Evaluating Cross-Cutting Prevention at the U.S. Air Force Academy

NCT ID: NCT06875284

Last Updated: 2025-11-25

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 2041 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-06-27
• Study Completion Date: 2024-05-01

Brief Summary

Sexual assault and alcohol misuse are interrelated, persist at high rates in military populations, and carry negative consequences for military units and personnel. Combining tailored efforts to prevent sexual assault and alcohol misuse is critical for developing a more effective Force. This study will test the cross-cutting immediate and long-term outcomes of two programs, the Sexual Communication and Consent (SCC) sexual assault prevention program and the eCHECKUP TO GO alcohol misuse prevention program, delivered separately and in combination, with Cadets at the United States Air Force Academy. Anonymous Cadet self-report data will be collected before training (pre-test), immediately after training (post-test), 3 months after training (Fall semester follow-up), and 9 months after training (Spring semester follow-up).

Detailed Description

Sexual assault and alcohol misuse both persist at high rates among military populations. These behaviors interfere with readiness, unit cohesion, mission objectives, and personnel performance and retention. There are demonstrated associations between sexual assault and alcohol misuse for both perpetrators and victims of sexual assault. Therefore, combining efforts to prevent sexual assault and alcohol misuse is critical for more effective and efficient programming. Moreover, tailored prevention programming that addresses individual risks and experiences related to sexual assault and alcohol misuse is likely to be the most effective programming. Unfortunately, to date, no evidence-based cross-cutting interventions have been developed and evaluated for impacts on both sexual assault and alcohol misuse among military populations. Several challenges impede this effort. Sexual assault prevention and alcohol misuse prevention are typically managed in different organizations within military settings, including within Military Service Academies. Training settings face many competing demands for trainees' time and instructor capacity, and instructors' ability to provide both sexual assault-related and alcohol-related training varies widely. Despite the promise of tailored training, individualized programming also presents feasibility challenges in group education settings common to military training. In alignment with the Fiscal Years 2021-2025 Department of Defense (DoD) Sexual Assault Prevention and Response (SAPR) Research Agenda and DoD's desire to have cross-cutting prevention programs that reduce risk for multiple harmful behaviors, the long-term goal of the proposed work is to address these challenges and provide the military with flexible, engaging, tailored prevention programming that reduces sexual assault and alcohol misuse while minimizing burden on Service members and training settings. To that end, the basic objective of this study is to test the cross-cutting immediate and long-term outcomes of two programs, the Sexual Communication and Consent (SCC) sexual assault prevention program and the eCHECKUP TO GO alcohol misuse prevention program, delivered separately and in combination, with Cadets at the United States Air Force Academy. Anonymous Cadet self-report data will be collected before training (pre-test), immediately after training (post-test), 3 months after training (Fall semester follow-up), and 9 months after training (Spring semester follow-up).

Conditions

Sexual Assault; Alcohol Misuse

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Training as usual (TAU)

TAU without SCC or eCHECKUP TO GO

Group Type: ACTIVE_COMPARATOR

Training as usual (TAU)

Intervention Type: BEHAVIORAL

TAU involves universal classroom instruction focused on developing knowledge, attitudes, and skills to promote personal resilience, increase potential for success, and develop healthy and rewarding personal relationships.

TAU plus eCHECKUP TO GO

TAU with eCHECKUP TO GO (without SCC)

Group Type: EXPERIMENTAL

Alcohol eCHECKUP TO GO (eCHECKUP TO GO)

Intervention Type: BEHAVIORAL

eCHECKUP TO GO is a personalized, online intervention designed to reduce cognitive risk factors for alcohol misuse. eCHECKUP TO GO is brief, self-guided, and provides individualized feedback based on a user's self-reported alcohol use patterns and consequences.

Training as usual (TAU)

Intervention Type: BEHAVIORAL

TAU involves universal classroom instruction focused on developing knowledge, attitudes, and skills to promote personal resilience, increase potential for success, and develop healthy and rewarding personal relationships.

SCC

SCC without TAU or eCHECKUP TO GO

Group Type: EXPERIMENTAL

Sexual Communication and Consent (SCC)

Intervention Type: BEHAVIORAL

SCC combines universal classroom instruction with tailored web-based content. Based on sociodemographic characteristics and prior sexual assault experiences, Cadets receive tailored content that addresses either primary victimization prevention, revictimization prevention, or healthy relationships and bystander intervention promotion.

SCC plus eCHECKUP TO GO

SCC with eCHECKUP TO GO (without TAU)

Group Type: EXPERIMENTAL

Sexual Communication and Consent (SCC)

Intervention Type: BEHAVIORAL

SCC combines universal classroom instruction with tailored web-based content. Based on sociodemographic characteristics and prior sexual assault experiences, Cadets receive tailored content that addresses either primary victimization prevention, revictimization prevention, or healthy relationships and bystander intervention promotion.

Alcohol eCHECKUP TO GO (eCHECKUP TO GO)

Intervention Type: BEHAVIORAL

eCHECKUP TO GO is a personalized, online intervention designed to reduce cognitive risk factors for alcohol misuse. eCHECKUP TO GO is brief, self-guided, and provides individualized feedback based on a user's self-reported alcohol use patterns and consequences.

Interventions

Sexual Communication and Consent (SCC)

SCC combines universal classroom instruction with tailored web-based content. Based on sociodemographic characteristics and prior sexual assault experiences, Cadets receive tailored content that addresses either primary victimization prevention, revictimization prevention, or healthy relationships and bystander intervention promotion.

Intervention Type: BEHAVIORAL

Alcohol eCHECKUP TO GO (eCHECKUP TO GO)

eCHECKUP TO GO is a personalized, online intervention designed to reduce cognitive risk factors for alcohol misuse. eCHECKUP TO GO is brief, self-guided, and provides individualized feedback based on a user's self-reported alcohol use patterns and consequences.

Intervention Type: BEHAVIORAL

Training as usual (TAU)

TAU involves universal classroom instruction focused on developing knowledge, attitudes, and skills to promote personal resilience, increase potential for success, and develop healthy and rewarding personal relationships.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• U.S. Air Force Academy Basic Cadet enrolled in 2022 or 2023 Basic Cadet Training

Exclusion Criteria

• Unable or unwilling to provide informed consent

• Minimum Eligible Age: 17 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

U.S. Army Medical Research Acquisition Activity

FED

Sponsor Role: collaborator

U.S. Army Medical Research and Development Command

FED

Sponsor Role: collaborator

University of Florida

OTHER

Sponsor Role: collaborator

San Diego State University

OTHER

Sponsor Role: collaborator

United States Department of Defense

FED

Sponsor Role: collaborator

RTI International

OTHER

Sponsor Role: lead

Responsible Party

Marni Kan

Senior Prevention Researcher

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Marni L Kan, PhD

Role: PRINCIPAL_INVESTIGATOR

RTI International

Nichole M Scaglione, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Florida

Emily A Schmied, PhD

Role: PRINCIPAL_INVESTIGATOR

San Diego State University

Locations

United States Air Force Academy

Air Force Academy, Colorado, United States

Countries

United States

References

Goldstein SJ, Scaglione NM, Kan ML, Grimes KEL, Lane ME, Morgan JK, Martin SL. Accuracy, Acceptability, and Burden of an Integrated Screening Approach to Facilitate the Delivery of Tailored Sexual Assault Prevention in the U.S. Air Force. J Child Sex Abus. 2025 Jul-Aug;34(5-6):661-681. doi: 10.1080/10538712.2024.2364792. Epub 2024 Jun 14.

Reference Type: BACKGROUND

PMID: 38874411 (View on PubMed)

Eckhoff R, Boyce M, Watkins RL, Kan M, Scaglione N, Pound L, Root M. Examining the Use of Mobile Technology to Deliver Tailored Sexual Assault Prevention in a Classroom Environment in the Military: Development and Usability Study. JMIR Mhealth Uhealth. 2022 Nov 16;10(11):e41455. doi: 10.2196/41455.

Reference Type: BACKGROUND

PMID: 36383404 (View on PubMed)

Kan ML, Scaglione NM, Buben A, Morgan JK, Grimes KEL, Watson CJ, Charm S, Lowe AN, Eckhoff RP, Lane M, Root MK, Pound LB. Feasibility and acceptability of tailored sexual assault prevention in the US Air Force. Pilot Feasibility Stud. 2024 Nov 21;10(1):145. doi: 10.1186/s40814-024-01565-6.

Reference Type: BACKGROUND

PMID: 39574150 (View on PubMed)

Provided Documents

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

W81XWH-21-9-0011.012

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

W81XWH-20-2-0014

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

0218275.001.001.003

Identifier Type: -

Identifier Source: org_study_id