Abstract:The term Red Zone refers to a period of time thought to be high risk for sexual victimization upon entering college in the United States, although empirical evidence for a defined Red Zone has not been established. This article critically reviews empirical research from the last 20 years that investigates the temporality of sexual assault reported by undergraduate women. A keyword search of three major sociopsychological databases was conducted, and articles were included if they reported original empirical re… Show more
“…The college students who identified as women in our sample most likely underwent their respective colleges’ required SV prevention programming, which incoming first-year students are mandated to complete the summer before the semester begins. In addition, campus administrative offices such as residence life, student health services, and student affairs may have also implemented additional trainings and awareness events throughout the fall semester during the high-risk period known as the red zone [ 34 , 51 , 52 ]. The red zone describes the heightened risk of exposure to SV for first-year college students who identified as women during their fall semester [ 34 , 51 , 52 ].…”
Section: Discussionmentioning
confidence: 99%
“…In addition, campus administrative offices such as residence life, student health services, and student affairs may have also implemented additional trainings and awareness events throughout the fall semester during the high-risk period known as the red zone [ 34 , 51 , 52 ]. The red zone describes the heightened risk of exposure to SV for first-year college students who identified as women during their fall semester [ 34 , 51 , 52 ]. As the study participants were recruited from 3 separate universities, it is likely that students were exposed to other SV prevention messaging during the study implementation period [ 34 , 52 ].…”
Section: Discussionmentioning
confidence: 99%
“…The red zone describes the heightened risk of exposure to SV for first-year college students who identified as women during their fall semester [ 34 , 51 , 52 ]. As the study participants were recruited from 3 separate universities, it is likely that students were exposed to other SV prevention messaging during the study implementation period [ 34 , 52 ]. It is plausible that these external events affected overall exposure to SV incidence at follow-up, resulting in inadequate statistical power and contributing to the null findings.…”
Section: Discussionmentioning
confidence: 99%
“…Eligible participants were (1) those who self-identified as women, (2) aged 18 to 20 years, (3) single, and (4) entering their first year of college. The eligibility criteria reflect the high risk of exposure to SV among first-year college women as well as the specific period of elevated risk for exposure to SV, which is the fall semester, also known as the red zone [ 34 ].…”
Background
Sexual violence (SV) incidence among college women has been invariant for the past 20 years. Innovative prevention strategies that are low resource and technology driven but demonstrate efficacy are greatly needed.
Objective
The aim of this study was to determine the efficacy of a novel theoretically driven internet-based intervention for first-year college students who identify as women (RealConsent) in reducing their risk of exposure to SV and alcohol misuse as well as increasing alcohol protective and bystander behaviors.
Methods
This randomized controlled trial involved first-year college students who identified as women (n=881) attending 1 of 3 universities in the southeastern United States. Participants aged 18 to 20 years were randomized to RealConsent (444/881, 50.4%) or to an attention-matched placebo control (437/881, 49.6%). RealConsent is fully automated and consists of four 45-minute modules that incorporate entertainment-education media and proven behavior change techniques. The primary outcome was exposure to SV; the secondary outcomes were alcohol protective behaviors, dating risk behaviors, alcohol misuse, and bystander behavior. Study outcomes were assessed at baseline and 6-month follow-up.
Results
Among participants with some exposure to SV, those in the RealConsent group experienced less exposure to SV than the placebo group (adjusted incidence rate ratio 0.48, 95% CI 0.33-0.69; P=.002). Furthermore, participants in the RealConsent group engaged in more alcohol protective behaviors (adjusted odds ratio 1.17, 95% CI 0.12-2.22; P=.03) and were less likely to binge drink (adjusted incidence rate ratio 0.81, 95% CI 0.67-0.97; P=.003). Finally, participants in the RealConsent group who had 100% dosage were more likely to engage in bystander behavior than those with <100% dosage plus placebo group (adjusted odds ratio 1.72, 95% CI 1.17-2.55; P=.006).
Conclusions
A comprehensive exposure to SV, alcohol use, and bystander educational program was successful in decreasing the occurrence of exposure to SV among those most at risk and in increasing alcohol protective behaviors. Because of its web-based and mobile technologies, RealConsent can be easily disseminated and holds potential for reducing campus SV.
Trial Registration
ClinicalTrials.gov NCT03726437; https://clinicaltrials.gov/ct2/show/NCT03726437
“…The college students who identified as women in our sample most likely underwent their respective colleges’ required SV prevention programming, which incoming first-year students are mandated to complete the summer before the semester begins. In addition, campus administrative offices such as residence life, student health services, and student affairs may have also implemented additional trainings and awareness events throughout the fall semester during the high-risk period known as the red zone [ 34 , 51 , 52 ]. The red zone describes the heightened risk of exposure to SV for first-year college students who identified as women during their fall semester [ 34 , 51 , 52 ].…”
Section: Discussionmentioning
confidence: 99%
“…In addition, campus administrative offices such as residence life, student health services, and student affairs may have also implemented additional trainings and awareness events throughout the fall semester during the high-risk period known as the red zone [ 34 , 51 , 52 ]. The red zone describes the heightened risk of exposure to SV for first-year college students who identified as women during their fall semester [ 34 , 51 , 52 ]. As the study participants were recruited from 3 separate universities, it is likely that students were exposed to other SV prevention messaging during the study implementation period [ 34 , 52 ].…”
Section: Discussionmentioning
confidence: 99%
“…The red zone describes the heightened risk of exposure to SV for first-year college students who identified as women during their fall semester [ 34 , 51 , 52 ]. As the study participants were recruited from 3 separate universities, it is likely that students were exposed to other SV prevention messaging during the study implementation period [ 34 , 52 ]. It is plausible that these external events affected overall exposure to SV incidence at follow-up, resulting in inadequate statistical power and contributing to the null findings.…”
Section: Discussionmentioning
confidence: 99%
“…Eligible participants were (1) those who self-identified as women, (2) aged 18 to 20 years, (3) single, and (4) entering their first year of college. The eligibility criteria reflect the high risk of exposure to SV among first-year college women as well as the specific period of elevated risk for exposure to SV, which is the fall semester, also known as the red zone [ 34 ].…”
Background
Sexual violence (SV) incidence among college women has been invariant for the past 20 years. Innovative prevention strategies that are low resource and technology driven but demonstrate efficacy are greatly needed.
Objective
The aim of this study was to determine the efficacy of a novel theoretically driven internet-based intervention for first-year college students who identify as women (RealConsent) in reducing their risk of exposure to SV and alcohol misuse as well as increasing alcohol protective and bystander behaviors.
Methods
This randomized controlled trial involved first-year college students who identified as women (n=881) attending 1 of 3 universities in the southeastern United States. Participants aged 18 to 20 years were randomized to RealConsent (444/881, 50.4%) or to an attention-matched placebo control (437/881, 49.6%). RealConsent is fully automated and consists of four 45-minute modules that incorporate entertainment-education media and proven behavior change techniques. The primary outcome was exposure to SV; the secondary outcomes were alcohol protective behaviors, dating risk behaviors, alcohol misuse, and bystander behavior. Study outcomes were assessed at baseline and 6-month follow-up.
Results
Among participants with some exposure to SV, those in the RealConsent group experienced less exposure to SV than the placebo group (adjusted incidence rate ratio 0.48, 95% CI 0.33-0.69; P=.002). Furthermore, participants in the RealConsent group engaged in more alcohol protective behaviors (adjusted odds ratio 1.17, 95% CI 0.12-2.22; P=.03) and were less likely to binge drink (adjusted incidence rate ratio 0.81, 95% CI 0.67-0.97; P=.003). Finally, participants in the RealConsent group who had 100% dosage were more likely to engage in bystander behavior than those with <100% dosage plus placebo group (adjusted odds ratio 1.72, 95% CI 1.17-2.55; P=.006).
Conclusions
A comprehensive exposure to SV, alcohol use, and bystander educational program was successful in decreasing the occurrence of exposure to SV among those most at risk and in increasing alcohol protective behaviors. Because of its web-based and mobile technologies, RealConsent can be easily disseminated and holds potential for reducing campus SV.
Trial Registration
ClinicalTrials.gov NCT03726437; https://clinicaltrials.gov/ct2/show/NCT03726437
“…The current study examined the correlates of delayed disclosure of adolescent sexual assault among a sample of first year college women with a history of sexual victimization since age 14. First year college women are ideal for inclusion in research addressing sexual violence given the high rates of victimization during this time of college (Follingstad et al, 2022). Potential correlates of the timing of disclosure aligned with ecological systems theory (Bronfenbrenner, 1992), and included individual, assault-related, and micro-systems characteristics.…”
The present study examined correlates of immediate (within 48 h) and delayed (after 48 h) sexual assault disclosure among a sample of 83 college women who experienced sexual victimization since age 14. The use of physical resistance and experiencing a “freeze response” was positively associated with delayed disclosure. Identifying the perpetrator as a friend/acquaintance, compared to a was a romantic partner, increased the likelihood of immediate disclosure. Other individual characteristics (i.e., assault characteristics, a history of childhood sexual abuse, attitudes towards seeking help, and sexual assertiveness) and microsystem-level characteristics (i.e., perceived social support) did not impact the timing of disclosure.
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