environment. Trainees (n = 5,951) received tailored prevention content based on self-reported sex, sexual orientation, prior SA victimization and perpetration, and past-month post-traumatic stress symptoms. Bivariate analyses examined trainee-reported screener accuracy, acceptability, and burden, including differences by tailoring-targeted subgroups (e.g. men/women). Overall accuracy and acceptability were high (>90%) despite significant subgroup variability. Screening time averaged 10.55 (SD = 1.95) minutes; individuals with prior SA took longer. Missingness increased linearly throughout the screener. Integrated screening is an accurate, acceptable way to deploy tailored SA prevention in BMT. Findings inform data-driven screening improvements and novel applications.

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Bystander-based sexual violence (SV) prevention trainings are offered on college campuses across the United States to meet federal Title IX requirements, as they have proven to be an effective strategy for violence prevention. Greek-affiliated students (fraternity and sorority members) are at a higher risk of sexual assault than their peers; however, few trainings consider the specific needs of this population, and program adaptations for this high-risk group may be needed. This scoping review identifies and describes the bystander trainings delivered to Greek-affiliated students in the US and Canada. An eight-database search was conducted following PRISMA-ScR guidelines. The review identified 81 unique sources, with 18 meeting the inclusion criteria. Eleven specific training programs were identified, encompassing qualitative, quantitative, and mixed-method studies. The thematic analysis revealed best practices, including the importance of peer leaders, interactive sessions, and tailored content to Greek culture, as well as barriers such as a lack of engagement and an inadequate session length. The review underscores the need for tailored interventions to effectively address the unique cultural characteristics and high-risk nature of Greek-affiliated students. These findings provide valuable insights for improving the design and implementation of bystander interventions to enhance their efficacy in preventing sexual violence within this population.

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Sexual assault (SA), particularly alcohol-involved SA, remains prevalent among college women. Because SA often begins in social contexts, bystander intervention has become a popular approach to prevention. Bystander interventions train individuals to intervene on behalf of others, including strangers, despite research indicating that intervention is more likely to occur when the bystander has a relationship with the target. Shifting the focus to friends as potential bystanders capitalizes on the qualities of relationship and responsibility that facilitate intervention. College women (N = 35) participated in focus groups (N = 8) during which they viewed a video prototype of a friend-based motivational interviewing (FMI) intervention session conducted with a friend dyad and provided feedback about the relevance and feasibility of using such an approach to reduce SA among friends who drink together in social settings. Content analysis of focus group transcripts yielded three themes: a) Friends as Natural Bystanders; b) The Role of Alcohol in Intervention, and c) Receptivity to FMI intervention. Women indicated that they feel responsible for keeping their friends safe, and that this sense of responsibility facilitates helping behaviors. Women also described ways through which alcohol intoxication can affect helping behavior. Women expressed enthusiasm for the FMI intervention approach and identified its emphasis on friendship and flexible approaches to personal safety as strengths. Findings highlight the promise of FMI intervention approaches that capitalize on the strengths of women's friendship to create safety goals that align with participants' values and overcome barriers to intervention, including alcohol intoxication.

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Background: In a multi-site randomized controlled trial (RCT), the EAAA programme designed for first year university women (17-24 years old) was shown to reduce the likelihood of any (attempted and completed) rape in the next year by 50% (Senn, C. Y., Eliasziw, M., Barata, P. C., Thurston, W. E., Newby-Clark, I. R., Radtke, H. L., & Hobden, K. L. (2015). Efficacy of a sexual assault resistance program for university women. New England Journal of Medicine, 372(24), 2326-2335). Through a non-profit organization, EAAA has been available to universities globally since 2016 using a Train-the-Trainer model. Observations of the 'real world' implementation suggested that universities often altered eligibility criteria (especially year of study and age) in their recruitment.Objective: The current study (2017-2021) evaluated whether EAAA was effective when implemented by universities in Canada outside of the constraints of an RCT.Method: Five universities participated. Women students who signed up to take the EAAA programme on their campuses were recruited for the research. Participants completed surveys at 1-week pre-program and 1-week and 6-months post-programme. Compared to the RCT, participant eligibility was broader, the sample was more diverse in terms of race and sexual identity and had a higher proportion of survivors. Programme fidelity was adequate.Results: Comparisons in this quasi-experimental design, between students who took the programme and students in the control group (i.e. those who signed up but did not attend the programme), confirmed the effectiveness of the EAAA programme. Reduction of any rape exceeded the a priori benchmark of 37.5%. Completed rape was significantly reduced by 57.3% at 6-months. Reduction in attempted rape of 32.9% was lower than in the RCT likely due to the somewhat older (average age 22 vs 18) sample. Positive changes to previously established mediators of the programme effects were all replicated.Conclusions: These findings suggest that the EAAA is highly effective when implemented by universities even when eligibility for students in terms of year of study and age is broadened.

This study evaluates whether the EAAA programme is effective when implemented by university staff at five Canadian universities outside of the constraints of an RCT.Women-identified students who attended the EAAA programme experienced a 57.3% reduction in completed rape and other benefits including increased confidence and reductions in rape myth beliefs when compared to a comparable group of students who signed up but didn't attend the programme.These reductions in sexual victimization in the 'real-world' implementation of the EAAA programme in a sample of diverse undergraduate and graduate students enhances our confidence in its ability to reduce the pervasive public health issue of sexual violence experienced by women in university.

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Objective: Sexual and gender minority (SGM) men experience sexual assault victimization. Encouraging people to become involved when they witness high-risk sexual situations as a prosocial bystander is one preventative mechanism to address sexual assault victimization. However, research assessing the extent that SGM men will intervene when they witness a concerning male-to-male sexual situation and barriers that prevent intervention is lacking. We sought to address these gaps. Method: SGM men (n = 323, Mage = 39.4, range 18-77) completed a web-administered survey. Participants were asked if they had witnessed a high-risk sexual situation and, if so, to describe how they intervened; if they did not intervene, they were asked to explain why not. Data were analyzed using thematic analysis. Results: Nearly 50% (n = 157) of participants reported witnessing a situation that may require intervention, of those men 40% reported involvement. When SGM men intervened, their behaviors included direct and indirect verbal and nonverbal strategies. Reasons for not intervening included not appraising the situation as risky, not viewing it as their responsibility to intervene, or lacking the self-efficacy to act. Conclusion: SGM men reported similar barriers to intervention that heterosexual young adults encounter. Participants also provided a variety of intervention tactics that could be included in bystander intervention initiatives to increase their effectiveness and inclusivity. Additional efforts are needed to modify intervention initiatives at both the individual and community level.

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The current global pandemic has presented an opportunity to rethink how universities implement sexual assault prevention programs. The advantages and capabilities presented by technology such as digital gaming have not been fully utilized in sexual assault prevention programming. A user-centered design approach gives developers the opportunity to truly engage students in a learning process; a critical thinking required to explore sexual assault and contributing factors in a meaningful way. Digital gaming presents an active learning experience that engages students in a method of learning they may be more familiar with, and may actually prefer. By using digital gaming, sexual assault prevention can remain effective and accessible no matter the social and environmental circumstances.

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The purpose of this study was to examine the extent that alcohol consumption affected participants' perceptions of their own and their friend's ability to consent to sex in a non-bar drinking environment. We interviewed 176 people at tailgates in dyads about their own and their friends' alcohol consumption, intoxication symptoms, and ability to consent. Participants reported consuming a mean of 4.6 drinks and had a breath alcohol concentration (BrAC) of .075 on average, but few thought they or their friend had diminished cognitive function. Accordingly, 92.6% indicated they could consent to sex and 81.8% indicated their friend could consent to sex. Number of drinks people reported consuming, self-reported intoxication levels and symptoms, and BrACs were not significantly related to participants' perceptions of their own or their friends' ability to consent to sex. However, gender pairing of the dyad was significant; those in man-man pairs were more likely than those in woman-woman pairs to indicate their friend could consent and they would allow their friend to have sex if approached by an interested party. Participants also indicated that they did not perceive themselves or their friends to be "too intoxicated" as common reasons why they believed they and their friend could consent. Because alcohol-facilitated sexual assault is common among college students, we recommend sexual assault prevention educators focus on raising awareness regarding alcohol's negative cognitive effects, particularly related to consent communication.

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BACKGROUND: Alcohol use and sexual assault are common on college campuses in the United States, and the rates of occurrence differ based on gender identity and sexual orientation. OBJECTIVE: We aimed to provide an assessment of the usability and preliminary outcomes of Positive Change (+Change), a program that provides integrated personalized feedback to target alcohol use, sexual assault victimization, sexual assault perpetration, and bystander intervention among cisgender heterosexual men, cisgender heterosexual women, and sexual minority men and women. METHODS: Participants included 24 undergraduate students from a large university in the Southwestern United States aged between 18 and 25 years who engaged in heavy episodic drinking in the past month. All procedures were conducted on the web, and participants completed a baseline survey, +Change, and a follow-up survey immediately after completing +Change. RESULTS: Our findings indicated that +Change was acceptable and usable among all participants, despite gender identity or sexual orientation. Furthermore, there were preliminary outcomes indicating the benefit for efficacy testing of +Change. CONCLUSIONS: Importantly, +Change is the first program to target alcohol use, sexual assault victimization, sexual assault perpetration, and bystander intervention within the same program and to provide personalized content based on gender identity and sexual orientation. TRIAL REGISTRATION: ClinicalTrials.gov NCT04089137; https://clinicaltrials.gov/ct2/show/NCT04089137.

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Objective: Male allies play an important role in sexual assault prevention, yet many college sexual assault prevention programs struggle to recruit and retain men. This study aims to identify barriers to recruitment and retention of male sexual assault prevention peer educators. Participants: Seventeen undergraduate male student leaders participated in this study during summer 2018. Methods: Semi-structured phone interviews were conducted, recorded, and transcribed. Response data were thematically analyzed. Results: Barriers to recruitment include perceived gender norms and discomfort with the topic of sexual assault. Barriers to retention include male peer educators' perception that women are resistant to men discussing sexual assault. Suggestions for improving recruitment and retention efforts are also identified. Conclusions: Recruitment and retention of male sexual assault prevention peer educators may require recruitment approaches that are tailored to men and programmatic changes that position men as allies in sexual assault prevention.

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Common sexual assault prevention strategies emphasize individuals' responsibility to protect themselves from victimization. Using a feminist theoretical approach, the present study was the first to assess the unintended, negative consequences that result when taking a victimization-focused approach to sexual assault prevention. Participants (N = 321) were primarily heterosexual, Caucasian undergraduate students from a Western postsecondary institution. A between-participants experimental design was employed, whereby participants were randomly assigned to one of three conditions: (a) victimization-focused prevention tips (n = 114; e.g., "Be alert and aware of your surroundings"); (b) perpetration-focused prevention tips (n = 103; e.g., "Don't slip any unwanted substances into drinks at bars or parties"); or (c) study tips for control purposes (n = 104; e.g., "Take a ten-minute break every hour"). Following prevention tip exposure, participants read a sexual assault vignette and completed measures of victim culpability and several related constructs (i.e., ambivalent sexism, belief in a just world, and rape myth acceptance). Results indicated that participants who received victimization-focused prevention tips attributed significantly more blame to the victimized woman in the vignette than participants in both the control condition and perpetration-focused condition. Based on these results, it is recommended that social institutions further evaluate the efficacy and unintended consequences of prevalent victimization-focused sexual assault prevention strategies. Specifically, institutions should consider the implications of endorsing strategies that are evidenced to enhance victim blame, thereby perpetuating rape culture. Prevention strategies that engage bystanders and seek to prevent perpetration should be considered as an alternative approach.

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In this paper, we describe and evaluate the strategies used to maximize intervention fidelity in a randomized controlled trial to examine the efficacy of a sexual assault resistance intervention. The EAAA program was based on the best available theory and evidence on how women can successfully resist sexual coercion from male acquaintances. Extensive protocols for hiring, training, and supervising facilitators were established a priori. Detailed intervention manuals were developed that clearly described program goals, learning objectives, core elements, troubleshooting tips, sections that must be delivered verbatim, adaptations that could be made if necessary, and the ideal and minimum dose. Program sessions were audio-recorded, and a subsample of recordings were scored for adherence to the manuals using detailed Intervention Fidelity Checklists (IFC) developed specifically for this research. The Gearing et al. (2011) Comprehensive Intervention Fidelity Guide (CFIG) was employed retrospectively to provide objectivity to our analysis and help identify what we did well and what we could have done better. The SARE (Sexual Assault Resistance Education) Trial received high scores (38 out of 44 (86%) from each of the first two authors on the CFIG, suggesting a high level of intervention fidelity. Although a potential for bias on the part of the two raters was an obvious limitation, as was our neglection to include measures of implementation receipt, which Gearing et al. (2011) recommended, our analysis underscores the utility in employing methods recommended to enhance intervention fidelity when developing and evaluating evidence-based interventions.

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Military spouses are at an increased vulnerability with regard to the potential of being sexually victimized. They are twice as likely as their civilian counterparts to experience sexual victimization. Despite the increased probability of sexual assault, not all military spouses perceive sexual assault and its prevention through the same lens. Recognizing that reality is subjective, the theoretical framework for this study was a constructivist paradigm. A qualitative case study was executed for the purpose of querying the perceptions of military spouses as it relates to sexual assault, its prevalence, and its prevention. The study employed the use of a web-based questionnaire consisting of 11 open-ended questions that included two scenario-based questions designed to explore perceptions of sexual assault, the need for a military spouse prevention program, and the catalyst for bystander intervention. Questionnaire results from 29 anonymous military wives whose husbands were affiliated with four out of the five branches of service were analyzed to gauge their perceptions specific to sexual assault and its prevention. The analysis of their responses resulted in the emergence of five themes related to sexual assault prevention that include the notion that military spouses view themselves as a vulnerable population for sexual victimization and its prevalence although little discussion is given to the topic. Results also indicated that a military spouse-targeted sexual assault prevention program is needed to familiarize military spouses with definitions of sexual assault and consent, reporting options, and victims' rights. The study also found that the majority of military spouses are not familiar with the resources and services available to victims of sexual assault. The overarching implication is that a prevention program for military spouses is needed to familiarize them with reporting options and services as well as mitigate occurrences of sexual assault through training and education.

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Sexual violence is considered a public health crisis and is particularly a problem on college campuses. Efforts for rape prevention at the collegiate level have included decreasing rape myth acceptance and increasing prosocial bystander behaviors. Although bystander models vary in regard to format and target population (e.g., male, female, or combined programs), they hold the same goals and underlying principles: to teach individuals how to effectively, and safely, intervene before, during, and after potential rape scenarios. In line with this research, the current study examined the efficacy of a bystander plus program, that goes beyond single session bystander focused programs to include a stronger focus on culture change and consciousness-raising across two sessions. The program was offered to undergraduate students (n = 23), the intervention group, over two sequential weeks. The first session was based on a modified version of Bringing in the Bystander, called Empowering the Bystander (ETB). ETB is a 60-min interactive session in which presenters provide information and lead discussions and activities aimed to address rape myths, to increase sexual assault survivor empathy, to learn prosocial bystander behaviors, and to increase awareness of rape culture at large. We followed this with a consciousness-raising group called Define It! that asked participants to define and operationalize concepts such as sexual assault and rape culture in their own lives. Students in an introductory psychology course served as a control group (n = 58) and did not receive the intervention. Both students within the intervention and control groups completed demographics and the Rape Culture Inventory (RCI) at pre-, post-, and 1-month postintervention. Results revealed a decrease in personal and perceived college endorsement of rape culture beliefs among intervention versus control participants. We discuss the implications of these results with concern to bystander programming and future directions for bystander plus program development.

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By presenting institution-level variables of 118 universities across 50 states and the District of Columbia, we provide a descriptive overview of the types of programs and sexual assault-related data. Specifically, we examine correlations between policies and practices related to sexual assault prevention and reports of rape. As expected, we found that universities with policies pertaining to affirmative consent, alcohol, and inclusive definitions of assault, combined with practices like mandatory training and transparency with campus climate survey findings, also have higher reports of sexual assault.

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College-age women are disproportionately at risk of experiencing sexual assault. Sexual assault causes tremendous psychological distress for survivors. Therefore, it is imperative to understand the perceptions that affect the perpetration of sexual assault. One of those potential factors is how college students conceptualize and define sexual assault. The current qualitative study demonstrated that college students do not have consistent images of sexual assault and often rely on their own perceptions and experiences to define it. Creating and providing a standard of sexual assault based on the reality of college students can provide a foundation for creating effective prevention strategies.

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Despite increased efforts to prevent sexual assault in military environments, the problem continues at an alarming rate. Sexual assault prevention programs (SAPP) attempt to respond to this issue, yet little is known about their effectiveness within a military environment. This randomized controlled trial examined the potential efficacy of the 2015 United States Air Force (USAF) SAPP compared to that same program with an additional motivational interviewing (MI) enhancement. The MI enhancement involved both self-guided and group discussions designed to elicit change talk toward preventing sexual assault through bystander interventions. Research questions included the general efficacy of the USAF's SAPP in shifting factors linked to sexual assault, specifically participants' endorsement of beliefs associated with sexual assault, beliefs eceived the pretest via e-mailabout intervening as a bystander when confronted with a hypothetical sexual assault situation, and participants' reported willingness to intervene to stop a sexual assault. Fifty-one college students participated, of whom 64% had a history of military involvement. Primary outcome measures included bystanders' willingness and confidence to intervene as well as indicators of rape myth acceptance. Participants in the standard USAF SAPP showed no significant change in willingness or confidence to intervene as bystanders from pretest to posttest. By contrast, those who received a relatively short MI enhancement showed statistically significant increases in their willingness to intervene as bystanders. Neither group showed changes in sexual assault myths. Enhancing SAPPs with a motivational enhancement effort seems justified, especially given the relative low resources involved in introducing such a program.

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Rates of sexual assault and sexual violence among college-aged adults are much higher than the national rates of sexual assault and sexual violence. Therefore, reduction and prevention of sexual violence among university students is critical and is consistent with national public health priorities. Often times, messages to students focus only on sexual assault and omit larger notions of sexual health. Four focus groups with a total of 24 participants (nine men, 15 women) highlighted three main perceptions about the sexual assault programming offered at this large university: themes of resistance to traditional programming, a need for holistic sexual health programming, and a desire to have an environment, which normalizes conversations surrounding sex, sexuality, and sexual health.

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This study used a cognitive dissonance mechanism that required college students to write essays dispelling previously endorsed rape myth beliefs. Results indicate that participants in the cognitive dissonance condition reported less rape myth endorsement at a 2-week follow-up than the control group. Effect sizes were large. The cognitive dissonance condition also led to more sustained internal motivation to respond in a nonsexist manner and earlier identification of sexually coercive behavior. Counter-attitudinal advocacy appears to result in sustained decreases in endorsement of rape-supportive attitudes, which could lead to safer communities for women by altering beliefs predictive of sexual assault perpetration.

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BACKGROUND: Bystander training programs aim to encourage third-party witnesses to intervene in high-risk sexual situations; however, these programs rarely focus on training bystanders to effectively intervene when intoxicated. This is not surprising due to the limited evidence on the proximal effects of alcohol on bystander intervention for sexual aggression. To this end, the aim of the present study was to test the effects of men's self-reported intent to help strangers and acute alcohol intoxication on the likelihood and speed of sexual aggression intervention. METHODS: Participants were 74 men who completed a measure of intent to help (Session 1) and were randomly assigned to consume alcohol or a no-alcohol control beverage (Session 2). Next, they engaged in a novel laboratory paradigm in which they and 4 other confederates (2 men, 2 women) watched a female confederate, who reported a strong dislike of sexual content in the media, view a sexually explicit film which they could stop at any time. Bystander intervention was operationalized as whether and how quickly participants stopped the film. RESULTS: Findings indicated that (i) intent to help strangers predicted faster sexual aggression intervention and (ii) intent to help strangers predicted a higher likelihood and faster rate of sexual aggression intervention among sober, but not intoxicated, men. This latter finding suggests that among men who endorsed a high willingness to intervene in sexual aggression, alcohol intoxication decreased intervention behavior. CONCLUSIONS: Results demonstrate that alcohol functions as a barrier to intervention for men who would otherwise intervene. Findings are interpreted using an integrative framework for intoxicated sexual aggression intervention and highlight the need for bystander training programs to incorporate alcohol interventions to reduce heavy drinking and psychoeducation to train bystanders how to intervene when intoxicated.

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