anew aye aa Seta ger Ue Moet ADH Internal Medicine Board Reve Farnily Medicine Board Review Efficacy of a Sexual Assault Resistance Program for University Women Nels Mea 20; 37223262595 ne, 2015 [DO OsOUSNEMESE rosct | Arce | Ratences | cing Arties (22) | Lets | Matin sowunly sssauted. The iedence of sexal ase i extmated fo be SUMMARY between 20% and 25% over a paris of 4 years ar tobe highest curing ‘ne frst 2 years. Boing sexual assaute con result in pstsreunatc pacific health consequoncs or he woman, the soca nd anci ts to society aro also righ.” itn the ene of he Vita Against Wmen Ac? and sialshmen of it it ac nb Uta Staten aie be Prossur to edicat stents about seal areauh. However, most campuses se programs tht avo nover been formal avebate or have et proves tobe clctve in recucng the neance of ‘xual esau”? For exale, the bystander aproach fe designed neeaee mets and ‘er wines ora wy rect tne ie ah perpettrs. Stuties gonoaly have nt assessed soxal assault rato afte such raring, * though one ereenton vsing the bysancerapreach wih ho aden cf centr signed st the socal nam of he spect per group (eaidence hal) showed a reduction a man's se ‘spores sonal gyrsson Ota tages pega ora der waren ha! have been to decease male perpetation of sexual essa \Werkshops dosigod to nap women resist soxal assault or ec the sk have ha inconsstnt tects. To ses awe harm Beal, en nen iy was te a wanen wa ha Improve eects). A tut ne stuty was conducted tase sto, wo uso goupovel randomization," and he ae wth the longest flow-up had high ato of erten 2" “Th i ot cr lw fo ae hr ra ar gp ni oak {yea ickdece of completed rape mmong rtyeoromaa ster a te sire. MeTHoos Enroliment and Randomization “Tho Sexual Asta Resistance Eauaton (SARE) Tal was approved bythe attics boars athe Unvorstios of Windsor, Gulp, and Calgary. Te ul sty ortecol ante baseline charsstrsties ana eens esau Mateos Nave been polished povousy* te sus proto! 's abo avatsbe wih tefl tet of this rice at NEJM. The est autnr assures ‘espana fr ha dey of tho rept othe prloca andthe accuracy snd emp Inte, his operabe, ancemized contra rl enol istyear female students, 170.24 years of ag, st oe age unveraty in west Canada and two midsized unverais in cetal Cena, tom Seplembr 2011 to Febrary 2073. Tobe igo fr thea students ad tobe ate rol nthe st. oa of 69.4% of he parcipats were recnits though em messages nd telephone cal fo retyear female stents who were raqeterc in he rsearehpartepant ole of payenlogy degarmert; approxiatly 70% of stgenta on campus rat for Pyehalogy courses anda thereby included these pols, Other paripants ware crated reverts in lassen end a scar overs, A research estat mpl the study bore Schocng a paricpants paslne session. Attn astra sasio,partpants comeletos a Camptarzad survey, underwent endomizaten, and mmedately steno thee fst eltance| Session of @ conta session. Randomization was primed In permuted Wecks of to wih te we tpioengpargiotesshn ae lane unt an: eb Rah |S suBscrise OR RENEW > [8 Comprebenive Approach fo Sexi Violence Proven Eiccy ofa Sexual Assam Resistance Propra foe University Warten NomtalCtnet ne 208 Most Viewed (Last Week) Teter tos Young Female Physi 155081 a 18200718 Koen Seat Fever [2.127 view oy 18200714 Boker “Tuberous Sears Complex [5559 vw) ey 8 007 1W. ecto enee Gab 1M “ClreerCenter ‘leur: ychayOpangin Kowa, Conacs(0 ‘mis tor Neon oO) ‘oravosers ort 5 G8 UT eset (nmprry Mate, C082.ofthe celine oo Randomize, wt sratction scoring tose. A aye aa Set rere Moet KE eticiant gave tat tnllon homed onent Vat ate City Interventions ny “he Emanced sets, Actronlege, Act Sena Assault Reistrce progam consid fo ‘our nts tet sve imation proving gees, mvc, feat ecueson. and scene acc ein ae dona ms acne pega | ign up rhe FREE > between 208 an 2011.52" The names (Aston, Ackland At) a eto ee ry are er arate thre rts wore based on recommanintions by Razee and Kass fora resistance program or ‘women: These authors erow holy on the work o Ullman racing suecestu rape sof. NEW ENGLAND JOURNAL MEDICINE invlvng accunirianees ad dterse aginst tackers who wer larger han the worn, Unt 4 {Somatty ara Raonsips) mod to rtosat cote om tho previous unt ro paripant ewua es by sroiing seal infamaton. nludng the elng and clr ters fora wide ‘ange of possible sexual aves beyond inlercouse and heath and safer-soxpractoes, and anten 10 oxploe thi sox attses, value, and desis andl develo sags fr Sexual ‘Agata manual povided instructions for facta (00 tha Sunplomntay Aspen, avaliable 5 NEJM.o9)-Intaly, «10a rang pre, which include taring in se-terse, was enduct forfcsta, In yea 2, because ost facia were experience, the tring pid Into conte sessions, ochures on soxal assault were spayed this mimicked common tweety pratce of having brochures avalible n campos chs and ccunealing center, The Selecton of brochures was campus-specte; however th canter was Sila across ses ana inluded gona ifomaton on sexcal esau an posta aga and medial advice (eee the Supplomertary Aspens). A research extn informed paricieris abou the ochutes and inated them take them and read the; this asistart aso offered fo answor questions in tho (Poup session, which wae schedules telat 1 mine, or prvatey atnvad Stra according to felatroresoach assistant a somos, wor randomly seloctos ané Scored acoring to chocksts dovslopes rom the operations manals. The mean sco for ‘ely tothe ntrverton ware Se (ange 1 0100) forthe esatance sessions and 25% (ang, Data Collection {Allo pareipants corset norton computeszed surveys a batting an wesk ster ampletion of he intrvoton corr priipants were matched othe sme inva but partigaed in only one session ang fits Web-based surveys a 8 months and 12 month. To aticpants in bth groups wer contacted by tleghne, txt, or e-mal at Sach {ene point, wih upto seven altrpa al contact made a each ie pont Incatves wate provided for comeltng the bsslne and patitervenion surveys (pychdlogy-couse bors cred eed tryna $800 toy) ad te folow-p surveys (90 gift cats). To retain parepant inthe resets group aunng tne multe sessions acstinalneertves (malls ans ets for ‘wo, $25, ena-t-sesion tenet) wee used, Women wore conldered tba lot falwup ‘ey drat compte the survey a 12 ments. outcome Measures Short For Vitmizabon (SES-SFV)." The SES-SFY, a roison af the orginal #962 SES, fs the ost wey used sion sexual assault research an has high relay and vl ts Strngth shat «does not requre corec labeling of sexual assaut by patcpants but assesse6 how often panicle exparisces that legally constutesexl assault (Cara) ab ape (nthe Usted States) hve occured. Fr example, on lem on the survey reads, “A man put his pois ino my vagin, or sete fogs or objects thot my consent ny using fore, fr examee eleng me down wh nis body weigh, pening my ams, or raving @ weapon Avexpetences taped during 12 mans of alow wet cla noone ove semua welimzalion etegae: complied aps sped a, coercion, tlempled caren, or rospociid as tetany. (Secondary outcomes were psychological vaabls at were expects to recat the eects of he inteverton and are not neledes he ) Competos ras ea, vgial, or ‘ral pentraton) and nonconsensual sexual contac nenpentraive) wer defined 28 enconsersual exval ets n which he perpetrate wed ets, ace, oF dg alo! ‘anpuation (e.g, “tretenng fo on ha raion o contin verbally pressuring ms" 0 Inauce complica innoncensensual penetrate sexual acts. Atompted rapa ad attempted tpioengpargiotesshn aetay ed ual Sea ga ey Wane NM, _oereion wore accaion in whic he perpetrate ed o engage i the Baha bt was nt ‘uccestol For completed an stompled rapes, prtpansrecrsed he dates of cure, Study. group cross-cortarnation was measured on fllwup suveysin which prilpass ware ‘skec whstnarthey knew anyone inthe cher andomizes grup ang, I 0, wnat hey shard wn (er wereld by) that person, Static! Analysis Outcomes wore assed inthe modifi inlontontoteat population, which eludes al ie partipans who completed ono or mere pastrandemizaton survey. The primar aalysis compared ‘ne incidence (st occurence) of cempltod rape between the corl group andthe resistance of Keplar-Mee ale cues (nating he camulve petcertage of complete apes ameng women in he respective groups) sd he lank tet. T accouat ft the Fw healt-bohaviorprovetion programs show a cla’ ard sustana oct, and whon thy 3, bootarsasions ao usually require" In the cuenta, cay was shown and sustared 191 year wiout Boose sessions, Th Import baceuse he nk of sexual assault Is highest in ‘ne ety yess of uriversy. Follorspo! al patepans is continuing to evaale wheter the banat pris Bayon you: ur tal had a few imitations. First the resistance program s designed fr women; effective Interventions focusing on men's behav ae alo nde. Secon, by nesses, the deen wae ‘panel an he ouzomes seltvepoted ad bath af these design elements cen nvaduce Bas. Diferenta repating bowen he roupe is posible. Women inthe resiance aun mht nave undoped sexual assaults pstaps bel vng that ray shoul have been abo frst Par) rowoves, sao possible that rporing of cutcomes woul bo increase in wemen sensitized 10 ‘sexual assulby tho resistance aig. Thi. ato of ser vetmization aang wemen who ‘were rl inthe stay waa higher han the rates general reared n studs involving @ ‘andem sale of particpanl.* This was antcpaed an wae minimize by renting Poush Payctlogy cours th fered reads for paricpation, Reductions in stk were cbeerved arena ‘womon wih pio victimization and arvang those without prior vitimizaton. Final, cause Universes may nt have the resources naaded to provid Incentives ard multiple reminds thet ‘wer usd to encourage palpation end maximize program atlendance, a unlee wheter ‘ia echerace aes an be acieved naar stings, In conclusion this tal showed ta a rgorusly designed and executes sexual assault resistance rograr was succesful in substanialy reducing he cocuTecce o sual assaults among fs yeartemale univers sides, clung nse a higher rk Because of previous pe Wetnzation, Sopra an Opera rar FRN 10575 Yomi Caran asst Reser ay he tssy ome (SARE rte erin hap ae re SOURCE INFORMATION Frome Deparrertl sjchoy an Wonar® and Gender Sues Poyan Urey el Wreao ror ON {GyS ist Dnwrmar Carman Hash Soases =, Wey Eeaytar on AB Hea), 2nP2ytoe Urey aby Cay. AB wth patna af aya, ete a, {Shape ON (FEB. 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