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NCT Number: NCT05873413

Motivations, Attitudes, and Perceptions Study

The goal of this clinical trial is to compare the impact of providing participants with

1. A recently developed protocol for motivating bystanders to intervene to help others who are in sexual risk situations (Motivate-the-Bystander) alone 2. Motivate-the-Bystander with an alcohol component focused on reducing drinking behaviors (Motivate-the-Bystander+Alcohol) 3. A control condition focused on reducing stress

The main questions it aims to answer are:

* Is Motivate-the-Bystander more effective than the attention control for increasing bystander behaviors? * Is Motivate-the-Bystander+Alcohol more effective than MTB alone for increasing bystander behaviors? * Is Motivate-the-Bystander+Alcohol more effective than Motivate-the-Bystander alone for decreasing alcohol use during bystander intervention opportunities?

Participants will:

* Complete online measures (e.g., self-reported bystander behaviors, past bystander training, history of bystander intervention attempts, sexual experiences, drinking behaviors, and other substance use behaviors) * Complete either MTB, MTB+ALC, or the attention control condition online * Complete the virtual reality simulation in the lab * Complete electronic daily diary follow-up surveys about alcohol use and bystander intervention

Recruiting

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Key information

Age range

18 year–25 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Nebraska-Lincoln

Lincoln, Nebraska, 68588, United States

Location status: Recruiting

Location contact

Sarah Gervais, PhD

CONTACT

About this study

During young adulthood, an estimated one in five women experience sexual assault. The investigators seek to reduce this violence by motivating young adults to intervene with their peers to prevent sexual assault-an approach known as bystander intervention. Current bystander training is conducted in group sessions involving education about how to recognize and intervene in response to sexual risk situations. Although successful in changing knowledge and attitudes about sexual assault prevention, evaluations of these programs have rarely focused on changing actual bystander behaviors. Further, while bystander alcohol use is common in sexual risk situations, and undermines intervention attempts, alcohol consumption by bystanders is not explicitly targeted in existing intervention training programs. To address these gaps, the investigators will conduct a RCT comparing the efficacy of: 1) the recently developed bystander intervention, Motivate-the-Bystander (MTB), 2) MTB with an MI alcohol component (MTB+ALC), and 3) an attention control condition for reducing alcohol use and increasing bystander behaviors in response to sexual risk. Bystander behaviors will be assessed observationally during a virtual reality-based house party at 2 months post intervention. Participants' bystander behaviors, alcohol use, and relevant contextual variables will be assessed with an EMA measurement design using electronic daily diaries at baseline and weekly post intervention until month 9. The investigators expect that, compared to MTB alone and the control condition, MTB+ALC will produce significantly greater reductions in overall drinking and increases in prosocial bystander behaviors in a diverse sample of 450 young adults who are heavy drinkers. If the hypotheses are confirmed, results will support use of the combined MI-based bystander-alcohol intervention as an effective means of reducing drinking and motivating bystander behaviors among those at highest risk for sexual violence.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Individuals ages 18-25
  • Heavy drinkers (as defined by using the AUDIT)
  • English fluency
  • Community members from Lancaster and surrounding counties in Nebraska
  • Signed and dated consent form
  • Stated willingness to comply with study procedures

Exclusion criteria

This project does not have any pre-determined exclusion criteria beyond the need to meet inclusion criteria for the study.

Treatment and study plan

Motivate-the-Bystander

Behavioral

A Zoom-based motivational interviewing prevention program that enhances knowledge, motivation, and skills for increased bystander behaviors.

Other names: MTB

Motivate-the-Bystander+Alcohol

Behavioral

A Zoom-based motivational interviewing prevention program that enhances knowledge, motivation, and skills for reduced alcohol use and increased bystander behaviors.

Other names: MTB+ALC

Attention-only Control

Behavioral

A Zoom-based stress reduction program in which progressive muscle relaxation and other techniques are introduced and practiced.

Other names: Control

Primary outcomes

  1. Alcohol use

    Time frame: months 0-9

    Alcohol use quantity is assessed with electronic daily diaries weekly for 9 months.

  2. Daily self-reports of bystander behavior

    Time frame: months 0-9

    Bystander behavior is assessed with electronic daily diaries weekly for 9 months.

  3. Observational bystander behavior

    Time frame: 1-week follow-up

    Bystander behavior is assessed with a virtual environment called Bystander in Sexual Assault Virtual Environments (B-SAVE). Participants experience a virtual "house party" and are exposed to 10 situations in which they can intervene or not. Responses are recorded and coded for the presence and effectiveness of intervention attempts.

Study contacts

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

Carrie Murphy

CONTACT

[email protected]

4024723772

Sponsors and collaborators

Lead sponsor

University of Nebraska Lincoln

Other

Collaborators

  • National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Registry information

Official study title

RCT of a Combined MI Intervention to Address Bystander Behaviors in the Context of Alcohol Use

Acronym: MAP

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
May 24, 2023
Registry last updated
Apr 22, 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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