TakeCARE, a Video to Promote Bystander Behavior on College Campuses: Replication and Extension

Scoping Review of Intimate Partner Violence Prevention Programs for Undergraduate College Students

Recognizing that intimate partner violence (IPV) negatively affects college students' health and well-being, colleges offer preventive interventions to address these effects. However, scholarly evidence on this effort has been limited, such that we know little about the risk factors addressed, theoretical approaches, target outcomes, and other essential intervention characteristics. To address this gap, this study reviewed evidence-based IPV preventive interventions conducted in U.S. colleges reported in 25 peer-reviewed articles and dissertations published between 2010 and 2020. Findings showed that IPV preventive interventions for college students were designed to address multilevel risk factors of IPV, typically via bystander interventions and emerging skill-building interventions. Most IPV preventive interventions were theoretically driven primary preventions or a combination of primary and secondary preventions. Most studies of program outcomes focus on awareness of IPV and bystander roles, but 44% of the included articles measured participants' behavioral outcomes (e.g., actual bystander behavior, reaction to IPV disclosure, IPV screening behavior, social emotional skill use, or decreased rates of IPV perpetration) based on participants' use of skill-building components (e.g., bystander strategies, healthy relationship skills, conflict resolution, communication skills, empathy, and self-regulation). Student participants in the included studies were predominantly white (>60%) and only two studies included any Latinx students or students at historically Black colleges and universities. This review indicates that future IPV prevention practice, policy, and research must further define and explore how multilevel IPV prevention approaches can address the various systems level of needs among diverse student subpopulations.

We Don't Haze: Testing the Effectiveness of a Video-Based Hazing Prevention Training for College Students

This research reports findings from a study to explore the efficacy of a video-based training with college students to determine the extent to which the training shifted student perceptions of hazing, increased willingness and ability to intervene in situations where hazing is occurring, and altered student perceptions of hazing social norms. The study included two experimental groups and a control group at each of the three data-gathering sessions at three U.S. universities. Each of the universities belonged to the Hazing Prevention Consortium and had demonstrated a willingness to prevent hazing on their campuses. The 17-minute hazing prevention documentary We Don't Haze, developed using a bystander intervention framework, was administered in two experimental conditions: video-only and video plus facilitated discussion. Participants (n = 318) were members of a leadership development program, resident advisors, and club sport athletes and were randomly assigned to one of the two treatment groups or the control group. Students who viewed the video-based training and students who viewed the video and engaged in a follow-up facilitated discussion significantly shifted their perceptions of hazing and indicated an increased willingness and ability to intervene and help others who are experiencing or have experienced hazing, compared to students who viewed a general leadership video. The results of this study indicate that the tested hazing prevention trainings-both the stand-alone video, We Don't Haze, and the video plus discussion-hold promise for strengthening knowledge of the full range of harm associated with hazing, while amplifying perceptions that support hazing prevention and diminishing perceptions that contribute to normalizing hazing.

Effects of Campus Sexual Assault Prevention Programs on Attitudes and Behaviors Among American College Students: A Systematic Review and Meta-Analysis

The US Campus Sexual Assault Violence Elimination (SaVE) Act of 2013 mandates that all higher education institutions receiving federal funds offer incoming students primary prevention and awareness programming addressing sexual violence. Yet, there is no thorough and up-to-date quantitative synthesis of the effects of campus sexual assault prevention programs on sexual assault attitudes/knowledge and behaviors. Thus, we conducted a systematic review of the literature and a meta-analysis of experimental and high-quality quasi-experimental research examining effects of college sexual assault prevention programs on sexual assault attitudes and behaviors. Our synthesis of 385 effect sizes from 80 eligible studies disseminated between 1991 and 2021 indicates campus sexual assault programs have a more pronounced effect on attitudes/knowledge than on violence. Effects on sexual assault victimization were significant but small (g = 0.15) and effects on sexual assault perpetration were nonsignificant. Moderator analyses indicate programs that use a risk reduction framework are associated with less favorable outcomes than programs that do not use a risk reduction framework. Considering the limited effect of campus sexual assault prevention programs on violence, we recommend programming efforts move beyond a focus on individuals and, instead, adopt an ecological perspective targeting individuals, social relationships, community factors, and societal factors.

The Effectiveness of College Dating Violence Prevention Programs: A Meta-Analysis

Due in part to their involvement with social activities on campus, college students experience an increased risk of dating violence. Recent legislation such as the Campus SaVE Act (which requires U.S. colleges to offer training on sexual assault, domestic violence, stalking, and sexual harassment to all incoming students) has contributed to the increase in prevention programming offered across postsecondary campuses, as well as subsequent research examining the effectiveness of these prevention efforts. The current study provides a systematic review and meta-analysis of college dating violence prevention programs. A systematic search of 28 databases and numerous gray literature sources identified an initial 14,540 articles of which 315 were deemed potentially eligible for inclusion. Studies were selected if they (1) evaluated a college dating prevention program/campaign, (2) reported one of five outcomes (knowledge, attitudes, or bystander efficacy, intentions, or behavior), (3) had a minimum sample size of 20 in the treatment group, (4) used a pre/post and/or comparison group design, and (5) were published in English or French between January 2000 and October 2020. We calculated 53 effect sizes from 31 studies and conducted separate meta-analyses on various categories of outcome measures. Findings suggest that college dating violence prevention programs are effective at increasing knowledge and attitudes toward dating violence, as well as bystander skills, but are not effective at increasing bystander behaviors. Findings from moderator analyses suggest that several program components influence the strength of treatment effects. Implications for improving the effectiveness of college dating violence prevention programs are discussed.

Communication about Sexual Consent and Refusal: A Learning Tool and Qualitative Study of Adolescents' Comments on a Sexual Health Website

Sexual communication skills are needed to create healthy romantic relationships. Arguably, these skills also can be used to prevent some instances of unwanted sex. This study presents a qualitative analysis of adolescents' comments after reading a teen-friendly article on sexual consent as part of a web-based sexual health promotion intervention. The sample was comprised predominantly of female adolescents recruited from a Midwest urban region in the United States. Adolescents varied with respect to self-efficacy to request, provide, and deny consent, as well as the perceived need to ask for consent in the context of established relationships. Many adolescents perceived that nonverbal methods of communication were sufficient to request, provide, or deny sexual consent. Factors that make it difficult to discuss sexual boundaries and say "no" to unwanted sex included low self-efficacy and an underlying desire to nurture or preserve a relationship. Cultural norms must be changed to support verbal, affirmative sexual consent. In addition, adolescents must be aided in the development of skills to request sexual consent, say "yes" to specific activities, and say "no" to others. Without supportive norms and skills to enhance self-efficacy, adolescents may be unwilling to engage in verbal communication about sexual consent and boundaries.

The Bystander Behavior (For Friends) Scale: Factor Structure and Correlation With Prior Victimization

The Bystander Behavior (for Friends) Scale (BBS) offers a promising method of studying prosocial bystander behavior in the context of sexual assault and intimate partner violence. The underlying structure of the BBS has only been studied in the development sample, which was predominantly White and from one university in the Northeast region of the United States. This single sample raises questions about the replicability and generalizability of the factor structure. In addition, confirmatory factor analytic (CFA) methods, which are favored for binary data, were not used in the developmental sample. There also is limited research on individual characteristics that may relate to engagement in different types of bystander behavior. The primary aims of the current study were to (a) use CFA to evaluate the factor structure of the BBS in a sample of university undergraduates recruited from four universities and (b) test associations between prior victimization (general and family-specific) and BBS factors. University undergraduates (n = 556) from four U.S. universities comprised the sample. Weighted least squares CFA confirmed the original four-factor model of the BBS, namely, Risky Situations, Accessing Resources, Proactive Behaviors, and Party Safety. The Proactive Behaviors factor was positively associated with both general and family-specific prior victimization. The Risky Situations and Party Safety factors were positively associated with general prior victimization but were not associated with family-specific prior victimization. The Accessing Resources factor was not associated with either general or family-specific prior victimization. The BBS is multidimensional, and the factor structure is robust. The different associations between certain types of bystander behavior and prior victimization highlight the potential value in considering the BBS factors separately.

Second-Order Sexual Harassment: Violence Against the Silence Breakers Who Support the Victims

Second-order sexual harassment (SOSH) is the harassment suffered by those who stand with and support victims of violence against women (VAW)¹. Because the vast majority of programs currently focus on promoting bystander intervention, for such programs to be successful, knowledge about and actions against SOSH are necessary. Through narratives, this article provides unprecedented clues about SOSH. Working on safety strategies for individuals who support victims, promoting solidarity networks that also address SOSH, and ensuring that institutional policies are enforced are found to be central factors that can help prevent and/or transcend SOSH.

Applying the Haddon Matrix to evaluate sexual assault interventions on college campuses

Objective: A Haddon Matrix analysis was used to systematically review literature evaluating college campus sexual assault prevention programs to identify research gaps and intervention opportunities. Methods: Articles included were published from January 1, 2001 to December 31, 2017; indexed in PubMed, PsycInfo, or Scopus; involving English-speaking undergraduate students in the US; with experimental or quasi-experimental design. Results: All 31 eligible studies evaluated educational programing; all relied on self-report measures; and three-quarters had follow-up periods ≤ 6 months. Significant positive effects were reported by 6 of 10 studies that measured bystander behavior, 6 of 10 that educated potential victims and assessed victimization, and one of four that educated potential perpetrators and measured perpetration. Conclusion: The Haddon Matrix analysis identified the need for interventions that address perpetrators and the post-assault period, as well as studies of the impact of enforcing existing policies and new environmental and situational approaches to sexual assault prevention.

Increasing bystander behavior to prevent adolescent relationship violence: A randomized controlled trial

OBJECTIVE

The present research reports a randomized controlled trial evaluating TakeCARE, a video bystander program designed to help prevent relationship and sexual violence among high school students.

METHOD

High school students (n = 165) were randomly assigned to view TakeCARE or a control video. Students completed self-report measures of bystander behavior and bystander self-efficacy before viewing the videos. One week later, students completed the self-efficacy measure and were observed in virtual reality simulations of situations that offered opportunities to engage in bystander behavior. Measures were readministered at a 6-month follow-up.

RESULTS

Compared to students who viewed the control video, students who viewed TakeCARE self-reported more bystander behavior at the 6-month follow-up. They were also observed to engage in greater levels of bystander behavior in the virtual reality simulations at postintervention and 6-month follow-up. Self-efficacy partially mediated this effect on observed bystander behavior.

CONCLUSION

Video bystander programs like TakeCARE might be an effective addition to high school efforts to prevent relationship and sexual violence. (PsycINFO Database Record (c) 2018 APA, all rights reserved).