Short-Term Outcomes of a Healthy Relationship Intervention for the Prevention of Sexual Harassment and Sexual Assault in the US Military: Pilot Pretest-Postest Study.


Journal

JMIR formative research
ISSN: 2561-326X
Titre abrégé: JMIR Form Res
Pays: Canada
ID NLM: 101726394

Informations de publication

Date de publication:
29 Oct 2024
Historique:
received: 16 07 2024
accepted: 05 09 2024
revised: 28 08 2024
medline: 30 10 2024
pubmed: 29 10 2024
entrez: 29 10 2024
Statut: epublish

Résumé

Sexual harassment (SH) and sexual assault (SA) are serious public health problems among US service members. Few SH and SA prevention interventions have been developed exclusively for the military. Code of Respect (X-CoRe) is an innovative web-based, multilevel, SA and SH intervention designed exclusively for the active-duty Air Force. The program's goal is to increase Airmen's knowledge and skills to build and maintain respectful relationships, ultimately reducing SH and SA and enhancing Airmen's overall well-being and mission readiness. This pilot study aimed to assess the short-term psychosocial impact (eg, knowledge, attitudes, and self-efficacy) of the web-based component of X-CoRe on a sample of junior enlisted and midlevel Airmen. Airmen from a military installation located in the Northeastern United States were recruited to complete the 10 web-based modules in X-CoRe (9/15, 60% male; 7/15, 54% aged 30-35 years). Participants were given pretests and posttests to measure short-term psychosocial outcomes associated with SH and SA. Descriptive statistics and paired 2-tailed t tests were conducted to assess differences from preintervention to postintervention time points. After completing X-CoRe, participants had a significantly greater understanding of active consent (P=.04), confidence in their healthy relationship skills (P=.045), and confidence to intervene as bystanders (P=.01). Although not statistically significant (P>.05), mean scores in attitudes about SH, couple violence, and cyberbullying; perceptions of sexual misconduct as part of military life; and relationship skills self-efficacy with a romantic partner and friend also improved. The findings from this study demonstrate X-CoRe's effectiveness in improving critical determinants of SH and SA, making it a promising intervention for SH and SA prevention. More rigorous research is needed to determine X-CoRe's impact on SH and SA victimization and the long-term impact on associated psychosocial determinants.

Sections du résumé

BACKGROUND BACKGROUND
Sexual harassment (SH) and sexual assault (SA) are serious public health problems among US service members. Few SH and SA prevention interventions have been developed exclusively for the military. Code of Respect (X-CoRe) is an innovative web-based, multilevel, SA and SH intervention designed exclusively for the active-duty Air Force. The program's goal is to increase Airmen's knowledge and skills to build and maintain respectful relationships, ultimately reducing SH and SA and enhancing Airmen's overall well-being and mission readiness.
OBJECTIVE OBJECTIVE
This pilot study aimed to assess the short-term psychosocial impact (eg, knowledge, attitudes, and self-efficacy) of the web-based component of X-CoRe on a sample of junior enlisted and midlevel Airmen.
METHODS METHODS
Airmen from a military installation located in the Northeastern United States were recruited to complete the 10 web-based modules in X-CoRe (9/15, 60% male; 7/15, 54% aged 30-35 years). Participants were given pretests and posttests to measure short-term psychosocial outcomes associated with SH and SA. Descriptive statistics and paired 2-tailed t tests were conducted to assess differences from preintervention to postintervention time points.
RESULTS RESULTS
After completing X-CoRe, participants had a significantly greater understanding of active consent (P=.04), confidence in their healthy relationship skills (P=.045), and confidence to intervene as bystanders (P=.01). Although not statistically significant (P>.05), mean scores in attitudes about SH, couple violence, and cyberbullying; perceptions of sexual misconduct as part of military life; and relationship skills self-efficacy with a romantic partner and friend also improved.
CONCLUSIONS CONCLUSIONS
The findings from this study demonstrate X-CoRe's effectiveness in improving critical determinants of SH and SA, making it a promising intervention for SH and SA prevention. More rigorous research is needed to determine X-CoRe's impact on SH and SA victimization and the long-term impact on associated psychosocial determinants.

Identifiants

pubmed: 39471370
pii: v8i1e64412
doi: 10.2196/64412
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e64412

Informations de copyright

©Belinda Hernandez, Ross Shegog, Christine Markham, Susan Emery, Elizabeth Baumler, Laura Thormaehlen, Rejane Andina Teixeira, Yanneth Rivera, Olive Pertuit, Chelsey Kanipe, Iraina Witherspoon, Janis Doss, Victor Jones, Melissa Peskin. Originally published in JMIR Formative Research (https://formative.jmir.org), 29.10.2024.

Auteurs

Belinda Hernandez (B)

Department of Health Promotion and Behavioral Science, The University of Texas Health Science Center at Houston School of Public Health, San Antonio, TX, United States.

Ross Shegog (R)

Department of Population Health, Dell Medical School, The University of Texas at Austin, Austin, TX, United States.

Christine Markham (C)

Department of Population Health, Dell Medical School, The University of Texas at Austin, Austin, TX, United States.

Susan Emery (S)

Department of Population Health, Dell Medical School, The University of Texas at Austin, Austin, TX, United States.

Elizabeth Baumler (E)

Department of Psychiatry and Behavioral Sciences, University of Texas McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, United States.

Laura Thormaehlen (L)

Department of Population Health, Dell Medical School, The University of Texas at Austin, Austin, TX, United States.

Rejane Andina Teixeira (R)

Department of Health Promotion and Behavioral Science, The University of Texas Health Science Center at Houston School of Public Health, San Antonio, TX, United States.

Yanneth Rivera (Y)

Department of Population Health, Dell Medical School, The University of Texas at Austin, Austin, TX, United States.

Olive Pertuit (O)

Department of Population Health, Dell Medical School, The University of Texas at Austin, Austin, TX, United States.

Chelsey Kanipe (C)

Department of Population Health, Dell Medical School, The University of Texas at Austin, Austin, TX, United States.

Iraina Witherspoon (I)

Joint Base McGuire-Dix-Lakehurst, Trenton, NJ, United States.

Janis Doss (J)

Joint Base McGuire-Dix-Lakehurst, Trenton, NJ, United States.

Victor Jones (V)

Workforce Technical Assistance & Training Evaluation Division, Defense Workforce Development Center, Washington, DC, DC, United States.

Melissa Peskin (M)

Department of Population Health, Dell Medical School, The University of Texas at Austin, Austin, TX, United States.

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