Trial Outcomes & Findings for Evaluating Cross-Cutting Prevention at the U.S. Air Force Academy (NCT NCT06875284)
NCT ID: NCT06875284
Last Updated: 2025-11-25
Results Overview
Participants self-report whether they experienced any type of unwanted sexual contact between Basic Cadet Training and the Spring semester follow-up using a modified version of the Sexual Experiences Survey.
COMPLETED
NA
2041 participants
From pre-test to Spring semester follow-up, an average of 10 months
2025-11-25
Participant Flow
Unit of analysis: Squadrons
Participant milestones
| Measure |
Training as usual (TAU)
TAU without SCC or eCHECKUP TO GO
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.
|
TAU plus eCHECKUP TO GO
TAU with eCHECKUP TO GO (without SCC)
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.
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.
|
Sexual Communication and Consent (SCC)
SCC without TAU or eCHECKUP TO GO
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.
|
SCC plus eCHECKUP TO GO
SCC with eCHECKUP TO GO (without TAU)
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.
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.
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
556 5
|
401 3
|
632 5
|
396 3
|
|
Overall Study
Posttest
|
560 5
|
328 3
|
490 5
|
337 3
|
|
Overall Study
3-month follow-up
|
89 5
|
21 3
|
94 5
|
28 3
|
|
Overall Study
COMPLETED
|
24 5
|
13 3
|
31 5
|
11 3
|
|
Overall Study
NOT COMPLETED
|
532 0
|
388 0
|
601 0
|
385 0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Evaluating Cross-Cutting Prevention at the U.S. Air Force Academy
Baseline characteristics by cohort
| Measure |
Training as Usual (TAU)
n=556 Participants
TAU without SCC or eCHECKUP TO GO
|
TAU Plus eCHECKUP TO GO
n=401 Participants
TAU with eCHECKUP TO GO (without SCC)
|
Sexual Communication and Consent (SCC)
n=632 Participants
Sexual Communication and Consent without TAU or eCHECKUP TO GO
|
SCC Plus eCHECKUP TO GO
n=396 Participants
SCC with eCHECKUP TO GO (without TAU)
|
Total
n=1985 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Age, Continuous
|
18.33 years
STANDARD_DEVIATION 0.98 • n=45 Participants
|
18.35 years
STANDARD_DEVIATION 0.86 • n=12929 Participants
|
18.29 years
STANDARD_DEVIATION 0.93 • n=6349 Participants
|
18.34 years
STANDARD_DEVIATION 0.91 • n=4548 Participants
|
18.32 years
STANDARD_DEVIATION 0.93 • n=28448 Participants
|
|
Sex: Female, Male
Female
|
156 Participants
n=45 Participants
|
118 Participants
n=12929 Participants
|
173 Participants
n=6349 Participants
|
107 Participants
n=4548 Participants
|
554 Participants
n=28448 Participants
|
|
Sex: Female, Male
Male
|
400 Participants
n=45 Participants
|
283 Participants
n=12929 Participants
|
459 Participants
n=6349 Participants
|
289 Participants
n=4548 Participants
|
1431 Participants
n=28448 Participants
|
|
Race/Ethnicity, Customized
Asian
|
45 Participants
n=45 Participants
|
38 Participants
n=12929 Participants
|
54 Participants
n=6349 Participants
|
37 Participants
n=4548 Participants
|
174 Participants
n=28448 Participants
|
|
Race/Ethnicity, Customized
Black or African American
|
30 Participants
n=45 Participants
|
14 Participants
n=12929 Participants
|
32 Participants
n=6349 Participants
|
16 Participants
n=4548 Participants
|
92 Participants
n=28448 Participants
|
|
Race/Ethnicity, Customized
Native American or Alaska Native
|
1 Participants
n=45 Participants
|
0 Participants
n=12929 Participants
|
1 Participants
n=6349 Participants
|
0 Participants
n=4548 Participants
|
2 Participants
n=28448 Participants
|
|
Race/Ethnicity, Customized
Pacific Islander/Native Hawaiian
|
1 Participants
n=45 Participants
|
1 Participants
n=12929 Participants
|
6 Participants
n=6349 Participants
|
0 Participants
n=4548 Participants
|
8 Participants
n=28448 Participants
|
|
Race/Ethnicity, Customized
Spanish/Hispanic/Latino/a
|
64 Participants
n=45 Participants
|
39 Participants
n=12929 Participants
|
64 Participants
n=6349 Participants
|
38 Participants
n=4548 Participants
|
205 Participants
n=28448 Participants
|
|
Race/Ethnicity, Customized
White
|
345 Participants
n=45 Participants
|
262 Participants
n=12929 Participants
|
396 Participants
n=6349 Participants
|
263 Participants
n=4548 Participants
|
1266 Participants
n=28448 Participants
|
|
Race/Ethnicity, Customized
Multiple races/ethnicities
|
63 Participants
n=45 Participants
|
38 Participants
n=12929 Participants
|
61 Participants
n=6349 Participants
|
32 Participants
n=4548 Participants
|
194 Participants
n=28448 Participants
|
|
Race/Ethnicity, Customized
Prefer not to answer or missing
|
5 Participants
n=45 Participants
|
9 Participants
n=12929 Participants
|
14 Participants
n=6349 Participants
|
6 Participants
n=4548 Participants
|
34 Participants
n=28448 Participants
|
|
Race/Ethnicity, Customized
Other race/ethnicity
|
2 Participants
n=45 Participants
|
0 Participants
n=12929 Participants
|
4 Participants
n=6349 Participants
|
4 Participants
n=4548 Participants
|
10 Participants
n=28448 Participants
|
|
Self-reported Sexual Assault Victimization
|
88 Participants
n=45 Participants
|
63 Participants
n=12929 Participants
|
92 Participants
n=6349 Participants
|
69 Participants
n=4548 Participants
|
312 Participants
n=28448 Participants
|
|
Self-reported Sexual Assault Perpetration
|
6 Participants
n=45 Participants
|
6 Participants
n=12929 Participants
|
8 Participants
n=6349 Participants
|
7 Participants
n=4548 Participants
|
27 Participants
n=28448 Participants
|
|
Self-reported Alcohol Use
|
122 Participants
n=45 Participants
|
93 Participants
n=12929 Participants
|
130 Participants
n=6349 Participants
|
89 Participants
n=4548 Participants
|
434 Participants
n=28448 Participants
|
PRIMARY outcome
Timeframe: From pre-test to Spring semester follow-up, an average of 10 monthsPopulation: The number analyzed at follow-up differs from the overall number analyzed because not all participants who provided pre-test data provided follow-up data.
Participants self-report whether they experienced any type of unwanted sexual contact between Basic Cadet Training and the Spring semester follow-up using a modified version of the Sexual Experiences Survey.
Outcome measures
| Measure |
Training as usual (TAU)
n=556 Participants
TAU without SCC or eCHECKUP TO GO
|
TAU plus eCHECKUP TO GO
n=401 Participants
TAU with eCHECKUP TO GO (without SCC)
|
Sexual Communication and Consent (SCC)
n=632 Participants
Sexual Communication and Consent without TAU or eCHECKUP TO GO
|
SCC plus eCHECKUP TO GO
n=396 Participants
SCC with eCHECKUP TO GO (without TAU)
|
|---|---|---|---|---|
|
Self-reported Sexual Assault Victimization
Pretest
|
88 Participants
|
63 Participants
|
92 Participants
|
69 Participants
|
|
Self-reported Sexual Assault Victimization
9-month follow-up
|
1 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
PRIMARY outcome
Timeframe: From pre-test to Spring semester follow-up, an average of 10 monthsPopulation: The number analyzed at follow-up differs from the overall number analyzed because not all participants who provided pre-test data provided follow-up data.
Participants self-report whether they perpetrated any type of unwanted sexual contact between Basic Cadet Training and the Spring semester follow-up using a modified version of the Sexual Experiences Survey.
Outcome measures
| Measure |
Training as usual (TAU)
n=556 Participants
TAU without SCC or eCHECKUP TO GO
|
TAU plus eCHECKUP TO GO
n=401 Participants
TAU with eCHECKUP TO GO (without SCC)
|
Sexual Communication and Consent (SCC)
n=632 Participants
Sexual Communication and Consent without TAU or eCHECKUP TO GO
|
SCC plus eCHECKUP TO GO
n=396 Participants
SCC with eCHECKUP TO GO (without TAU)
|
|---|---|---|---|---|
|
Self-reported Sexual Assault Perpetration
Pretest
|
6 Participants
|
6 Participants
|
8 Participants
|
7 Participants
|
|
Self-reported Sexual Assault Perpetration
9-month follow-up
|
0 Participants
|
0 Participants
|
0 Participants
|
0 Participants
|
PRIMARY outcome
Timeframe: From pre-test to Spring semester follow-up, an average of 10 monthsPopulation: The number analyzed at follow-up differs from the overall number analyzed because not all participants who provided pre-test data provided follow-up data.
Participants self-report the approximate number of alcoholic drinks they consumed each day of the week during a typical week over the past month (assessed at both the Fall and Spring semester follow-up assessments). Participants who respond with any weekly value greater than 0 alcoholic drinks at either the Fall or Spring semester follow-up are coded as positive for any alcohol use.
Outcome measures
| Measure |
Training as usual (TAU)
n=556 Participants
TAU without SCC or eCHECKUP TO GO
|
TAU plus eCHECKUP TO GO
n=401 Participants
TAU with eCHECKUP TO GO (without SCC)
|
Sexual Communication and Consent (SCC)
n=632 Participants
Sexual Communication and Consent without TAU or eCHECKUP TO GO
|
SCC plus eCHECKUP TO GO
n=396 Participants
SCC with eCHECKUP TO GO (without TAU)
|
|---|---|---|---|---|
|
Self-reported Alcohol Use
Pretest
|
122 Participants
|
93 Participants
|
130 Participants
|
89 Participants
|
|
Self-reported Alcohol Use
9-month follow-up
|
18 Participants
|
5 Participants
|
14 Participants
|
9 Participants
|
SECONDARY outcome
Timeframe: From pre-test to post-test, an average of 1 monthPopulation: The number analyzed at post-test differs from the overall number analyzed because not all participants who provided pre-test data provided post-test data.
The percentage of correct participant responses to 8 true-or-false questions about sexual assault.
Outcome measures
| Measure |
Training as usual (TAU)
n=549 Participants
TAU without SCC or eCHECKUP TO GO
|
TAU plus eCHECKUP TO GO
n=399 Participants
TAU with eCHECKUP TO GO (without SCC)
|
Sexual Communication and Consent (SCC)
n=621 Participants
Sexual Communication and Consent without TAU or eCHECKUP TO GO
|
SCC plus eCHECKUP TO GO
n=396 Participants
SCC with eCHECKUP TO GO (without TAU)
|
|---|---|---|---|---|
|
Knowledge of Sexual Assault
Pretest value
|
78.10 percentage of correct responses
Standard Deviation 14.61
|
76.53 percentage of correct responses
Standard Deviation 15.33
|
78.97 percentage of correct responses
Standard Deviation 14.55
|
78.30 percentage of correct responses
Standard Deviation 15.16
|
|
Knowledge of Sexual Assault
Posttest value
|
82.74 percentage of correct responses
Standard Deviation 13.66
|
81.85 percentage of correct responses
Standard Deviation 13.57
|
90.79 percentage of correct responses
Standard Deviation 11.01
|
92.32 percentage of correct responses
Standard Deviation 10.11
|
SECONDARY outcome
Timeframe: From pre-test to post-test, an average of 1 monthPopulation: The number analyzed at post-test differs from the overall number analyzed because not all participants who provided pre-test data provided post-test data.
The percentage of correct participant responses to 7 true-or-false questions about effective sexual consent.
Outcome measures
| Measure |
Training as usual (TAU)
n=546 Participants
TAU without SCC or eCHECKUP TO GO
|
TAU plus eCHECKUP TO GO
n=396 Participants
TAU with eCHECKUP TO GO (without SCC)
|
Sexual Communication and Consent (SCC)
n=622 Participants
Sexual Communication and Consent without TAU or eCHECKUP TO GO
|
SCC plus eCHECKUP TO GO
n=395 Participants
SCC with eCHECKUP TO GO (without TAU)
|
|---|---|---|---|---|
|
Knowledge of Effective Consent
Pretest value
|
96.64 percentage of correct responses
Standard Deviation 6.99
|
96.86 percentage of correct responses
Standard Deviation 6.58
|
96.37 percentage of correct responses
Standard Deviation 7.42
|
96.45 percentage of correct responses
Standard Deviation 6.96
|
|
Knowledge of Effective Consent
Posttest value
|
97.57 percentage of correct responses
Standard Deviation 5.89
|
97.57 percentage of correct responses
Standard Deviation 5.95
|
98.16 percentage of correct responses
Standard Deviation 4.93
|
98.53 percentage of correct responses
Standard Deviation 4.57
|
SECONDARY outcome
Timeframe: From pre-test to post-test, an average of 1 monthPopulation: The number analyzed at post-test differs from the overall number analyzed because not all participants who provided pre-test data provided post-test data.
A subset of participants rate their degree of confidence in their ability to use certain protective strategies in 6 specific high-risk situations. Scale scores range 6 to 42, with higher scores indicating greater self-efficacy.
Outcome measures
| Measure |
Training as usual (TAU)
n=178 Participants
TAU without SCC or eCHECKUP TO GO
|
TAU plus eCHECKUP TO GO
n=137 Participants
TAU with eCHECKUP TO GO (without SCC)
|
Sexual Communication and Consent (SCC)
n=194 Participants
Sexual Communication and Consent without TAU or eCHECKUP TO GO
|
SCC plus eCHECKUP TO GO
n=121 Participants
SCC with eCHECKUP TO GO (without TAU)
|
|---|---|---|---|---|
|
Self-efficacy to Resist Unwanted Sexual Advances
Pretest value
|
33.45 score on a scale
Standard Deviation 5.91
|
33.45 score on a scale
Standard Deviation 7.00
|
33.11 score on a scale
Standard Deviation 5.68
|
32.05 score on a scale
Standard Deviation 7.05
|
|
Self-efficacy to Resist Unwanted Sexual Advances
Posttest value
|
34.68 score on a scale
Standard Deviation 6.04
|
34.75 score on a scale
Standard Deviation 6.58
|
34.84 score on a scale
Standard Deviation 5.45
|
35.96 score on a scale
Standard Deviation 5.50
|
SECONDARY outcome
Timeframe: From pre-test to post-test, an average of 1 monthPopulation: The number analyzed at post-test differs from the overall number analyzed because not all participants who provided pre-test data provided post-test data.
Participants report how many days in the week they estimate the average Cadet of their same age and gender drinks and how many drinks the average Cadet of their same age and gender consumes per day using a modified version of the Quantity/Frequency/Peak questionnaire. The average number of estimated drinks consumed per drinking day is computed from this data and has a possible score range of 0 drinks to 6 drinks.
Outcome measures
| Measure |
Training as usual (TAU)
n=508 Participants
TAU without SCC or eCHECKUP TO GO
|
TAU plus eCHECKUP TO GO
n=374 Participants
TAU with eCHECKUP TO GO (without SCC)
|
Sexual Communication and Consent (SCC)
n=590 Participants
Sexual Communication and Consent without TAU or eCHECKUP TO GO
|
SCC plus eCHECKUP TO GO
n=369 Participants
SCC with eCHECKUP TO GO (without TAU)
|
|---|---|---|---|---|
|
Normative Perceptions of Peer Alcohol Use
Pretest value
|
2.89 score on a scale
Standard Deviation 3.69
|
2.67 score on a scale
Standard Deviation 3.50
|
3.11 score on a scale
Standard Deviation 3.81
|
2.66 score on a scale
Standard Deviation 3.30
|
|
Normative Perceptions of Peer Alcohol Use
Posttest value
|
3.69 score on a scale
Standard Deviation 4.17
|
2.52 score on a scale
Standard Deviation 3.09
|
2.72 score on a scale
Standard Deviation 3.53
|
2.88 score on a scale
Standard Deviation 3.05
|
SECONDARY outcome
Timeframe: From pre-test to post-test, an average of 1 monthPopulation: The number analyzed at post-test differs from the overall number analyzed because not all participants who provided pre-test data provided post-test data.
Participants self-report their readiness to change their drinking behavior using a single item. The possible item score ranges 0 to 4, with higher scores indicating greater readiness to change.
Outcome measures
| Measure |
Training as usual (TAU)
n=421 Participants
TAU without SCC or eCHECKUP TO GO
|
TAU plus eCHECKUP TO GO
n=345 Participants
TAU with eCHECKUP TO GO (without SCC)
|
Sexual Communication and Consent (SCC)
n=492 Participants
Sexual Communication and Consent without TAU or eCHECKUP TO GO
|
SCC plus eCHECKUP TO GO
n=343 Participants
SCC with eCHECKUP TO GO (without TAU)
|
|---|---|---|---|---|
|
Readiness to Change Alcohol Use Behavior
Pretest value
|
0.87 score on a scale
Standard Deviation 1.36
|
1.04 score on a scale
Standard Deviation 1.40
|
1.02 score on a scale
Standard Deviation 1.44
|
0.94 score on a scale
Standard Deviation 1.39
|
|
Readiness to Change Alcohol Use Behavior
Posttest value
|
1.11 score on a scale
Standard Deviation 1.48
|
0.88 score on a scale
Standard Deviation 1.37
|
1.28 score on a scale
Standard Deviation 1.51
|
1.09 score on a scale
Standard Deviation 1.43
|
SECONDARY outcome
Timeframe: From pre-test to Spring semester follow-up, an average of 10 monthsPopulation: The number analyzed at follow-up differs from the overall number analyzed because not all participants who provided pre-test data provided follow-up data.
Participants self-report the degree to which they engaged in behavioral strategies to reduce sexual assault risk using the Dating Self-Protection Against Rape Scale. Scores range 0 to 70, with higher scores indicating greater engagement in dating-related protective behavioral strategies.
Outcome measures
| Measure |
Training as usual (TAU)
n=170 Participants
TAU without SCC or eCHECKUP TO GO
|
TAU plus eCHECKUP TO GO
n=133 Participants
TAU with eCHECKUP TO GO (without SCC)
|
Sexual Communication and Consent (SCC)
n=187 Participants
Sexual Communication and Consent without TAU or eCHECKUP TO GO
|
SCC plus eCHECKUP TO GO
n=114 Participants
SCC with eCHECKUP TO GO (without TAU)
|
|---|---|---|---|---|
|
Dating-related Protective Strategy Use
Pretest
|
42.23 score on a scale
Standard Deviation 13.40
|
42.05 score on a scale
Standard Deviation 14.82
|
40.28 score on a scale
Standard Deviation 16.28
|
42.43 score on a scale
Standard Deviation 14.21
|
|
Dating-related Protective Strategy Use
9-month follow-up
|
39.5 score on a scale
Standard Deviation 16.41
|
40.55 score on a scale
Standard Deviation 20.04
|
37.57 score on a scale
Standard Deviation 22.22
|
42.00 score on a scale
Standard Deviation 17.59
|
SECONDARY outcome
Timeframe: From pre-test to Spring semester follow-up, an average of 10 monthsPopulation: The number analyzed at follow-up differs from the overall number analyzed because not all participants who provided pre-test data provided follow-up data.
Participants self-report the degree to which they engaged in behavioral strategies to reduce alcohol-related harms using an adapted version of the Protective Behavioral Strategies Survey. Scores range 0 to 100, with higher scores indicating greater engagement in alcohol-related protective strategies.
Outcome measures
| Measure |
Training as usual (TAU)
n=430 Participants
TAU without SCC or eCHECKUP TO GO
|
TAU plus eCHECKUP TO GO
n=367 Participants
TAU with eCHECKUP TO GO (without SCC)
|
Sexual Communication and Consent (SCC)
n=501 Participants
Sexual Communication and Consent without TAU or eCHECKUP TO GO
|
SCC plus eCHECKUP TO GO
n=356 Participants
SCC with eCHECKUP TO GO (without TAU)
|
|---|---|---|---|---|
|
Alcohol-related Protective Strategy Use
Pretest
|
60.64 score on a scale
Standard Deviation 30.65
|
63.34 score on a scale
Standard Deviation 31.52
|
58.93 score on a scale
Standard Deviation 33.22
|
64.67 score on a scale
Standard Deviation 31.21
|
|
Alcohol-related Protective Strategy Use
9-month follow-up
|
68.92 score on a scale
Standard Deviation 28.65
|
66.77 score on a scale
Standard Deviation 38.96
|
55.61 score on a scale
Standard Deviation 43.06
|
73.52 score on a scale
Standard Deviation 32.50
|
Adverse Events
Training as usual (TAU)
TAU plus eCHECKUP TO GO
Sexual Communication and Consent (SCC)
SCC plus eCHECKUP TO GO
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place