Enhanced Assess, Acknowledge, Act (EAAA) is the only intervention shown in a randomized controlled trial to reduce sexual violence victimization against undergraduate women by 50%. EAAA is an in-person, small-group intervention led by two trained peer facilitators over four three-hour sessions. Implementation cost and train-the-trainer complexities have led to limited uptake with relatively few institutions implementing the intervention, despite its efficacy. Adapting EAAA for online delivery would enable use of a centralized facilitator pool, dramatically cutting cost and complexity for institutions who wish to implement it and enabling scale-up of a singularly effective primary prevention intervention. The aim of the current study was to adapt and pilot EAAA for online delivery and assess the feasibility, acceptability, and potential efficacy of the adapted intervention. Using the ADAPT-ITT framework for systematic intervention adaptation, we created Internet-Delivered EAAA (IDEA 3 ), which uses an innovative hybrid online/in-person delivery mode whereby pairs of women are together in person, and then facilitators live-facilitate the intervention to a group of up to 8 pairs via videoconferencing. The adaptation process included an initial pilot or “theater” test ( n = 8) with direct observation by experts, an expert focus group to offer suggestions on refining the intervention, and a one-armed pilot trial ( n = 65). Primary outcomes were feasibility (recruitment and retention), acceptability (participant ratings on post-session surveys and feedback provided in participant focus groups), and preliminary indicators of efficacy (increases in self-defense self-efficacy and ability to detect risk in coercive situations, decreases in rape myth acceptance, as well as reports of using skills learned in the intervention to decrease sexual assault risk). IDEA 3 was delivered successfully with strong recruitment (90% of target) and retention (84%). Participants found the intervention acceptable with high mean enjoyment (8.2 out of 10) and willingness to recommend the training to others (8.5 out of 10). Preliminary indicators of potential efficacy showed that the program significantly increased self-defense self-efficacy and perceived risk of acquaintance rape, while significantly reducing acceptance of rape myths and beliefs about female precipitation of rape. IDEA 3 had high feasibility and acceptability, and promising indicators of potential efficacy, comparable to historical data from the in-person EAAA efficacy trial. NCT04797741. Registered March 10, 2021.
Peitzmeier et al. (Wed,) studied this question.
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