Strategies for Implementing GlobalConsent to Prevent Sexual Violence in University Men

NCT ID: NCT06443541

Last Updated: 2025-08-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

3439 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-27

Study Completion Date

2028-02-29

Brief Summary

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This project, SCALE, will be the first to compare lower-intensity (standard) and higher-intensity implementation strategies to deliver GlobalConsent-an efficacious web-based sexual violence prevention program-to men attending seven universities across Vietnam. Following a rigorous, mixed-methods, comparative interrupted-time-series design, researchers will collect novel data to compare implementation fidelity, drivers and outcomes, effectiveness, and cost-effectiveness across implementation strategy groups. This partnership includes universities also engaged in a violence-prevention training grant (D43TW012188), offering an unparalleled opportunity for capacity strengthening and evidence generation to guide national leaders on the best strategies for launching GlobalConsent at scale, addressing a sex-differentiated risk factor in adolescence, and thereby improving a range of health outcomes into adulthood.

Detailed Description

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Sexual violence is prevalent in adolescence and heightens the risk of harmful long-term health effects. Sexual violence includes any sexual act committed against a person without freely given consent. All sexes may experience sexual violence, but sexual violence more often burdens women than men globally, and men most often perpetrate such violence. Adolescence is a period of vulnerability to sexual violence, with about one in five college women in the US experiencing a campus sexual assault, and 91% of victims being women. Less is known about the rates of sexual violence on college campuses. Still, estimates from large, multi-country surveys confirm that young men's reported sexually violent behavior and young women's reported sexual violence victimization are high, including in Asia/Pacific. In Vietnam, from 2010 to 2019, women's reports of lifetime sexual violence by a partner increased (10% to 13%), especially in women 18-24 years (5% to 14%). Such trends may reflect changing exposure and more openness to discuss sex and sexual violence. Also, nearly one in ten women (9%) report non-partner sexual violence since age 15, mostly perpetrated by non-family male acquaintances, co-workers, or strangers. Young women who are victims of sexual violence are at heightened risk of acute and chronic mental and physical health conditions.

The researchers will use the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) and Proctor et al. frameworks and a mixed-methods, comparative interrupted time series (CITS) design to compare implementation; implementation drivers and outcomes; implementation effectiveness; and cost-effectiveness of lower-intensity vs higher-intensity (LIS; HIS) implementation strategies to deliver GlobalConsent.

Conditions

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Violence, Sexual

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This cluster-randomized design assigns seven universities to High-intensity implementation strategies (HIS) or Lower-intensity (LIS) implementation strategies to deliver GlobalConsent education.
Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Students

Students in either randomization group will become active consumers of GlobalConsent with an email introduction to the program, process, delivery schedule, data collection procedures, and consent.

Group Type EXPERIMENTAL

High-intensity implementation strategies (HIS)-Students

Intervention Type BEHAVIORAL

Students in the HIS group will receive educational outreach in a pre-implementation in-person 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.

Low-intensity implementation strategies (LIS) for Students

Intervention Type BEHAVIORAL

Students in the LIS group will receive basic implementation strategies of the GlobalConsent often used to deliver online programs at US universities with email/SMS completion reminders with a predetermined frequency for 12 weeks.

Faculty

Faculty will receive access to educational material based on the university randomization implementation strategies group.

Group Type EXPERIMENTAL

High-intensity implementation strategies (HIS) for Faculty

Intervention Type OTHER

* Passive access to web-based educational materials
* Town halls (3) with general faculty to define sexual violence; rates in young people; acute/chronic effects over the life course; primary-prevention evidence-based interventions (EBIs)

Low-intensity implementation strategies (LIS) for Faculty

Intervention Type OTHER

Passive access to web-based educational materials

Leaders

Leaders will receive site-specific (University) invitations and material based on the implementation strategies group.

Group Type EXPERIMENTAL

High-intensity implementation strategies (HIS) for Leaders

Intervention Type OTHER

* Site-specific invitation to participate
* Passive access to web-based educational materials
* One pre-implementation webinar to define sexual violence; rates among young people in Vietnam; acute/chronic effects over life course; primary-prevention EBIs; recap of project description and collaboration; share GlobalConsent website for passive access to educational materials
* Monthly emails from trained internal facilitators to university leaders with updates on implementation progress
* One post-implementation webinar to share anonymized findings (by IS group); discuss plan for sustainment (including guidance on how to handle reporting of sexual violence in existing university counseling centers)

Low-intensity implementation strategies (LIS) for Leaders

Intervention Type OTHER

* Site-specific invitation to participate
* Passive access to web-based educational materials
* One pre-implementation webinar to define sexual violence; rates among young people in Vietnam; acute/chronic effects over life course; primary-prevention EBIs; recap of project description and collaboration; share GlobalConsent website for passive access to educational materials

Implementation Team Members

Implementation team members will receive passive access to web-based materials and training according to the university-specific implementation strategies group.

Group Type EXPERIMENTAL

High-intensity implementation strategies (HIS) for Implementation Team Members

Intervention Type OTHER

* Passive access to web-based educational materials
* In-person technical training on campus-wide implementation of GlobalConsent; discussion and demonstration of GlobalConsent program; standardized implementation manual
* In-person leadership training to champion GlobalConsent with internal stakeholders (leaders, implementation teams, faculty, students); leadership styles; managing teams; influence without authority; managing conflict; emotional intelligence; negotiation; leading change
* Biweekly (six) 1-hr recorded quality-improvement team webinars to provide refresher training; assess implementation progress; assess modifications; build peer-network; provide anonymized data on implementation progress for discussion

Low-intensity implementation strategies (LIS) Implementation Team Members

Intervention Type OTHER

* Passive access to web-based educational materials
* In-person technical training on campus-wide implementation of GlobalConsent; discussion and demonstration of GlobalConsent program; standardized implementation manual

Interventions

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High-intensity implementation strategies (HIS)-Students

Students in the HIS group will receive educational outreach in a pre-implementation in-person 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.

Intervention Type BEHAVIORAL

Low-intensity implementation strategies (LIS) for Students

Students in the LIS group will receive basic implementation strategies of the GlobalConsent often used to deliver online programs at US universities with email/SMS completion reminders with a predetermined frequency for 12 weeks.

Intervention Type BEHAVIORAL

High-intensity implementation strategies (HIS) for Faculty

* Passive access to web-based educational materials
* Town halls (3) with general faculty to define sexual violence; rates in young people; acute/chronic effects over the life course; primary-prevention evidence-based interventions (EBIs)

Intervention Type OTHER

Low-intensity implementation strategies (LIS) for Faculty

Passive access to web-based educational materials

Intervention Type OTHER

High-intensity implementation strategies (HIS) for Leaders

* Site-specific invitation to participate
* Passive access to web-based educational materials
* One pre-implementation webinar to define sexual violence; rates among young people in Vietnam; acute/chronic effects over life course; primary-prevention EBIs; recap of project description and collaboration; share GlobalConsent website for passive access to educational materials
* Monthly emails from trained internal facilitators to university leaders with updates on implementation progress
* One post-implementation webinar to share anonymized findings (by IS group); discuss plan for sustainment (including guidance on how to handle reporting of sexual violence in existing university counseling centers)

Intervention Type OTHER

Low-intensity implementation strategies (LIS) for Leaders

* Site-specific invitation to participate
* Passive access to web-based educational materials
* One pre-implementation webinar to define sexual violence; rates among young people in Vietnam; acute/chronic effects over life course; primary-prevention EBIs; recap of project description and collaboration; share GlobalConsent website for passive access to educational materials

Intervention Type OTHER

High-intensity implementation strategies (HIS) for Implementation Team Members

* Passive access to web-based educational materials
* In-person technical training on campus-wide implementation of GlobalConsent; discussion and demonstration of GlobalConsent program; standardized implementation manual
* In-person leadership training to champion GlobalConsent with internal stakeholders (leaders, implementation teams, faculty, students); leadership styles; managing teams; influence without authority; managing conflict; emotional intelligence; negotiation; leading change
* Biweekly (six) 1-hr recorded quality-improvement team webinars to provide refresher training; assess implementation progress; assess modifications; build peer-network; provide anonymized data on implementation progress for discussion

Intervention Type OTHER

Low-intensity implementation strategies (LIS) Implementation Team Members

* Passive access to web-based educational materials
* In-person technical training on campus-wide implementation of GlobalConsent; discussion and demonstration of GlobalConsent program; standardized implementation manual

Intervention Type OTHER

Other Intervention Names

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HIS-Students LIS-Students HIS-Faculty LIS-Faculty HIS-Leaders LIS-Leaders HIS-Implementation Team Members LIS Implementation Team Members

Eligibility Criteria

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Inclusion Criteria

* 18 and older
* Men who self-identify as heterosexual or bisexual (who are attracted to women),
* Enrolled as first-year students in any of the seven participating study universities in North, Central, and South Vietnam.


* All registered lecturers at each of the seven participating study universities will be eligible to participate in the faculty surveys in years 1, 3, and 5.


* Recommendation of study staff at each participating study university
* Knowledge about the implementation landscape and implementation of GlobalConsent.


* Identified by relevant study staff.

Exclusion Criteria

* Adults unable to consent
* Individuals who are not yet adults (infants, children, teenagers)


* None


* None


* None
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Center for Creative Initiatives in Health and Population

OTHER

Sponsor Role collaborator

Georgia State University

OTHER

Sponsor Role collaborator

Emory University

OTHER

Sponsor Role lead

Responsible Party

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Kathryn Yount

Professor of Global Health

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kathryn Yount, PhD

Role: PRINCIPAL_INVESTIGATOR

Emory University

Locations

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Can Tho University of Medicine and Pharmacy (CTUMP)

Can Tho, , Vietnam

Site Status RECRUITING

Da Nang University of Medical Technology & Pharmacy (DUMTP)

Da Nang, , Vietnam

Site Status RECRUITING

Hai Phong University of Medicine and Pharmacy

Haiphong, , Vietnam

Site Status RECRUITING

Hanoi Medical University

Hanoi, , Vietnam

Site Status RECRUITING

Ho Chi Minh City Medicine and Pharmacy University

Ho Chi Minh City, , Vietnam

Site Status RECRUITING

Hong Bang University

Ho Chi Minh City, , Vietnam

Site Status RECRUITING

Hue University of Medicine and Pharmacy

Huế, , Vietnam

Site Status RECRUITING

Countries

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Vietnam

Central Contacts

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Kathryn Yount, PhD

Role: CONTACT

404-727-8511

Facility Contacts

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Tran Hung Minh, MD, MSc

Role: primary

0243 5770261

References

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Yount KM, Whitaker D, Fang X, Trang QT, Macaulay M, Hung MT. Strategies for Implementing GlobalConsent to Prevent Sexual Violence in University Men (SCALE): Study Protocol for a National Implementation Trial. Res Sq [Preprint]. 2024 Sep 10:rs.3.rs-4745916. doi: 10.21203/rs.3.rs-4745916/v1.

Reference Type DERIVED
PMID: 39315253 (View on PubMed)

Yount KM, Whitaker DJ, Fang X, Trang QT, Macaulay M, Minh TH. Strategies for Implementing GlobalConsent to Prevent Sexual Violence in University Men (SCALE): study protocol for a national implementation trial. Trials. 2024 Aug 29;25(1):571. doi: 10.1186/s13063-024-08401-5.

Reference Type DERIVED
PMID: 39210388 (View on PubMed)

Other Identifiers

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1R01MH133259

Identifier Type: NIH

Identifier Source: secondary_id

View Link

STUDY00006481

Identifier Type: -

Identifier Source: org_study_id

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