Drug Abuse, Drug Use, Posttraumatic Stress Disorder
Conditions
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
Video including information psychoeducation and modeling of adaptive behavioral coping strategies for use post-assault. Shown at time of post assault medical exam.
Video containing pleasant imagery and relaxation instruction information. Shown at time of post assault medical exam.
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Drug Abuse Screening Test (DAST-10) | 6 months | total possible scores range from 0 - 10 with higher scores indicating poor functioning, post assault at 6 months |
| Alcohol Use Disorders Identification Test (AUDIT) | 6 months | Total 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-up | quantity in 14 days prior to 6 week, 3 month and 6 month follow-up |
| Amount of Alcohol Use | 14 days prior to 6 week, 3 month, 6 month follow-up | estimated number of drinks during the 14 days prior to each follow-up assessment |
| Marijuana Use Frequency | 14 days prior to 6 week, 3 month, 6 month follow-up | Number of days of use within the 14 days prior to follow-up assessment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Any Other Illicit Drug Use | 14 days prior to 6 week, 3 month, 6 month follow-up | Any 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 Frequency | 14 days prior to 6 week, 3 month, 6 month follow-up | Number 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 followup | Total 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
| Arm | Count |
|---|---|
| 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 |
| Total | 233 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Lost to Follow-up | 23 | 29 | 27 |
| Overall Study | technical or eligibility | 5 | 5 | 2 |
Baseline characteristics
| Characteristic | PIRI (Completing Baseline) | Standard Care (Completing Baseline) | PPRS (Completing Baseline) | Total |
|---|---|---|---|---|
| Age, Categorical <=18 years | 5 Participants | 2 Participants | 3 Participants | 10 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 72 Participants | 77 Participants | 74 Participants | 223 Participants |
| Age, Continuous | 27.99 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 participants | 79 participants | 77 participants | 233 participants |
| Sex: Female, Male Female | 77 Participants | 79 Participants | 77 Participants | 233 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 0 / 82 | 0 / 82 | 0 / 81 |
| serious Total, serious adverse events | 2 / 82 | 0 / 82 | 0 / 81 |
Outcome results
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PPRS Video | Alcohol Use Disorders Identification Test (AUDIT) | 7.21 units on a scale | Standard Deviation 8.73 |
| PIRI Video | Alcohol Use Disorders Identification Test (AUDIT) | 7.53 units on a scale | Standard Deviation 9.69 |
| Standard Care | Alcohol Use Disorders Identification Test (AUDIT) | 8.15 units on a scale | Standard Deviation 7.42 |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PPRS Video | Amount of Alcohol Use | 6 Month (n = 38, 41, 42) | 10.16 Drinks | Standard Deviation 21.42 |
| PPRS Video | Amount of Alcohol Use | 6 Week (n = 54, 48, 51) | 15.33 Drinks | Standard Deviation 21.2 |
| PPRS Video | Amount of Alcohol Use | 3 Month (n = 48, 44, 43) | 8.29 Drinks | Standard Deviation 12.81 |
| PIRI Video | Amount of Alcohol Use | 6 Month (n = 38, 41, 42) | 10.49 Drinks | Standard Deviation 21.58 |
| PIRI Video | Amount of Alcohol Use | 6 Week (n = 54, 48, 51) | 13.92 Drinks | Standard Deviation 28.17 |
| PIRI Video | Amount of Alcohol Use | 3 Month (n = 48, 44, 43) | 14.32 Drinks | Standard Deviation 22.47 |
| Standard Care | Amount of Alcohol Use | 6 Month (n = 38, 41, 42) | 14.60 Drinks | Standard Deviation 22.62 |
| Standard Care | Amount of Alcohol Use | 6 Week (n = 54, 48, 51) | 19.90 Drinks | Standard Deviation 43.73 |
| Standard Care | Amount of Alcohol Use | 3 Month (n = 48, 44, 43) | 11.49 Drinks | Standard Deviation 15.66 |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PPRS Video | Cigarettes (Estimated Number) | 3 Month (n = 48, 44, 43) | 54.63 cigarettes | Standard Error 121.22 |
| PPRS Video | Cigarettes (Estimated Number) | 6 Week (n = 53, 48, 52) | 49.94 cigarettes | Standard Error 80.19 |
| PPRS Video | Cigarettes (Estimated Number) | 6 Month (n = 38, 41, 42) | 42.68 cigarettes | Standard Error 76.78 |
| PIRI Video | Cigarettes (Estimated Number) | 3 Month (n = 48, 44, 43) | 67.73 cigarettes | Standard Error 129.01 |
| PIRI Video | Cigarettes (Estimated Number) | 6 Week (n = 53, 48, 52) | 87.29 cigarettes | Standard Error 141.2 |
| PIRI Video | Cigarettes (Estimated Number) | 6 Month (n = 38, 41, 42) | 71.71 cigarettes | Standard Error 126.15 |
| Standard Care | Cigarettes (Estimated Number) | 6 Week (n = 53, 48, 52) | 118.04 cigarettes | Standard Error 114.94 |
| Standard Care | Cigarettes (Estimated Number) | 6 Month (n = 38, 41, 42) | 84.64 cigarettes | Standard Error 92.67 |
| Standard Care | Cigarettes (Estimated Number) | 3 Month (n = 48, 44, 43) | 84.47 cigarettes | Standard Error 100.54 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PPRS Video | Drug Abuse Screening Test (DAST-10) | 1.97 units on a scale | Standard Deviation 2.65 |
| PIRI Video | Drug Abuse Screening Test (DAST-10) | 2.03 units on a scale | Standard Deviation 2.85 |
| Standard Care | Drug Abuse Screening Test (DAST-10) | 1.18 units on a scale | Standard Deviation 1.62 |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PPRS Video | Marijuana Use Frequency | 3 Month (n = 48, 44, 43) | 2.75 days of use | Standard Deviation 4.94 |
| PPRS Video | Marijuana Use Frequency | 6 Week (n = 54, 48, 52) | 1.98 days of use | Standard Deviation 3.85 |
| PPRS Video | Marijuana Use Frequency | 6 Month (n = 38, 41, 42) | 1.03 days of use | Standard Deviation 2.7 |
| PIRI Video | Marijuana Use Frequency | 3 Month (n = 48, 44, 43) | 1.39 days of use | Standard Deviation 2.81 |
| PIRI Video | Marijuana Use Frequency | 6 Week (n = 54, 48, 52) | 2.48 days of use | Standard Deviation 4.52 |
| PIRI Video | Marijuana Use Frequency | 6 Month (n = 38, 41, 42) | 1.73 days of use | Standard Deviation 3.98 |
| Standard Care | Marijuana Use Frequency | 6 Week (n = 54, 48, 52) | 2.12 days of use | Standard Deviation 4.42 |
| Standard Care | Marijuana Use Frequency | 6 Month (n = 38, 41, 42) | 2.90 days of use | Standard Deviation 5.4 |
| Standard Care | Marijuana Use Frequency | 3 Month (n = 48, 44, 43) | 2.12 days of use | Standard Deviation 4.28 |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| PPRS Video | Any Other Illicit Drug Use | 3 Month (n = 48, 42, 43) | 4 participants |
| PPRS Video | Any Other Illicit Drug Use | 6 Week (n = 54, 48, 52) | 6 participants |
| PPRS Video | Any Other Illicit Drug Use | 6 Month (n = 38, 41, 42) | 4 participants |
| PIRI Video | Any Other Illicit Drug Use | 3 Month (n = 48, 42, 43) | 3 participants |
| PIRI Video | Any Other Illicit Drug Use | 6 Week (n = 54, 48, 52) | 0 participants |
| PIRI Video | Any Other Illicit Drug Use | 6 Month (n = 38, 41, 42) | 4 participants |
| Standard Care | Any Other Illicit Drug Use | 6 Week (n = 54, 48, 52) | 2 participants |
| Standard Care | Any Other Illicit Drug Use | 6 Month (n = 38, 41, 42) | 3 participants |
| Standard Care | Any Other Illicit Drug Use | 3 Month (n = 48, 42, 43) | 2 participants |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PPRS Video | Non-medical Use of Prescription Drugs Frequency | 3 Month (n = 48, 44, 43) | .81 days of use | Standard Deviation 2.57 |
| PPRS Video | Non-medical Use of Prescription Drugs Frequency | 6 Week (n = 54, 48, 52) | 1.56 days of use | Standard Deviation 3.96 |
| PPRS Video | Non-medical Use of Prescription Drugs Frequency | 6 Month (n = 38, 40, 41) | .61 days of use | Standard Deviation 2.39 |
| PIRI Video | Non-medical Use of Prescription Drugs Frequency | 3 Month (n = 48, 44, 43) | .75 days of use | Standard Deviation 2.63 |
| PIRI Video | Non-medical Use of Prescription Drugs Frequency | 6 Week (n = 54, 48, 52) | .08 days of use | Standard Deviation 0.35 |
| PIRI Video | Non-medical Use of Prescription Drugs Frequency | 6 Month (n = 38, 40, 41) | .40 days of use | Standard Deviation 1.19 |
| Standard Care | Non-medical Use of Prescription Drugs Frequency | 6 Week (n = 54, 48, 52) | .54 days of use | Standard Deviation 1.6 |
| Standard Care | Non-medical Use of Prescription Drugs Frequency | 6 Month (n = 38, 40, 41) | .10 days of use | Standard Deviation 0.63 |
| Standard Care | Non-medical Use of Prescription Drugs Frequency | 3 Month (n = 48, 44, 43) | .16 days of use | Standard Deviation 0.62 |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| PPRS Video | PTSD Symptom Scale Self-Report (PSS-SR) | 3 Month (n = 45, 42, 43) | 23.98 units on a scale | Standard Deviation 11.09 |
| PPRS Video | PTSD Symptom Scale Self-Report (PSS-SR) | 6 Week (n = 52, 43, 49) | 26.98 units on a scale | Standard Deviation 10.42 |
| PPRS Video | PTSD Symptom Scale Self-Report (PSS-SR) | 6 Month (n = 35, 37, 41) | 17.66 units on a scale | Standard Deviation 11.83 |
| PIRI Video | PTSD Symptom Scale Self-Report (PSS-SR) | 3 Month (n = 45, 42, 43) | 23.33 units on a scale | Standard Deviation 13.03 |
| PIRI Video | PTSD Symptom Scale Self-Report (PSS-SR) | 6 Week (n = 52, 43, 49) | 29.07 units on a scale | Standard Deviation 11.48 |
| PIRI Video | PTSD Symptom Scale Self-Report (PSS-SR) | 6 Month (n = 35, 37, 41) | 21.65 units on a scale | Standard Deviation 12.8 |
| Standard Care | PTSD Symptom Scale Self-Report (PSS-SR) | 6 Week (n = 52, 43, 49) | 24.49 units on a scale | Standard Deviation 11.63 |
| Standard Care | PTSD Symptom Scale Self-Report (PSS-SR) | 6 Month (n = 35, 37, 41) | 19.83 units on a scale | Standard Deviation 12.47 |
| Standard Care | PTSD Symptom Scale Self-Report (PSS-SR) | 3 Month (n = 45, 42, 43) | 21.70 units on a scale | Standard Deviation 12.56 |