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Prevention of Post Sexual Assault Stress

Prevention of Postrape Drug Abuse: Replication Study

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01430624
Enrollment
245
Registered
2011-09-08
Start date
2009-05-31
Completion date
2013-12-31
Last updated
2016-04-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Drug Abuse, Drug Use, Posttraumatic Stress Disorder

Keywords

Rape, Secondary prevention, Intervention

Brief summary

The purpose of this study is to evaluate whether a brief intervention in video format, that includes education about reactions to assault and modeling of adaptive coping strategies, designed to reduce post assault drug use or abuse and PTSD and shown to recent victims of sexual assault at the time of receipt of post assault medical care is associated with better post-assault outcomes as compared to a comparable length video that includes pleasant imagery and relaxation instruction or standard care.

Detailed description

Post assault outcomes include coping behaviors and PTSD symptoms.

Interventions

BEHAVIORALPPRS

Video including information psychoeducation and modeling of adaptive behavioral coping strategies for use post-assault. Shown at time of post assault medical exam.

BEHAVIORALPIRI

Video containing pleasant imagery and relaxation instruction information. Shown at time of post assault medical exam.

Sponsors

National Institute on Drug Abuse (NIDA)
CollaboratorNIH
Medical University of South Carolina
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
FEMALE
Age
15 Years to 90 Years
Healthy volunteers
No

Inclusion criteria

* Seeking medical care after recent sexual assault

Exclusion criteria

* Active psychosis Active suicidality Cognitive impairment Non-English speaking Severe injury

Design outcomes

Primary

MeasureTime frameDescription
Drug Abuse Screening Test (DAST-10)6 monthstotal possible scores range from 0 - 10 with higher scores indicating poor functioning, post assault at 6 months
Alcohol Use Disorders Identification Test (AUDIT)6 monthsTotal scores range from 0 - 40 with higher scores indicating greater problem severity, post assault at 6 months
Cigarettes (Estimated Number)14 days preceding 6 week, 3 month and 6 month follow-upquantity in 14 days prior to 6 week, 3 month and 6 month follow-up
Amount of Alcohol Use14 days prior to 6 week, 3 month, 6 month follow-upestimated number of drinks during the 14 days prior to each follow-up assessment
Marijuana Use Frequency14 days prior to 6 week, 3 month, 6 month follow-upNumber of days of use within the 14 days prior to follow-up assessment

Secondary

MeasureTime frameDescription
Any Other Illicit Drug Use14 days prior to 6 week, 3 month, 6 month follow-upAny reported use of cocaine or other illicit drugs other than marijuana in the 14 days prior to follow-up
Non-medical Use of Prescription Drugs Frequency14 days prior to 6 week, 3 month, 6 month follow-upNumber of days of use within the 14 days prior to follow-up assessment
PTSD Symptom Scale Self-Report (PSS-SR)2 weeks prior to 6 week, 3 month, 6 month followupTotal scores range from 0 to 51 with higher scores indicating greater frequency of symptoms, Measure of PTSD symptoms.

Countries

United States

Participant flow

Participants by arm

ArmCount
PPRS (Completing Baseline)
Prevention of Post-Sexual Assault Stress
77
PIRI (Completing Baseline)
Pleasant Imagery and Relaxation Instruction
77
Standard Care (Completing Baseline)
Standard Care Condition completing baseline
79
Total233

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyLost to Follow-up232927
Overall Studytechnical or eligibility552

Baseline characteristics

CharacteristicPIRI (Completing Baseline)Standard Care (Completing Baseline)PPRS (Completing Baseline)Total
Age, Categorical
<=18 years
5 Participants2 Participants3 Participants10 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
72 Participants77 Participants74 Participants223 Participants
Age, Continuous27.99 years
STANDARD_DEVIATION 10.77
27.52 years
STANDARD_DEVIATION 10.01
26.79 years
STANDARD_DEVIATION 8.22
27.43 years
STANDARD_DEVIATION 9.7
Region of Enrollment
United States
77 participants79 participants77 participants233 participants
Sex: Female, Male
Female
77 Participants79 Participants77 Participants233 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
0 / 820 / 820 / 81
serious
Total, serious adverse events
2 / 820 / 820 / 81

Outcome results

Primary

Alcohol Use Disorders Identification Test (AUDIT)

Total scores range from 0 - 40 with higher scores indicating greater problem severity, post assault at 6 months

Time frame: 6 months

Population: Includes only participants with full scale score information at 6 months

ArmMeasureValue (MEAN)Dispersion
PPRS VideoAlcohol Use Disorders Identification Test (AUDIT)7.21 units on a scaleStandard Deviation 8.73
PIRI VideoAlcohol Use Disorders Identification Test (AUDIT)7.53 units on a scaleStandard Deviation 9.69
Standard CareAlcohol Use Disorders Identification Test (AUDIT)8.15 units on a scaleStandard Deviation 7.42
p-value: 0.89ANOVA
Primary

Amount of Alcohol Use

estimated number of drinks during the 14 days prior to each follow-up assessment

Time frame: 14 days prior to 6 week, 3 month, 6 month follow-up

Population: 1 participant with missing data at 6 week follow-up

ArmMeasureGroupValue (MEAN)Dispersion
PPRS VideoAmount of Alcohol Use6 Month (n = 38, 41, 42)10.16 DrinksStandard Deviation 21.42
PPRS VideoAmount of Alcohol Use6 Week (n = 54, 48, 51)15.33 DrinksStandard Deviation 21.2
PPRS VideoAmount of Alcohol Use3 Month (n = 48, 44, 43)8.29 DrinksStandard Deviation 12.81
PIRI VideoAmount of Alcohol Use6 Month (n = 38, 41, 42)10.49 DrinksStandard Deviation 21.58
PIRI VideoAmount of Alcohol Use6 Week (n = 54, 48, 51)13.92 DrinksStandard Deviation 28.17
PIRI VideoAmount of Alcohol Use3 Month (n = 48, 44, 43)14.32 DrinksStandard Deviation 22.47
Standard CareAmount of Alcohol Use6 Month (n = 38, 41, 42)14.60 DrinksStandard Deviation 22.62
Standard CareAmount of Alcohol Use6 Week (n = 54, 48, 51)19.90 DrinksStandard Deviation 43.73
Standard CareAmount of Alcohol Use3 Month (n = 48, 44, 43)11.49 DrinksStandard Deviation 15.66
p-value: 0.63ANOVA
p-value: 0.25ANOVA
p-value: 0.59ANOVA
Primary

Cigarettes (Estimated Number)

quantity in 14 days prior to 6 week, 3 month and 6 month follow-up

Time frame: 14 days preceding 6 week, 3 month and 6 month follow-up

Population: 1 participant missing 6 week cigarette smoking information

ArmMeasureGroupValue (MEAN)Dispersion
PPRS VideoCigarettes (Estimated Number)3 Month (n = 48, 44, 43)54.63 cigarettesStandard Error 121.22
PPRS VideoCigarettes (Estimated Number)6 Week (n = 53, 48, 52)49.94 cigarettesStandard Error 80.19
PPRS VideoCigarettes (Estimated Number)6 Month (n = 38, 41, 42)42.68 cigarettesStandard Error 76.78
PIRI VideoCigarettes (Estimated Number)3 Month (n = 48, 44, 43)67.73 cigarettesStandard Error 129.01
PIRI VideoCigarettes (Estimated Number)6 Week (n = 53, 48, 52)87.29 cigarettesStandard Error 141.2
PIRI VideoCigarettes (Estimated Number)6 Month (n = 38, 41, 42)71.71 cigarettesStandard Error 126.15
Standard CareCigarettes (Estimated Number)6 Week (n = 53, 48, 52)118.04 cigarettesStandard Error 114.94
Standard CareCigarettes (Estimated Number)6 Month (n = 38, 41, 42)84.64 cigarettesStandard Error 92.67
Standard CareCigarettes (Estimated Number)3 Month (n = 48, 44, 43)84.47 cigarettesStandard Error 100.54
p-value: 0.01ANOVA
p-value: 0.48ANOVA
p-value: 0.17ANOVA
Primary

Drug Abuse Screening Test (DAST-10)

total possible scores range from 0 - 10 with higher scores indicating poor functioning, post assault at 6 months

Time frame: 6 months

Population: Only includes participants with complete scale data at 6 months

ArmMeasureValue (MEAN)Dispersion
PPRS VideoDrug Abuse Screening Test (DAST-10)1.97 units on a scaleStandard Deviation 2.65
PIRI VideoDrug Abuse Screening Test (DAST-10)2.03 units on a scaleStandard Deviation 2.85
Standard CareDrug Abuse Screening Test (DAST-10)1.18 units on a scaleStandard Deviation 1.62
p-value: 0.24ANOVA
Primary

Marijuana Use Frequency

Number of days of use within the 14 days prior to follow-up assessment

Time frame: 14 days prior to 6 week, 3 month, 6 month follow-up

ArmMeasureGroupValue (MEAN)Dispersion
PPRS VideoMarijuana Use Frequency3 Month (n = 48, 44, 43)2.75 days of useStandard Deviation 4.94
PPRS VideoMarijuana Use Frequency6 Week (n = 54, 48, 52)1.98 days of useStandard Deviation 3.85
PPRS VideoMarijuana Use Frequency6 Month (n = 38, 41, 42)1.03 days of useStandard Deviation 2.7
PIRI VideoMarijuana Use Frequency3 Month (n = 48, 44, 43)1.39 days of useStandard Deviation 2.81
PIRI VideoMarijuana Use Frequency6 Week (n = 54, 48, 52)2.48 days of useStandard Deviation 4.52
PIRI VideoMarijuana Use Frequency6 Month (n = 38, 41, 42)1.73 days of useStandard Deviation 3.98
Standard CareMarijuana Use Frequency6 Week (n = 54, 48, 52)2.12 days of useStandard Deviation 4.42
Standard CareMarijuana Use Frequency6 Month (n = 38, 41, 42)2.90 days of useStandard Deviation 5.4
Standard CareMarijuana Use Frequency3 Month (n = 48, 44, 43)2.12 days of useStandard Deviation 4.28
p-value: 0.83ANOVA
p-value: 0.29ANOVA
p-value: 0.13ANOVA
Secondary

Any Other Illicit Drug Use

Any reported use of cocaine or other illicit drugs other than marijuana in the 14 days prior to follow-up

Time frame: 14 days prior to 6 week, 3 month, 6 month follow-up

ArmMeasureGroupValue (NUMBER)
PPRS VideoAny Other Illicit Drug Use3 Month (n = 48, 42, 43)4 participants
PPRS VideoAny Other Illicit Drug Use6 Week (n = 54, 48, 52)6 participants
PPRS VideoAny Other Illicit Drug Use6 Month (n = 38, 41, 42)4 participants
PIRI VideoAny Other Illicit Drug Use3 Month (n = 48, 42, 43)3 participants
PIRI VideoAny Other Illicit Drug Use6 Week (n = 54, 48, 52)0 participants
PIRI VideoAny Other Illicit Drug Use6 Month (n = 38, 41, 42)4 participants
Standard CareAny Other Illicit Drug Use6 Week (n = 54, 48, 52)2 participants
Standard CareAny Other Illicit Drug Use6 Month (n = 38, 41, 42)3 participants
Standard CareAny Other Illicit Drug Use3 Month (n = 48, 42, 43)2 participants
p-value: 0.37Chi-squared
p-value: 0.15Chi-squared
p-value: 0.87Chi-squared
Secondary

Non-medical Use of Prescription Drugs Frequency

Number of days of use within the 14 days prior to follow-up assessment

Time frame: 14 days prior to 6 week, 3 month, 6 month follow-up

Population: 2 participants had missing data at 6 month follow-up

ArmMeasureGroupValue (MEAN)Dispersion
PPRS VideoNon-medical Use of Prescription Drugs Frequency3 Month (n = 48, 44, 43).81 days of useStandard Deviation 2.57
PPRS VideoNon-medical Use of Prescription Drugs Frequency6 Week (n = 54, 48, 52)1.56 days of useStandard Deviation 3.96
PPRS VideoNon-medical Use of Prescription Drugs Frequency6 Month (n = 38, 40, 41).61 days of useStandard Deviation 2.39
PIRI VideoNon-medical Use of Prescription Drugs Frequency3 Month (n = 48, 44, 43).75 days of useStandard Deviation 2.63
PIRI VideoNon-medical Use of Prescription Drugs Frequency6 Week (n = 54, 48, 52).08 days of useStandard Deviation 0.35
PIRI VideoNon-medical Use of Prescription Drugs Frequency6 Month (n = 38, 40, 41).40 days of useStandard Deviation 1.19
Standard CareNon-medical Use of Prescription Drugs Frequency6 Week (n = 54, 48, 52).54 days of useStandard Deviation 1.6
Standard CareNon-medical Use of Prescription Drugs Frequency6 Month (n = 38, 40, 41).10 days of useStandard Deviation 0.63
Standard CareNon-medical Use of Prescription Drugs Frequency3 Month (n = 48, 44, 43).16 days of useStandard Deviation 0.62
p-value: 0.012ANOVA
p-value: 0.31ANOVA
p-value: 0.35ANOVA
Secondary

PTSD Symptom Scale Self-Report (PSS-SR)

Total scores range from 0 to 51 with higher scores indicating greater frequency of symptoms, Measure of PTSD symptoms.

Time frame: 2 weeks prior to 6 week, 3 month, 6 month followup

Population: Only includes those with complete scale score information

ArmMeasureGroupValue (MEAN)Dispersion
PPRS VideoPTSD Symptom Scale Self-Report (PSS-SR)3 Month (n = 45, 42, 43)23.98 units on a scaleStandard Deviation 11.09
PPRS VideoPTSD Symptom Scale Self-Report (PSS-SR)6 Week (n = 52, 43, 49)26.98 units on a scaleStandard Deviation 10.42
PPRS VideoPTSD Symptom Scale Self-Report (PSS-SR)6 Month (n = 35, 37, 41)17.66 units on a scaleStandard Deviation 11.83
PIRI VideoPTSD Symptom Scale Self-Report (PSS-SR)3 Month (n = 45, 42, 43)23.33 units on a scaleStandard Deviation 13.03
PIRI VideoPTSD Symptom Scale Self-Report (PSS-SR)6 Week (n = 52, 43, 49)29.07 units on a scaleStandard Deviation 11.48
PIRI VideoPTSD Symptom Scale Self-Report (PSS-SR)6 Month (n = 35, 37, 41)21.65 units on a scaleStandard Deviation 12.8
Standard CarePTSD Symptom Scale Self-Report (PSS-SR)6 Week (n = 52, 43, 49)24.49 units on a scaleStandard Deviation 11.63
Standard CarePTSD Symptom Scale Self-Report (PSS-SR)6 Month (n = 35, 37, 41)19.83 units on a scaleStandard Deviation 12.47
Standard CarePTSD Symptom Scale Self-Report (PSS-SR)3 Month (n = 45, 42, 43)21.70 units on a scaleStandard Deviation 12.56
p-value: 0.15ANOVA
p-value: 0.67ANOVA
p-value: 0.4ANOVA

Source: ClinicalTrials.gov · Data processed: Mar 2, 2026