100 Participants Needed

Support Programs for Sexual Violence and Alcohol Abuse Prevention

(CARE Trial)

RF
RG
Overseen ByRachel Gartner, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Pittsburgh
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What data supports the effectiveness of the treatment Centering Gender Affirming Resources in Higher Education (CARE) for preventing sexual violence and alcohol abuse?

Research shows that sexual and gender minority students benefit from interventions targeting alcohol use and emotion regulation difficulties, which are components that CARE may address. Additionally, reducing discrimination and providing supportive social spaces can help decrease alcohol-related harms, suggesting that CARE's focus on gender-affirming resources could be effective.12345

Is the treatment for sexual violence and alcohol abuse prevention safe for humans?

The research articles do not provide specific safety data for the treatment programs mentioned, such as CARE, but they highlight the need for gender-inclusive prevention efforts and the importance of addressing alcohol use and sexual violence among diverse student populations.36789

How does the CARE treatment differ from other treatments for sexual violence and alcohol abuse prevention?

The CARE treatment is unique because it centers on gender-affirming resources in higher education, focusing on the specific needs of diverse gender identities, which is not typically addressed in standard prevention programs. This approach is particularly important for transgender and nonbinary students who face different patterns of alcohol use and related harms compared to cisgender students.1381011

What is the purpose of this trial?

Centering gender Affirming Resources in higher Education (CARE) project is nested within the parent study "Reducing Alcohol Involved Sexual violence in higher Education" (RAISE; R01 AA023260; NCT05185440). CARE is a pilot cluster-randomized trial that centers trans and gender diverse (TGD) students who are at elevated risk for SV and hazardous drinking. CARE tests a novel college health and counseling center (CHC) training program designed to improve provider knowledge about TGD individuals, increase their self-efficacy and use of trans-inclusive practices. This includes an evaluation of the feasibility, acceptability, appropriateness, and usability of CARE's training intervention for college health and counseling center providers. This research will produce the first rigorously evaluated TGD-focused CHC provider training which has the potential to increase the accessibility of CHC's for TGD university students- ultimately lowering rates of alcohol use and SV among this disproportionately impacted population.

Research Team

EM

Elizabeth Miller, PhD

Principal Investigator

Principal Investigator

Eligibility Criteria

This trial is for trans and gender diverse (TGD) college students who are at higher risk of sexual violence and hazardous drinking. It aims to improve the support they receive from college health and counseling centers.

Inclusion Criteria

Those who are seeing undergraduate students at health and counseling appointments as a provider
Providers may include counselors, clinicians, nurses, health educators, medical assistants, social workers, advocates, and administrators

Exclusion Criteria

A college health or counseling center provider not participating in the RAISE study
A college health or counseling center provider that does not interface with students

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training

College health and counseling center providers undergo CARE training to improve knowledge and attitudes about TGD individuals and use of trans-inclusive practices.

Immediate completion
Asynchronous e-learning

Follow-up

Providers' knowledge, attitudes, and use of TGD-inclusive practices are assessed.

4-6 months

Treatment Details

Interventions

  • Centering Gender Affirming Resources in Higher Education (CARE)
Trial Overview The CARE project tests a training program for college health providers to enhance their understanding, confidence, and practices related to TGD student care. The effectiveness of this training in making campus resources more inclusive will be evaluated.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: GIFTSS Training and Centering gender Affirming Resources in higher Education (CARE) Learning ModulesExperimental Treatment2 Interventions
Training for college health center clinicians and staff in implementation of GIFTSS combined with CARE's trans learning modules to support implementation with gender diverse service users.
Group II: Giving Information for Trauma Support and Safety (GIFTSS) TrainingActive Control1 Intervention
Training for college health center clinicians and staff in implementation of GIFTSS

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Pittsburgh

Lead Sponsor

Trials
1,820
Recruited
16,360,000+

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Collaborator

Trials
865
Recruited
1,091,000+

Findings from Research

A study of 754 undergraduate students found that sexual and gender minority (SGM) students with higher difficulties in emotion regulation tend to drink more alcohol, which is linked to greater severity of sexual assault victimization.
In contrast, cisgender, heterosexual students and SGM students with lower emotion regulation difficulties did not show this association, highlighting the need for targeted interventions to support SGM students in managing alcohol use and emotional challenges.
Emotion Regulation Difficulties Moderate the Association Between Typical Drinking and Sexual Assault Victimization Among Sexual and Gender Minority University Students.Kirwan, M., Leone, RM., Davis, KC., et al.[2023]
Transgender college students engage in higher-risk drinking behaviors compared to their cisgender peers, consuming alcohol more frequently and in greater quantities, which leads to a higher incidence of alcohol-related blackouts (36% vs. 25%).
The motivations for drinking among transgender students often include stress reduction, social anxiety, and self-esteem issues, indicating a need for targeted support and intervention strategies to address their unique challenges.
Alcohol-Related Blackouts, Negative Alcohol-Related Consequences, and Motivations for Drinking Reported by Newly Matriculating Transgender College Students.Tupler, LA., Zapp, D., DeJong, W., et al.[2022]
In a study of 242,624 college students, it was found that alcohol use and its associated harms varied significantly among different gender identities, with transgender individuals reporting higher odds of experiencing negative consequences like suicidal ideation when drinking.
Cisgender men experienced more injuries and legal troubles while drinking, whereas transgender women and nonbinary individuals reported lower instances of regret and unprotected sex, highlighting the need for tailored, gender-inclusive prevention strategies for alcohol-related harms.
Heavy drinking and drinking harms for cisgender and transgender college students.Dermody, SS., Lamb, KM., Kerr, DCR.[2022]

References

Emotion Regulation Difficulties Moderate the Association Between Typical Drinking and Sexual Assault Victimization Among Sexual and Gender Minority University Students. [2023]
Alcohol-Related Blackouts, Negative Alcohol-Related Consequences, and Motivations for Drinking Reported by Newly Matriculating Transgender College Students. [2022]
Heavy drinking and drinking harms for cisgender and transgender college students. [2022]
Comparing Transgender and Cisgender Experiences of Being Taken Advantage of Sexually While Under the Influence of Alcohol and/or Other Drugs. [2021]
Discrimination, gender dysphoria, drinking to cope, and alcohol harms in the UK trans and non-binary community. [2023]
The Intersection of Gender Identity and Violence: Victimization Experienced by Transgender College Students. [2021]
Campus Sexual Violence Prevention Educators' Use of Gender in Their Work: A Critical Exploration. [2021]
Campus Sexual Violence, Gender, and Mental Health in Diverse Undergraduate/Graduate Students. [2022]
Sexual Violence Among Gender and Sexual Minority College Students: The Risk and Extent of Victimization and Related Health and Educational Outcomes. [2021]
Cluster Randomized Trial of a College Health Center Sexual Violence Intervention. [2021]
11.United Statespubmed.ncbi.nlm.nih.gov
Academic Safety Planning: Intervening to Improve the Educational Outcomes of Collegiate Survivors of Interpersonal Violence. [2022]
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