Prevention of Post Sexual Assault Stress

Study Overview
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Brief Summary
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The purpose of this study is to evaluate whether a brief intervention in video format, that includes education about reactions to assault and modeling of adaptive coping strategies, designed to reduce post assault drug use or abuse and PTSD and shown to recent victims of sexual assault at the time of receipt of post assault medical care is associated with better post-assault outcomes as compared to a comparable length video that includes pleasant imagery and relaxation instruction or standard care.

Detailed Description
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Post assault outcomes include coping behaviors and PTSD symptoms.

Official Title
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Prevention of Postrape Drug Abuse: Replication Study

Conditions
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Drug Use, Drug Abuse, Posttraumatic Stress Disorder

Intervention / Treatment
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* Behavioral: PPRS
* Behavioral: PIRI


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Seeking medical care after recent sexual assault Exclusion Criteria: Active psychosis Active suicidality Cognitive impairment Non-English speaking Severe injury

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: PPRS video<br>Prevention of post sexual assault stress | Behavioral: PPRS<br>* Video including information psychoeducation and modeling of adaptive behavioral coping strategies for use post-assault. Shown at time of post assault medical exam.<br>|
| Active Comparator: PIRI video<br>Pleasant imagery and relaxation instruction | Behavioral: PIRI<br>* Video containing pleasant imagery and relaxation instruction information. Shown at time of post assault medical exam.<br>|
| No Intervention: Standard care<br>Treatment as usual | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Drug Abuse Screening Test (DAST-10) | total possible scores range from 0 - 10 with higher scores indicating poor functioning, post assault at 6 months | 6 months | 
| Alcohol Use Disorders Identification Test (AUDIT) | Total scores range from 0 - 40 with higher scores indicating greater problem severity, post assault at 6 months | 6 months | 
| Cigarettes (Estimated Number) | quantity in 14 days prior to 6 week, 3 month and 6 month follow-up | 14 days preceding 6 week, 3 month and 6 month follow-up | 
| Amount of Alcohol Use | estimated number of drinks during the 14 days prior to each follow-up assessment | 14 days prior to 6 week, 3 month, 6 month follow-up | 
| Marijuana Use Frequency | Number of days of use within the 14 days prior to follow-up assessment | 14 days prior to 6 week, 3 month, 6 month follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Any Other Illicit Drug Use | Any reported use of cocaine or other illicit drugs other than marijuana in the 14 days prior to follow-up | 14 days prior to 6 week, 3 month, 6 month follow-up | 
| Non-medical Use of Prescription Drugs Frequency | Number of days of use within the 14 days prior to follow-up assessment | 14 days prior to 6 week, 3 month, 6 month follow-up | 
| PTSD Symptom Scale Self-Report (PSS-SR) | Total scores range from 0 to 51 with higher scores indicating greater frequency of symptoms, Measure of PTSD symptoms. | 2 weeks prior to 6 week, 3 month, 6 month followup | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Rape, Secondary prevention, Intervention