目的:这项研究调查了校园和临床因素,这些因素可能会影响在校园健康和咨询中心寻求护理的大学生实施性暴力(SV)预防的可能性。
方法:校园-,临床-,作为28个校园集群随机对照试验的一部分,从干预和对照校园收集了学生水平的数据.案例系列探索性数据分析评估了按校园特征实施SV预防干预措施的差异。
结果:所有大型学校在报告有关SV的积极预防政策方面均处于前四分之一。在诊所层面,SV方案和程序的存在差异很大,与学校规模无明显相关性.干预学校的学生接受了提供者的指导和工具以促进这些讨论,他们报告了与提供者有关SV的更多讨论。似乎只有学校规模与校园中积极的SV政策以及学生报告的SV预防干预措施有关。大型学校在校园层面的政策上表现良好,然而,学生报告说,在这些大型学校的诊所中,接受干预的水平最低。
结论:没有观察到校园和诊所环境之间的一致性以及干预措施的实施。我们的研究结果表明,高性能的SV政策和预防在校园不一定转化为实施适当的SV预防和照顾学生在校园寻求照顾,包括评估,资源,转介,和服务。
背景:NCT注册:NCT02355470。
OBJECTIVE: This study examined campus and clinic factors that may influence likelihood of implementing sexual violence (SV) prevention for college students seeking care in campus health and counseling centers.
METHODS: Campus-, clinic-, and student-level data were collected from both intervention and control campuses as part of a 28-campus cluster randomized controlled trial. A
case series exploratory data analysis assessed differences in the implementation of an SV prevention intervention by campus characteristics.
RESULTS: All large schools were in the top quartile for reporting positive prevention policies regarding SV. At the clinic level, the presence of SV protocols and procedures varied widely with no clear correlation with school size. Students at intervention schools where providers received instruction and tools to facilitate these discussions reported more discussions with providers about SV. Only school size appeared to be associated with positive SV policies on campus and student-reported receipt of SV prevention intervention. Large schools performed well on campus-level policies, yet students reported some of the lowest levels of intervention receipt in the clinics at these larger schools.
CONCLUSIONS: Consistency between campus and clinic environments and implementation of the intervention was not observed. Our findings suggest that high performance regarding SV policy and prevention on a campus do not necessarily translate to implementation of appropriate SV prevention and care for students seeking care on campus, including assessments, resources, referrals, and services.
BACKGROUND: NCT registration: NCT02355470.