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

NCT06875284 | Completed Results

• 3 other identifiers: 0218275.001.001.003W81XWH-21-9-0011.012W81XWH-20-2-0014
• Study Type: interventional
• Target: 2,041
• Locations: 1 country
• Sites: 1

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).

Conditions

Sexual Assault; Alcohol Misuse

Keywords

Sexual assault prevention; Alcohol misuse prevention; Sexual Communication and Consent; eCHECKUP TO GO

Outcome Measures

Primary Outcomes (3)

• Self-reported Sexual Assault Victimization

  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.

  From pre-test to Spring semester follow-up, an average of 10 months

• Self-reported Sexual Assault Perpetration

  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.

  From pre-test to Spring semester follow-up, an average of 10 months

• Self-reported Alcohol Use

  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.

  From pre-test to Spring semester follow-up, an average of 10 months

Secondary Outcomes (7)

• Knowledge of Sexual Assault

  From pre-test to post-test, an average of 1 month

• Knowledge of Effective Consent

  From pre-test to post-test, an average of 1 month

• Self-efficacy to Resist Unwanted Sexual Advances

  From pre-test to post-test, an average of 1 month

• Normative Perceptions of Peer Alcohol Use

  From pre-test to post-test, an average of 1 month

• Readiness to Change Alcohol Use Behavior

  From pre-test to post-test, an average of 1 month

Study Arms (4)

Training as usual (TAU)

ACTIVE COMPARATOR

TAU without SCC or eCHECKUP TO GO

Behavioral: Training as usual (TAU)

TAU plus eCHECKUP TO GO

EXPERIMENTAL

TAU with eCHECKUP TO GO (without SCC)

Behavioral: Alcohol eCHECKUP TO GO (eCHECKUP TO GO); Behavioral: Training as usual (TAU)

SCC

EXPERIMENTAL

SCC without TAU or eCHECKUP TO GO

Behavioral: Sexual Communication and Consent (SCC)

SCC plus eCHECKUP TO GO

EXPERIMENTAL

SCC with eCHECKUP TO GO (without TAU)

Behavioral: Sexual Communication and Consent (SCC); Behavioral: Alcohol eCHECKUP TO GO (eCHECKUP TO GO)

Interventions

Sexual Communication and Consent (SCC) 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; SCC plus eCHECKUP TO GO

Alcohol eCHECKUP TO GO (eCHECKUP TO GO) 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.

SCC plus eCHECKUP TO GO; TAU plus eCHECKUP TO GO

Training as usual (TAU) 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; Training as usual (TAU)

Eligibility Criteria

• Age: 17 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• Unable or unwilling to provide informed consent

Sponsors & Collaborators

• RTI International: lead
• U.S. Army Medical Research Acquisition Activity: collaborator
• U.S. Army Medical Research and Development Command: collaborator
• University of Florida: collaborator
• San Diego State University: collaborator
• United States Department of Defense: collaborator

Study Sites (1)

United States Air Force Academy

Air Force Academy, Colorado, 80840, United States

Location

Related Publications (3)

• 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.

  PMID: 38874411 BACKGROUND

• 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.

  PMID: 36383404 BACKGROUND

• 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.

  PMID: 39574150 BACKGROUND

MeSH Terms

Interventions

Consent Forms; Ethanol

Intervention Hierarchy (Ancestors)

Informed Consent; Jurisprudence; Social Control, Formal; Health Care Economics and Organizations; Records; Organization and Administration; Health Services Administration; Data Collection; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Alcohols; Organic Chemicals

Limitations and Caveats

Follow-up survey participation rates were low across all arms, therefore statistical analyses involving follow-up data were not performed.

Results Point of Contact

• Title: Marni Kan, PhD
• Organization: RTI International

mkan@rti.org

919-248-1836

Study Officials

• Marni L Kan, PhD

  RTI International

  PRINCIPAL INVESTIGATOR

• Nichole M Scaglione, PhD

  University of Florida

  PRINCIPAL INVESTIGATOR

• Emily A Schmied, PhD

  San Diego State University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Prevention Researcher

Model Details: Quasi-experimental trial

Study Record Dates

• First Submitted: March 3, 2025
• First Posted: March 13, 2025
• Study Start: June 27, 2022
• Primary Completion: May 1, 2024
• Study Completion: May 1, 2024
• Last Updated: November 25, 2025
• Results First Posted: November 25, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)