TY  - JOUR
PY  - 2017//
TI  - A randomized clinical trial examining the effect of video-based prevention of alcohol and marijuana use among recent sexual assault victims
JO  - Alcoholism: clinical and experimental research
A1  - Walsh, Kate
A1  - Gilmore, Amanda K.
A1  - Frazier, Patricia
A1  - Ledray, Linda
A1  - Acierno, Ron E.
A1  - Ruggiero, Kenneth J.
A1  - Kilpatrick, Dean G.
A1  - Resnick, Heidi S.
SP  - 2163
EP  - 2172
VL  - 41
IS  - 12
N2  - BACKGROUND: This study examined whether a brief video intervention (Prevention of Postrape Stress; PPRS) delivered in the emergency department to recent sexual assault (SA) victims reduced alcohol and marijuana use at three points over the course of a six-month follow-up compared to treatment as usual (TAU) and an active control condition (Pleasant Imagery and Relaxation Information; PIRI). Prior assault history, minority status, and pre-SA substance use also were examined as moderators of intervention efficacy. <br><br>METHODS: Women age 15 and older (N = 154) who participated in a post-SA medical forensic exam were randomly assigned to watch the PPRS video (n=54), the PIRI video (n=48), or receive TAU (n=52) and completed at least one follow-up assessment targeted at 1.5 (T1), 3 (T2), or 6 (T3) months following the exam. <br><br>RESULTS: Regression analyses revealed that, relative to TAU, PPRS was associated with less frequent alcohol use at 6 months post-SA among women reporting pre-SA binge drinking and minority women. Relative to TAU, PPRS also was associated with fewer days of marijuana use at T1 among those who did not report pre-SA marijuana use and prior SA. <br><br>FINDINGS for pre-SA marijuana use were maintained at T3; however, findings for prior SA shifted such that PPRS was associated with fewer days of marijuana use at T3 for women with a prior SA. <br><br>CONCLUSIONS: PPRS may be effective at reducing substance use for some recent SA victims, including those with a prior SA history, a prior substance use history, and minority women. This article is protected by copyright. All rights reserved.<br><br>This article is protected by copyright. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0145-6008
UR  - http://dx.doi.org/10.1111/acer.13505
ID  - ref1
ER  -