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NCT Number: NCT07706322

Adapting a Sexual Assault Prevention Intervention for Transgender Undergraduates: A One-Arm Pilot Trial

The purpose of this study is to adapt and pilot a sexual assault prevention intervention for transgender and nonbinary (trans) undergraduate students. Forty percent of trans individuals (i.e., individuals whose gender identity does not align with their sex assigned at birth, inclusive of nonbinary people) are sexually assaulted during their time in college. Despite the magnitude of this issue, there are no sexual assault prevention interventions that have lowered victimization of trans students. The Enhanced Assess, Acknowledge, Act (EAAA) intervention is recommended by the Centers for Disease Control and Prevention (CDC) and is the only intervention proven to lower rape victimization by over 50% among cisgender female undergraduates. However, trans-specific vulnerabilities to violence are not addressed in EAAA, nor in the online adaptation of EAAA recently piloted by the study team called internet-delivered EAAA (IDEA3). This project will adapt and pilot IDEA3 for trans and nonbinary students to develop one of the first evidence-based sexual assault prevention interventions for trans and nonbinary young adults. We will adapt IDEA3 for trans students ages 18-25 and test it in an initial group which we will use to make revisions to the program. Then, we will collect participant survey and focus group data on feasibility and acceptability from 4 more groups of participants, revising the intervention between groups. Finally, we will collect preliminary data on whether the program increased participants' confidence in their ability to defend themselves.

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Key information

Conditions

Sexual Assault and Rape

Age range

18 year–25 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participants must be adults ages 18 to 25, AND
  • Have a gender identity that differs from their sex assigned at birth (e.g. trans or nonbinary) AND
  • Be an undergraduate student AND
  • Be available during the program times, AND
  • Provide the contact information for another trans or nonbinary undergraduate who they would be willing to participate in the intervention with OR express willingness to being partnered with another trans or nonbinary undergraduate at their university AND
  • Have access to and willingness to use the videoconferencing software Zoom for the program AND
  • Consent to being recorded while participating.

Exclusion criteria

  • Participant is less than 18 years of age or older than 25 years of age, OR
  • Does not identify as a trans or nonbinary individual, OR
  • Is not an undergraduate student, OR
  • Is not available during the program times, OR
  • Does not provide the contact information for another trans or nonbinary undergraduate student who they would be willing to participate in the intervention with AND does not express a willingness to being partnered with another undergraduate OR
  • Does not have access to and or is unwilling to use the videoconferencing software Zoom, OR
  • Does not consent to being recorded while participating.

Treatment and study plan

TEA3 Intervention

Other

Delivery of TEA3 intervention, a 15-hour online sexual assault resistance intervention for transgender undergraduates.

Primary outcomes

  1. Feasibility of TEA3 intervention

    Time frame: Within one week of the final intervention session

    This will be assessed by reviewing speed of recruitment and noting no-shows (at first session), overall session attendance, and retention rates for the online intervention to determine whether incentives are sufficient for a future larger trial; reviewing fidelity to the original intervention based on reviewing recordings of all online intervention sessions; reviewing and cataloging deviations from the manual; and final review of what pieces of TEA3 went well and what pieces need to be further adapted in the future.

  2. Acceptability of TEA3 intervention

    Time frame: Within one week of the final intervention session

    This will be assessed from summary statistics calculated from survey questions completed by participants relating to dimensions of affective attitude (how the individual feels about the intervention); burden (perceived effort required to participate); ethicality (extent to which the intervention fits with the individual's value system), perceived effectiveness, and whether they would recommend the intervention to a friend.

  3. Intervention participants' self-defense self-efficacy

    Time frame: Within one week of the final intervention session

    This will be assessed from participant answers to baseline and post-test surveys that use validated scales to measure self-defense self-efficacy (i.e. confidence that one could defend oneself against sexual assault)

Secondary outcomes

  1. Efficacy of TEA3 intervention

    Time frame: Within one week of the final intervention session

    This will be assessed from participant answers to baseline and post-test surveys that use validated scales to measure five intermediary outcomes that account for EAAA's effect on reducing victimization: earlier detection of risk in coercive situations; greater risk perception of acquaintance rape; lower rape myth acceptance; knowledge of, and willingness to use evidence-based forceful verbal and physical resistance in a hypothetical situation; and earlier identification of 'discomfort' and earlier willingness to leave a hypothetical situation. The sexual assault victimization outcome measure for a future RCT, a validated trans adaptation of the Sexual Experiences Survey, will also be used.

Study contacts

Contact information is provided by the study sponsor or research team.

Michelle Choi, MA

CONTACT

[email protected]

301-405-8740

Sarah Peitzmeier, PhD

CONTACT

[email protected]

301-405-2463

Sponsors and collaborators

Lead sponsor

Sarah Peitzmeier

Other

Registry information

Official study title

Adapting a Sexual Assault Prevention Intervention for Transgender Undergraduates

Acronym: TEA3

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jul 15, 2026
Registry last updated
Jul 15, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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