大学生の性暴力を防ぐためのグローバルコンセント導入戦略 (SCALE)

実験的：学生

いずれかのランダム化グループの学生は、プログラム、プロセス、配信スケジュール、データ収集手順、および同意について電子メールで紹介され、GlobalConsent の積極的な利用者になります。

行動：学生向けの低集中実施戦略 (LIS)

LIS グループの学生は、米国の大学でオンライン プログラムを提供するためによく使用される GlobalConsent の基本的な実装戦略を、電子メール/SMS による完了リマインダーとともに、あらかじめ決められた頻度で 12 週間受け取ります。

他の名前：

• LIS-学生

行動：High-intensity implementation strategies (HIS)-Students

Students in the HIS group will receive educational outreach in a pre-implementation orientation to GlobalConsent, covering similar topics and three monthly one-hour learning sessions during implementation in which technical questions about program access or progression can be addressed; more intensive intervention to enhance adherence with more frequent email/Short Message Service (SMS), completion reminders; and demand generation encouraging program completion.

他の名前：

• HIS-学生

実験的：学部

教員は、大学のランダム化実施戦略グループに基づいて教育資料にアクセスできます。

他の：教員向けの高集中実施戦略 (HIS)

• Web ベースの教材への受動的アクセス
• 市庁舎 (3) には性暴力を定義するための一般教員がいる。若者の割合。生涯にわたる急性/慢性影響。一次予防、証拠に基づく介入 (EBI)

他の名前：

• 彼の学部

他の：教員向けの低集中実施戦略 (LIS)

Web ベースの教材への受動的アクセス

他の名前：

• LIS-学部

実験的：リーダー

リーダーは、実施戦略グループに基づいて、サイト固有（大学）の招待状と資料を受け取ります。

他の：リーダー向けの高強度実施戦略 (HIS)

• サイト固有の参加への招待
• Web ベースの教材への受動的アクセス
• 性暴力を定義するための実装前ウェビナー 1 つ。ベトナムの若者の割合。生涯にわたる急性/慢性影響。一次予防 EBI。プロジェクトの説明とコラボレーションの要約。教育資料への受動的アクセスのための GlobalConsent Web サイトを共有する
• 訓練を受けた内部ファシリテーターから大学のリーダーに、実装の進捗状況に関する最新情報をメールで毎月送信
• 匿名化された調査結果を共有する実装後のウェビナー 1 回 (IS グループによる)。持続のための計画について話し合う（既存の大学カウンセリングセンターにおける性暴力の報告の取り扱い方法に関するガイダンスを含む）

他の名前：

• HIS リーダー

他の：リーダー向けの低強度実装戦略 (LIS)

• サイト固有の参加への招待
• Web ベースの教材への受動的アクセス
• 性暴力を定義するための実装前ウェビナー 1 つ。ベトナムの若者の割合。生涯にわたる急性/慢性影響。一次予防 EBI。プロジェクトの説明とコラボレーションの要約。教育資料への受動的アクセスのための GlobalConsent Web サイトを共有する

他の名前：

• LIS リーダー

実験的：実装チームのメンバー

実装チームのメンバーは、大学固有の実装戦略グループに従って、Web ベースの資料とトレーニングに受動的にアクセスできます。

他の：実装チームメンバー向けの高強度実装戦略 (HIS)

• Web ベースの教材への受動的アクセス
• GlobalConsent のキャンパス全体への導入に関する対面での技術トレーニング。 GlobalConsent プログラムのディスカッションとデモンストレーション。標準化された実装マニュアル
• 内部関係者 (リーダー、実装チーム、教員、学生) とともに GlobalConsent を擁護するための対面リーダーシップ トレーニング。リーダーシップのスタイル。チームの管理。権威のない影響力。紛争の管理。感情的知性;交渉;変化を導く
• 更新トレーニングを提供する、隔週 (6 回) の 1 時間の録画品質向上チーム ウェビナー。実装の進捗状況を評価する。変更を評価する。ピアネットワークを構築します。実装の進捗状況に関する匿名化されたデータを議論のために提供する

他の名前：

• HIS 実装チームのメンバー

他の：低強度実装戦略 (LIS) 実装チームのメンバー

• Web ベースの教材への受動的アクセス
• GlobalConsent のキャンパス全体への導入に関する対面での技術トレーニング。 GlobalConsent プログラムのディスカッションとデモンストレーション。標準化された実装マニュアル

他の名前：

• LIS 実装チームのメンバー

Students' Reported Prosocial Bystander Behavior

Students will be asked if they had engaged in any of seven prosocial bystander behaviors in the past 3 months (or since the last time completing the questionnaire). Items are scored as 0 = never performed, 1 = performed once, 2 = performed more than once. The numbers of participants who report engaging in at least one of seven prosocial bystander behaviors at least once are presented here.

Students' reported Sexually Violent Behavior

The Sexual Experiences Survey (SES) is an assessment tool used to measure the prevalence of sexual aggression. It is designed to measure the frequency and severity of sexual aggression acts committed by an individual. The SES is a self-report questionnaire developed by researchers at the University of Michigan. The Sexual Experiences Survey - Short Form Victimization is a multi-item measure to assess unwanted sexual victimization. Surveys will be provided every six months for up to 30 months.

障害の評価とスケジュール

学生のみ: 障害評価は、世界保健機関障害評価スケジュール 2.0 (WHODAS 2.0) を使用して評価されます。これは、精神障害、神経障害、依存性障害を含むすべての疾患にわたって使用される健康と障害の汎用評価手段であり、両方の疾患に適用されます。臨床および一般集団の設定。 これは、障害のレベルと機能を 6 つの領域で測定するツールです。 回答では、各質問を 0 (なし) から 4 (極端またはできない) のスケールで評価します。

採点方法には、単純スコア、複合スコア、平均スコアの 3 つがあります。 単純なスコアは、各質問の評価の合計です。 複合スコアは、評価の合計に重み係数を掛けたものです。 平均スコアは、各ドメインの評価の平均です。

診断および統計マニュアル (DSM)-5 横断的な症状の対策

学生のみ: DSM-5 自己評価レベル 1 の横断的症状測定 - 成人向けは、さまざまな精神医学的診断にわたって重要なメンタルヘルス領域を評価するために設計されたツールです。 これは、うつ病、不安、身体症状など、13 の精神医学的領域を評価する 23 の質問で構成されています。 測定の各項目は 5 段階評価で評価されます (0= なしまたは全くなし、1= 軽度または稀、1 ～ 2 日未満、2= 軽度または数日、3= 中程度または半分以上)日; 4 = ひどい、またはほぼ毎日）。 ドメイン内の項目に対する軽度 (つまり 2) 以上の評価は、そのドメインのより詳細な評価が必要かどうかを判断するための追加の調査とフォローアップにつながる可能性があります。 特定の領域で一貫して高いスコアは、その個人にとって重大で問題のある症状を示している可能性があり、さらなる評価、治療、追跡調査が必要になる可能性があります。

アルコール障害の知識/認知に対するアルコールの影響

学生のみ：このフォームは、意思決定、行動、性的暴力に焦点を当てた5つのアルコール関連の質問について回答者の同意または意見の相違を求めます。 「完全に同意しない」から「完全に同意する」までの5ポイントのリッカートを使用して、合意または意見の相違を評価します。

Perceptions of Sexual Violence form at their respective university

Perceptions of sexual violence will be assessed by respondents' rating their level of agreement with 3 statements regarding the frequency and impact of sexual violence at their university using a 5-point Likert scale ranging from "Totally disagree" to "Totally agree."

Surveys will be provided to all groups at different time points as follows:

• Students: Baseline (month 10), every 6 months up to 30 months
• Faculty: Baseline, 32 months, and 44 months
• Leaders: Baseline and 41 months
• Implementation Team: Baseline, month 25, month 29, and month 32

Implementation Team Scale for staff and supervisors

Leadership in implementation teams is assessed using two scales, one for implementation team supervisors, and one for implementation team staff. Each scale has 13 items and uses a 5-point Likert ranging from "Totally disagree" to "Totally agree" to assess respondent's agreement on statements about their team supervisor (for staff) or themselves (for supervisors).

Cultural Exchange Inventory

For implementation team members only: The Cultural Exchange Inventory assesses the teamwork landscape of GlobalConsent implementation teams using 7 items. Respondents give their level of agreement, using a 5-point Likert scale ranging from "Totally disagree" to "Totally agree," on statements such as "The implementation team is working well together to implement GlobalConsent" and "My colleagues are devoting a lot of time and energy to maintain the collaboration of the implementation team.

College Date Rape Attitudes & Behaviors Scale

For implementation team members only: The College Date Rape Attitude Survey (CDRAS), a measure intended to assess attitudes related to the risk of committing rape in adolescents and young adults, the CDRAS measures four rape-related attitudes: Entitlement, Blame Shifting, Traditional Roles, and Overwhelming Sexual Arousal. The CDRAS contains 20 items measuring attitudes toward date rape. All items require responses on a 5-point Likert scale. The responses for the attitude scale are strongly agree, agree, neutral, disagree, and strongly disagree. Scoring is reversed for appropriate items; so that high scores (5) always correspond to the most desirable (rape-related) responses.

Acceptability, Feasibility, and Appropriateness of Programming to Prevent Sexually Violent Behavior among Students

This scale assesses respondents' attitudes towards sexual violence prevention programming by asking them to rate their level of agreement with 10 statements, such as "Implementing sexual violence prevention programming with students at our university is something I support," "...addresses a relevant problem among our students," "…would be easy for students to participate in." These statements will be rated using a 5-point Likert scale ranging from "Totally disagree" to "Totally agree."

Surveys will be provided to all groups at different time points as follows:

• Students: Baseline (month 10), every 6 months up to 30 months
• Faculty: Baseline, 32 months, and 44 months
• Leaders: Baseline and 41 months
• Implementation Team: Baseline, month 25, month 29, and month 32

Acceptability, Feasibility, and Appropriateness of GlobalConsent

This scale assesses respondents' attitudes towards the GlobalConsent program specifically by asking them to rate their level of agreement or disagreement with 10 statements, such as "Implementing GlobalConsent with students at our university is something I support," "...addresses a relevant problem among our students," "…would be easy for students to participate in." these statements will be rated using a 5-point Likert ranging from "Totally disagree" to "Totally agree."

Surveys will be provided to all groups at different time points as follows:

• Students: Baseline (month 10), every 6 months up to 30 months.
• Faculty: Baseline, 32 months, and 44 months
• Leaders: Baseline and 41 months
• Implementation Team: Baseline, month 25, month 29, and month 32

Sexual Violence Legality and Harm (Information about Sexual Activity)

Knowledge of the law is assessed with 12 items where respondents indicate if they think the situations described are illegal (scored as 1), legal, but harmful (2), or legal and not harmful (3), with example items including "Forcing a person to have oral sex" and "Pressuring someone to have sex." Items will be re-coded such that responses indicating an accurate estimate or overestimate of the illegality and harms of sexual violence were coded as "1" and items indicating an underestimation of the illegality and harms of sexual violence were coded as "0".

Surveys will be provided to all groups at different time points as follows:

• Students: Baseline (month 10), every 6 months up to 30 months.
• Faculty: Baseline, 32 months, and 44 months
• Leaders: Baseline and 41 months
• Implementation Team: Baseline, month 25, month 29, and month 32

Active Consent (Information about Sexual Consent)

This form adapted the Sexual Consent Scale to ask respondents to rate their level of agreement with 12 statements about sexual consent using a 5-point Likert scale ranging from "totally disagree" to "totally agree". It includes statements such as "If a person consents to sex, one can continue sexual contact even if the person changes their mind," and "Obtaining consent for sex is just as necessary in a long-term relationship as in a new relationship."

Surveys will be provided to all groups at different time points as follows:

• Students: Baseline (month 10), every 6 months up to 30 months
• Faculty: Baseline, 32 months, and 44 months
• Leaders: Baseline and 41 months
• Implementation Team: Baseline, month 25, month 29, and month 32

Rejection of Rape Myths (Attitudes about Sexual Situations)

This form is a combination of the Illinois Rape Myth Acceptance Scale and the College Date Rape Attitudes & Behaviors Scale. This assesses attitudes towards sexual assault and rape by asking respondents to rate their level of agreement or disagreement with 15 statements using a 5-point Likert scale ranging from "totally disagree" to "totally agree". Statements include "If a woman dresses in a sexy dress, she is asking for sex," and "When guys rape, it is usually because of their strong desire for sex."

Surveys will be provided to all groups at different time points as follows:

• Students: Baseline (month 10), every 6 months up to 30 months.
• Faculty: Baseline, 32 months, and 44 months
• Leaders: Baseline and 41 months
• Implementation Team: Baseline, month 25, month 29, and month 32

Perceptions of Campus Attitudes

This form assesses the perceptions of respondents in their university's faculty and leaders' potential response to sexual violence on their university campus. Questions ask about behaviors of abuse, sexual assault, and stalking, and their level of agreement or disagreement with whether faculty and leaders would believe a student reporting experiencing these behaviors, respect a student who reported experiencing these behaviors, or admire a student intervening in these behaviors. Agreement is assessed using a 5-point Likert scale ranging from "totally disagree" to "totally agree"

Surveys will be provided to all groups at different time points as follows:

• Students: Baseline (month 10), every 6 months up to 30 months
• Faculty: Baseline, 34 months, and 49 months
• Leaders: Baseline and 41 months
• Implementation Team: Baseline, month 25, month 29, and month 32

Empathy for Rape Victims

Students only: Empathy for rape victims will be assessed with a modified version of the Rape Empathy Scale (RES). This assessment includes 10 items where participants were asked to choose between two statements, one of which reflected greater empathy towards rapists ("I understand the helplessness a rapist might feel during a rape since he cannot control his actions") and one of which reflected greater empathy towards victims ("I understand the helplessness a victim might feel during a rape"). Responses are scored as 1 (more empathy for victim) or 0 (more empathy for perpetrator) and total scores range from 0 to 10 where higher scores indicate more empathy towards rape victims.

Sexual Communication Attitudes

Students only: This is a 7-item scale measuring agreement or disagreement with statements focusing on sexual communication. Agreement and disagreement is assessed using a 5-point Likert ranging from "totally disagree" to "totally agree."

Bystander Self-Efficacy

Students only: Bystander Self-Efficacy will be measured using the Bystander Efficacy Scale, which was developed for a project that evaluated the effectiveness of a sexual violence prevention program based on preventing antecedents to sexual violence by increasing prosocial bystander behavior. On this measure, participants are asked to indicate their confidence, on a 3-point scale, in performing each of 10 bystander behaviors (e.g., "Speak up to a guy who is making excuses for using physical force in a sexual relationship."). Scores are created by subtracting the mean of the 10 items from 100 to create a scale of perceived ineffectiveness; thus, higher scores indicate lesser effectiveness.

Bystander Intention to Intervene (Readiness to Intervene)

Students only: Readiness to Intervene will be measured using three intent-to-help subscales.

• Intent to Help Friend Scale: Sexual Abuse
• Intent to Help Friend Scale: Intimate Partner Violence Intent to help is an attitude that is related to bystander action. Participants will be asked how likely they are to take different bystander actions.

The second Intent to Help subscale focuses on participants' intent to help strangers in both sexual abuse and intimate partner abuse situations.

Responses range from 1 (not at all likely) to 5 (extremely likely). The average is calculated from the answers across the items to score this measure.

Severity Measure for Depression

Students only: Depression will be measured using the Patient Health Questionnaire 9 (PHQ-9): The PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring, and measuring the severity of depression. The PHQ-9 is completed by the participant in minutes and is rapidly scored by a clinician. The PHQ-9 can also be administered repeatedly, which can reflect the improvement or the worsening of depression in response to treatment. PHQ-9 scores of 5, 10, 15, and 20 represent mild, moderate, moderately severe, and severe depression.

Generalized Anxiety Disorder

Students will complete the Generalized Anxiety Disorder 7-item (GAD-7), which is a quick and easy tool to help identify patients with anxiety and monitor treatment response. The GAD-7 has been validated as a diagnostic tool and a severity assessment scale. The scale consists of 7 items. The total score can range from 0 to 21, and it indicates the severity of anxiety as follows:

0 to 4: Minimal anxiety 5 to 9: Mild anxiety 10 to 14: Moderate anxiety 15 to 21: Severe anxiety

Students' Proactive Bystander Behavior Scale

This scale asks respondents to indicate whether and how often they completed proactive bystander behavior actions in the last 6 months (the time between each survey wave). Behaviors include "I have encouraged others to learn more and get involved in preventing sexual or dating violence," and "I have told guys not to talk about women in sexually degrading ways," and response options for each statement are (0) No, I have not done this in the last 6 months, (1) Yes, once in the last 6 months, and (2) Yes, more than once in the last 6 months.

Students' Reactive Bystander Action Scale

This scale asks respondents whether and how often they completed reactive bystander behavior actions in the last 6 months (the time between each survey wave). Actions include "I have expressed concern or offered help to a woman who said she had an unwanted sexual experience but didn't call it 'rape'," "I have reported formally to an authority a guy who used physical force against a women," and "I have intervened with a guy's action because I wanted to stop an act of sexual violence." Responses options for each statement are (0) I experienced this situation in the last 6 months and did NOT act, (1) Yes, once in the last 6 months, (2) Yes, more than once in the last 6 months, and (9) I did NOT experience any situation like this in the last 6 months.