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Sexual AssaultNCT06101056

Code of Respect (X-CoRe): Trial of a Multi-level Sexual Assault and Sexual Harassment Prevention Intervention for Active Duty Airmen

A study testing Junior Enlisted Component, Leadership Component and Social Marketing Campaign in people with Sexual Assault and Sexual Harassment, run by The University of Texas Health Science Center, Houston at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to examine the efficacy of Code of Respect (X-CoRe) multi-level sexual assault (SA) and harassment (SH) prevention program in improving psychosocial determinants (e.g., knowledge, skills, self-efficacy, attitudes) related to respectful/disrespectful relationships, to examine the efficacy… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Sexual Assault, Sexual Harassment
What is being tested?
Junior Enlisted Component, Leadership Component and Social Marketing Campaign
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,200 participants
Where
1 siteUnited States
Study dates
17 Dec 2024to 31 May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Active Duty, stationed at JBMDL
  • assigned to one of the 26 Air Force squadrons within the three Air Force Wings at JBMDL (87 Air Base Wing (ABW), 305 Air Mobility Wing (ABM), and 621 Contingency Response Wing (CRW))
  • English speaking
  • access to an electronic device with internet capabilities

Who cannot join

  • being in service branches other than Air Force (e.g., Army or Navy)
  • Airmen not ranked E1-E4 at JBMDL

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Belinda Hernandez, PhD, MPH contact

(210) 276-9021

Belinda.Hernandez@uth.tmc.edu

Laura Thormaehlen contact

(713) 500-9655

Laura.C.Thormaehlen@uth.tmc.edu

United States1 site, 1 recruiting

  • The University of Texas Health Science Center at Houston

    Houston, Texas, 77030

    Belinda Hernandez, (210) 276-9021, Belinda.Hernandez@uth.tmc.edu

    Laura Thormaehlen, (713) 500-9655, Laura.C.Thormaehlen@uth.tmc.edu

    Recruiting

Other trials in United States

About this study

Official title: Code of Respect (X-CoRe): a Randomized Controlled Trial of a Multi-level Sexual Assault and Sexual Harassment Prevention Intervention for Active Duty Airmen

The purpose of this study is to examine the efficacy of Code of Respect (X-CoRe) multi-level sexual assault (SA) and harassment (SH) prevention program in improving psychosocial determinants (e.g., knowledge, skills, self-efficacy, attitudes) related to respectful/disrespectful relationships, to examine the efficacy of X-CoRe in reducing SA and sexual harassment SH victimization and to examine the efficacy of X-CoRe increasing bystander behavior and improving unit cohesion and mission readiness by decreasing secondary risk and harmful behaviors (e.g., alcohol misuse, intimate partner violence, suicide ideation). The study will be conducted at at Joint Base McGuire Dix-Lakehurst (JBMDL) located in Burlington County, New Jersey, and participants will be cluster-randomized at the level of the squadron to one of two conditions: the X-CoRe program or a control condition.

Being tested
Junior Enlisted Component, Leadership Component, Social Marketing Campaign
Medical subject headings
Sexual Harassment

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Junior Enlisted ComponentBehavioural

    Junior Enlisted Airmen (E4 and below) will complete 10 online modules designed to train them on recognizing SH and SA, healthy and unhealthy relationships, and situations that may increase risk for SH and SA. Participants will adopt and practice a lifestyle paradigm of select-detect-protect, in which service members select their personal rule to have only healthy (non-abusive) relationships with their peers and romantic partners, detect signs and situations that might threaten their rules, and protect their rules using communication, management, and avoidance skills. They will be instructed to adopt a zero-tolerance approach to SH and SA and will receive skills training related to communication and conflict resolution for healthy relationships, reduction of SH and SA perpetration, consent communication, reporting incidents of SH and SA, and bystander intervention. Participants who have experienced SH or SA are encouraged to use the "Get Help Now" feature to access support 24/7.

  • Leadership ComponentBehavioural

    Mid- and advanced-level leaders (E5 and above) will complete 10 online modules designed to train them to recognize forms of SH and SA, how to respond to an incident of SH or SA, and how to create a safe work environment free of SH and SA. Leaders will also adopt and practice the paradigm select-detect-protect. Leaders will select their personal rule to enforce a healthy work environment (free of SH and SA), detect signs and situations that might threaten their rule (e.g., displaying inappropriate pictures on the computer), and protect their rules using communication and management skills. Leaders will also be given background material on SH and SA in the military (e.g., extent of the problem, DoD definitions, and policies) and installation resources for reporting incidents. As with the Junior Enlisted component, Leaders who may have experienced SH or SA are encouraged to use our "Get Help Now" feature to access support 24/7.

  • Social Marketing CampaignBehavioural

    All participating Airmen (including Junior Enlisted Airmen and Leaders) will be exposed to X-CoRe's social marketing campaign, which includes posters, flyers, postcards, and digital content for social media. Messages are designed to increase awareness of consent and foster Wing-wide norms that are supportive of healthy relationships. Resources for Service members to receive support if they have experienced SH or SA will also be provided through the social marketing materials. Social marketing materials, such as posters, will be distributed at "hot spots" for SA (e.g., dorms).

Study groups in NCT06101056
Study groupRoleWhat they receive
Code of Respect (X-CoRe) Multi-Level Sexual Assault (SA) and Harassment (SH) Prevention ProgramExperimentalNot described
Receives: Behavioral: Junior Enlisted Component; Behavioral: Leadership Component; Behavioral: Social Marketing Campaign
Control ConditionOtherNot described
Receives: Behavioral: Leadership Component; Behavioral: Social Marketing Campaign

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in SA victimization as assessed by the Sexual Experiences Survey

    This is a 10 item questionnaire and each is scored on a 4 point scale from 0-3 or more higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  2. Change in SH victimization as assessed by the (Sexual Experience Questionnaire (SEQ-DoD)

    This is a 23 item questionnaire and each is scored on a 5 point scale from 0, 1-2,3-5,6-9 or more, higher number indicating worse

    Measured: baseline, 6 months follow up, 12 months follow up

Secondary outcomes (22)

  1. Change in knowledge of Sexual Harassment and Assault as assessed by the Knowledge of Sexual Harassment and Assault Scale

    This is a 6 item questionnaire and each question is answered as true or false

    Measured: baseline,6 months follow up, 12 months follow up

  2. Change in Rape Myth Acceptance as assessed by the Illinois Rape Myth Acceptance Scale -Short Form

    This is a 20 item questionnaire and each is scored on a 7 point scale from not at all agree-very much agree a higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  3. Change in Gender Role Beliefs as assessed by the Hypergender Ideology Scale -Short Form

    This is a 19 item questionnaire and each is scored on a 6 point scale from strongly disagree to strongly agree, higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  4. Change in attitudes towards Sexual Harassment as assessed by the Sexual Harassment Attitude Scale

    This is a 17 item questionnaire and each is scored on a 5 point scale from strongly disagree-strongly agree, higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  5. Change in Attitudes towards Relationship Violence as assessed by the Acceptance of Couple Violence Scale

    This is a 17 item questionnaire and each is scored on a 4 point scale from strongly disagree-strongly agree , higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  6. Change in Relationships Skills Self-Efficacy as assessed by the Interpersonal competence Questionnaire - Negative assertion subscale

    This is an 8 item questionnaire and each is scored on a 5 point scale from I am poor at this-I am extremely good at this, lower number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  7. Change in Attitudes towards Preventing Sexual Harassment and Assault as assessed by the Attitudes Toward Preventing Dating Violence Subscale

    This is a 3 item questionnaire and each is scored on a 4 point scale from strongly disagree to strongly agree, higher number indicating better outcome

    Measured: baseline,6 months follow up, 12 months follow up

  8. Change in Attitudes towards Cyberbullying as assessed by the Harmful Cyberbullying Attitudes Scale

    This is a 5 item questionnaire and each is scored on a 5 point scale from strongly disagree to strongly agree

    , higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  9. Change in attitudes towards Alcohol Use as assessed by the Drinking Values Scale

    This is a 10 item questionnaire and each is scored on a 5 point scale from strongly disagree to strongly agree, higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  10. Change in Bystander Self-Efficacy as assessed by the Bystander Efficacy Scale

    This is an 18 item questionnaire and each is scored from 0(can't do) to 100(very certain) higher number indicating better outcome

    Measured: baseline,6 months follow up, 12 months follow up

  11. Change in Barriers to Sexual Assault Intervention as assessed by the Barriers to Sexual Assault Bystander Intervention Scale

    This is a 23 item questionnaire and each is scored on a 7 point scale from strongly disagree-strongly agree a higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  12. Change in Conflict Communication Skills as assessed by the Conflict Communication Scale - Confrontation Subscale

    This is a 15 item questionnaire and each is scored on a 6 point scale from strongly disagree-strongly agree a higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  13. Change in Bystander Behavior as assessed by the Bystander Behavior Scale - Risky Situations and Party Safety Subscale

    This is a 25 item questionnaire and each is scored on a 4 point scale categorically from 0, 1, 2,3 or more times a higher number indicating better outcome

    Measured: baseline,6 months follow up, 12 months follow up

  14. Change in Horizontal Unit Cohesion as assessed by the Horizontal Cohesion Scale

    This is a 6 item questionnaire and each is scored on a 5 point scale from strongly disagree-strongly agree a higher number indicating better outcome

    Measured: baseline,6 months follow up, 12 months follow up

  15. Change in Vertical Unit Cohesion as assessed by the Vertical cohesion Scale

    This is a11 item questionnaire and each is scored on a 5 point scale from strongly disagree-strongly agree a higher number indicating better outcome

    Measured: baseline,6 months follow up, 12 months follow up

  16. Change in Intimate Partner Violence as assessed by the Composite Abuse Scale (Revised) - Short Form

    This is a 15 item questionnaire and each is scored on a 5 point scale from not in the past 12 months to daily/almost daily a higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  17. Change in Alcohol Use as assessed by the Alcohol 30-day Quantity and Frequency

    Participants are asked the following two questions: one regarding the frequency of consumption (number of days), and a second regarding the usual quantity of consumption (number of drinks) on drinking days, higher number indicating more alcohol use

    Measured: baseline,6 months follow up, 12 months follow up

  18. Change in Suicide Ideation as assessed by the Columbia -Suicide Severity Rating Scale - Severity of Suicidal Ideation Subscale

    This is a 5 item questionnaire and each is scored on a 5 point scale from wish to be dead-suicidal intent with plan a higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  19. Change in Anxiety as assessed by the Generalized Anxiety Disorder Screener

    This is a 7 item questionnaire and each is scored on a 4 point scale from not at all-nearly every day a higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  20. Change in Depression as assessed by the Patient Health Questionnaire 9 (PHQ-9)

    This is a 9 item questionnaire and each is scored on a 4 point scale from not at all-nearly every day a higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  21. Change in PTSD as assessed by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Cross Cutting Symptom Measure

    This is a 23 item questionnaire and each is scored on a 5 point scale from not at all-nearly every day a higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

  22. Change in Overall Health Functioning as assessed by the World Health Organization Disability Assessment Schedule (WHODAS) 2.0) - Short Form

    This is a 12 item questionnaire and each is scored on a 5 point scale from none-extreme or cannot do a higher number indicating worse outcome

    Measured: baseline,6 months follow up, 12 months follow up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Oct 2023
  2. Study start17 Dec 2024
  3. Primary completion31 May 2027 (estimated)
  4. Study completion31 May 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be cluster-randomized at the level of the squadron to one of two conditions.
Masking
None (open label)
Enrolment
1,200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06101056
Sponsor's protocol ID
HSC-SPH-23-0619
Status last verified
Jan 2025
First submitted
19 Oct 2023
Last updated
28 Jan 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Junior Enlisted Component, Leadership Component and Social Marketing Campaign in people with Sexual Assault and Sexual Harassment, run by The University of Texas Health Science Center, Houston at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 28 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Belinda Hernandez, PhD, MPH ((210) 276-9021, Belinda.Hernandez@uth.tmc.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in SA victimization as assessed by the Sexual Experiences Survey (time frame: baseline,6 months follow up, 12 months follow up). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06101056.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jan 2025.

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