Clinical trial NCT06101056: Code of Respect (X-CoRe): Trial of a Multi-level Sexual Assault and Sexual Harassment Prevention Intervention for Active Duty Airmen
Official title: Code of Respect (X-CoRe): a Randomized Controlled Trial of a Multi-level Sexual Assault and Sexual Harassment Prevention Intervention for Active Duty Airmen
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Sexual Assault
Sexual Harassment
Lead sponsor: The University of Texas Health Science Center, Houston
Sponsor class: OTHER
Collaborators: name: United States Department of Defense
First posted: 2023-10-25
Enrollment: 1200
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Participants will be cluster-randomized at the level of the squadron to one of two conditions.
Primary purpose: PREVENTION

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.


Eligibility criteria: 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

Primary outcomes:
measure: Change in SA victimization as assessed by the Sexual Experiences Survey
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in SH victimization as assessed by the (Sexual Experience Questionnaire (SEQ-DoD)
timeFrame: baseline, 6 months follow up, 12 months follow up
Secondary outcomes:
measure: Change in knowledge of Sexual Harassment and Assault as assessed by the Knowledge of Sexual Harassment and Assault Scale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Rape Myth Acceptance as assessed by the Illinois Rape Myth Acceptance Scale -Short Form
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Gender Role Beliefs as assessed by the Hypergender Ideology Scale -Short Form
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in attitudes towards Sexual Harassment as assessed by the Sexual Harassment Attitude Scale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Attitudes towards Relationship Violence as assessed by the Acceptance of Couple Violence Scale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Relationships Skills Self-Efficacy as assessed by the Interpersonal competence Questionnaire - Negative assertion subscale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Attitudes towards Preventing Sexual Harassment and Assault as assessed by the Attitudes Toward Preventing Dating Violence Subscale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Attitudes towards Cyberbullying as assessed by the Harmful Cyberbullying Attitudes Scale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in attitudes towards Alcohol Use as assessed by the Drinking Values Scale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Bystander Self-Efficacy as assessed by the Bystander Efficacy Scale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Barriers to Sexual Assault Intervention as assessed by the Barriers to Sexual Assault Bystander Intervention Scale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Conflict Communication Skills as assessed by the Conflict Communication Scale - Confrontation Subscale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Bystander Behavior as assessed by the Bystander Behavior Scale - Risky Situations and Party Safety Subscale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Horizontal Unit Cohesion as assessed by the Horizontal Cohesion Scale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Vertical Unit Cohesion as assessed by the Vertical cohesion Scale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Intimate Partner Violence as assessed by the Composite Abuse Scale (Revised) - Short Form
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Alcohol Use as assessed by the Alcohol 30-day Quantity and Frequency
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Suicide Ideation as assessed by the Columbia -Suicide Severity Rating Scale - Severity of Suicidal Ideation Subscale
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Anxiety as assessed by the Generalized Anxiety Disorder Screener
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Depression as assessed by the Patient Health Questionnaire 9 (PHQ-9)
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in PTSD as assessed by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Cross Cutting Symptom Measure
timeFrame: baseline,6 months follow up, 12 months follow up
measure: Change in Overall Health Functioning as assessed by the World Health Organization Disability Assessment Schedule (WHODAS) 2.0) - Short Form
timeFrame: baseline,6 months follow up, 12 months follow up
Other outcomes:
Locations:
city: Houston
country: United States
facility: The University of Texas Health Science Center at Houston
state: Texas
Study officials:
affiliation: The University of Texas Health Science Center, Houston
name: Belinda Hernandez, PhD, MPH
role: PRINCIPAL_INVESTIGATOR
References: