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Symposia

Prevention

Community-Engaged Research Approaches to Sexual Violence Revictimization, HIV, and Opioid Use Disorder: Improving Empirical and Clinical Outcomes Through Partnership

1 - (SYM 93) Preventing Sexual Revictimization Among College Women: A Qualitative Examination of Acceptability and Effectiveness of a Novel Prevention Program

Saturday, November 16, 2024
2:30 PM – 3:30 PM EST
Location: Grand Ballroom I/J, Level 5, Downtown Marriott
Abstract Body
Background: Sexual violence (SV) is a significant public health concern for college women, wherein nearly 70% of SV survivors experience more than one assault. Empowerment-based programs are effective in preventing initial experiences of SV among college women. Interventions to prevent sexual revictimization among women with a history of SV are critically lacking. The core element of empowerment-based SV prevention is providing women with protective behavioral strategies (PBS) to reduce their risk for experiencing violence; it is critical that survivors are engaged throughout the intervention development process to ensure that these programs are affirming, empowering, and preserve individual autonomy. Using ADAPT-ITT (Assessment-Decision-Administration-Production-Topical Experts-Training-Testing)—an evidence-based framework designed to guide intervention adaptation—the present study partnered with SV survivors and stakeholders to develop, refine, and examine the acceptability and feasibility of a digital and momentary intervention to prevent sexual revictimization.

Methods: Per the ADAPT-ITT model, Phase 1 included 22 college women SV survivors who participated in individual interviews and six stakeholders participating in a focus group. Nine survivors piloted the intervention over a week-long period in Phase 3. Additional feedback on the intervention was obtained from survivors, stakeholders, and a topical expert (Phase 5). Decisions and integration of participant feedback occurred in Phases 2 and 4.

Results: Phase 1: Survivors and stakeholders reported perceived utility of the intervention and acceptability of the use of PBS to decrease personal risk for SV. Phase 3: Participant compliance rates in completing daily surveys were high (78.0%). A total of 26 momentary interventions were delivered, where 42.6% of interventions resulted in survivor use of PBS. Survivors reported high intervention engagement, increased behavioral insight, behavioral change, and perceived mitigation of negative outcomes. Feedback demonstrating acceptability and feasibility was also obtained from stakeholder participants and a topical expert in Phases 3 & 6.

Conclusion: Results indicated that a novel intervention grounded in the use of PBS was found to be acceptable and feasible among participants at risk of SV revictimization, stakeholders, and topical experts. Results will also be discussed in the context of leveraging community feedback to improve the cultural relevancy of interventions addressing sensitive topics.