A Randomized Clinical Trial Examining the Effect of Video-Based Prevention of Alcohol and Marijuana Use Among Recent Sexual Assault Victims

Kate Walsh, Amanda K. Gilmore, Patricia Frazier, Linda Ledray, Ron Acierno, Kenneth J. Ruggiero, Dean G. Kilpatrick, Heidi S. Resnick

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Background: This study examined whether a brief video intervention (Prevention of Post-Rape Stress [PPRS]) delivered in the emergency department to recent sexual assault (SA) victims reduced alcohol and marijuana use at 3 points over the course of a 6-month follow-up compared to treatment as usual (TAU) and an active control condition (Pleasant Imagery and Relaxation Instruction [PIRI]). Prior assault history, minority status, and pre-SA substance use also were examined as moderators of intervention efficacy. Methods: Women aged 15 and older (N = 154) who participated in a post-SA medical forensic examination were randomly assigned to watch the PPRS video (n = 54) or the PIRI video (n = 48) or receive TAU (n = 52) and completed at least 1 follow-up assessment targeted at 1.5 (T1), 3 (T2), or 6 (T3) months following the examination. Results: Regression analyses revealed that, relative to TAU, PPRS was associated with less frequent alcohol use at 6 months post-SA among women reporting pre-SA binge drinking and minority women. Relative to TAU, PPRS also was associated with fewer days of marijuana use at T1 among those who did not report pre-SA marijuana use and prior SA. Findings for pre-SA marijuana use were maintained at T3; however, findings for prior SA shifted such that PPRS was associated with fewer days of marijuana use at T3 for women with a prior SA. Conclusions: PPRS may be effective at reducing substance use for some recent SA victims, including those with a prior SA history, a prior substance use history, and minority women.

Original languageEnglish (US)
Pages (from-to)2163-2172
Number of pages10
JournalAlcoholism: Clinical and Experimental Research
Volume41
Issue number12
DOIs
StatePublished - Dec 2017

Bibliographical note

Funding Information:
The study was conducted with support from National Institute on Drug Abuse grant DA023099. Manuscript preparation was supported by National Institutes of Health grants MH107641, MH107641-02S1, DA036213, T32-MH018869, and DA042935. This trial was registered at clini-caltrials.gov under the registration number NCT01430624. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or other agencies.

Keywords

  • Alcohol
  • Brief Intervention
  • Marijuana
  • RCT
  • Sexual Assault

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