Refining a Video and Text Message Intervention (STAR, Skills Training in Active Recovery) to Prevent the Onset or Escalation of Posttraumatic Stress and Opioid Misuse Among Recent Sexual Assault Survivors: Community Engaged Study
Abstract BackgroundSexual violence is prevalent, and the consequences can be chronic and impairing. However, few interventions exist to prevent the onset or escalation of posttraumatic stress symptoms and opioid misuse among recent sexual violence survivors. Object...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2025-08-01
|
| Series: | JMIR Formative Research |
| Online Access: | https://formative.jmir.org/2025/1/e72095 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849223121137041408 |
|---|---|
| author | Kate Walsh Anne Marie Schipani-McLaughlin Cynthia Stappenbeck Shahzarin Khan Anna Woodworth Sanika Panwalkar Ronald Acierno Amanda K Gilmore |
| author_facet | Kate Walsh Anne Marie Schipani-McLaughlin Cynthia Stappenbeck Shahzarin Khan Anna Woodworth Sanika Panwalkar Ronald Acierno Amanda K Gilmore |
| author_sort | Kate Walsh |
| collection | DOAJ |
| description |
Abstract
BackgroundSexual violence is prevalent, and the consequences can be chronic and impairing. However, few interventions exist to prevent the onset or escalation of posttraumatic stress symptoms and opioid misuse among recent sexual violence survivors.
ObjectiveThis study describes a collaborative process of updating an integrated postsexual assault video and developing an SMS text messaging intervention program with a community advisory board (CAB) of sexual assault survivors.
MethodsResearch team members met virtually for six 60‐90-minute meetings with a 5-member CAB of sexual assault survivors with diverse racial and gender identities located throughout the United States. CAB members provided feedback on written documents detailing an adapted video script and newly developed text intervention to address the risk of substance misuse and posttraumatic stress disorder symptoms following sexual assault. CAB members also received SMS text messages to provide feedback from the end-user perspective.
ResultsWe identified overarching themes to improve relatability (destigmatize and increase awareness of support, reduce technical language, and increase representation in actors), content (increase social support, include substance-related assault, and suggest activities), and wording (normalize different terms for sexual assault and reduce insensitive language) for the video intervention. For the text intervention, we identified themes relating to acceptability (timing, frequency, and format of texts), relatability (having an avatar introduce the program and identifying the study name in messages), content (messaging), and wording (increasing clarity).
ConclusionsFindings reinforce the importance of including community members’ perspectives and suggestions to improve the acceptability and relatability of interventions, including the video and SMS text message intervention described here. |
| format | Article |
| id | doaj-art-47f16dccc4d8441ba77b9238fcfec25d |
| institution | Kabale University |
| issn | 2561-326X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Formative Research |
| spelling | doaj-art-47f16dccc4d8441ba77b9238fcfec25d2025-08-25T22:12:05ZengJMIR PublicationsJMIR Formative Research2561-326X2025-08-019e72095e7209510.2196/72095Refining a Video and Text Message Intervention (STAR, Skills Training in Active Recovery) to Prevent the Onset or Escalation of Posttraumatic Stress and Opioid Misuse Among Recent Sexual Assault Survivors: Community Engaged StudyKate Walshhttp://orcid.org/0000-0002-3996-2683Anne Marie Schipani-McLaughlinhttp://orcid.org/0000-0001-8496-5819Cynthia Stappenbeckhttp://orcid.org/0000-0001-9367-7691Shahzarin Khanhttp://orcid.org/0000-0001-7399-2045Anna Woodworthhttp://orcid.org/0009-0002-6792-9298Sanika Panwalkarhttp://orcid.org/0009-0005-1749-4793Ronald Aciernohttp://orcid.org/0000-0001-8799-8210Amanda K Gilmorehttp://orcid.org/0000-0002-5376-9206 Abstract BackgroundSexual violence is prevalent, and the consequences can be chronic and impairing. However, few interventions exist to prevent the onset or escalation of posttraumatic stress symptoms and opioid misuse among recent sexual violence survivors. ObjectiveThis study describes a collaborative process of updating an integrated postsexual assault video and developing an SMS text messaging intervention program with a community advisory board (CAB) of sexual assault survivors. MethodsResearch team members met virtually for six 60‐90-minute meetings with a 5-member CAB of sexual assault survivors with diverse racial and gender identities located throughout the United States. CAB members provided feedback on written documents detailing an adapted video script and newly developed text intervention to address the risk of substance misuse and posttraumatic stress disorder symptoms following sexual assault. CAB members also received SMS text messages to provide feedback from the end-user perspective. ResultsWe identified overarching themes to improve relatability (destigmatize and increase awareness of support, reduce technical language, and increase representation in actors), content (increase social support, include substance-related assault, and suggest activities), and wording (normalize different terms for sexual assault and reduce insensitive language) for the video intervention. For the text intervention, we identified themes relating to acceptability (timing, frequency, and format of texts), relatability (having an avatar introduce the program and identifying the study name in messages), content (messaging), and wording (increasing clarity). ConclusionsFindings reinforce the importance of including community members’ perspectives and suggestions to improve the acceptability and relatability of interventions, including the video and SMS text message intervention described here.https://formative.jmir.org/2025/1/e72095 |
| spellingShingle | Kate Walsh Anne Marie Schipani-McLaughlin Cynthia Stappenbeck Shahzarin Khan Anna Woodworth Sanika Panwalkar Ronald Acierno Amanda K Gilmore Refining a Video and Text Message Intervention (STAR, Skills Training in Active Recovery) to Prevent the Onset or Escalation of Posttraumatic Stress and Opioid Misuse Among Recent Sexual Assault Survivors: Community Engaged Study JMIR Formative Research |
| title | Refining a Video and Text Message Intervention (STAR, Skills Training in Active Recovery) to Prevent the Onset or Escalation of Posttraumatic Stress and Opioid Misuse Among Recent Sexual Assault Survivors: Community Engaged Study |
| title_full | Refining a Video and Text Message Intervention (STAR, Skills Training in Active Recovery) to Prevent the Onset or Escalation of Posttraumatic Stress and Opioid Misuse Among Recent Sexual Assault Survivors: Community Engaged Study |
| title_fullStr | Refining a Video and Text Message Intervention (STAR, Skills Training in Active Recovery) to Prevent the Onset or Escalation of Posttraumatic Stress and Opioid Misuse Among Recent Sexual Assault Survivors: Community Engaged Study |
| title_full_unstemmed | Refining a Video and Text Message Intervention (STAR, Skills Training in Active Recovery) to Prevent the Onset or Escalation of Posttraumatic Stress and Opioid Misuse Among Recent Sexual Assault Survivors: Community Engaged Study |
| title_short | Refining a Video and Text Message Intervention (STAR, Skills Training in Active Recovery) to Prevent the Onset or Escalation of Posttraumatic Stress and Opioid Misuse Among Recent Sexual Assault Survivors: Community Engaged Study |
| title_sort | refining a video and text message intervention star skills training in active recovery to prevent the onset or escalation of posttraumatic stress and opioid misuse among recent sexual assault survivors community engaged study |
| url | https://formative.jmir.org/2025/1/e72095 |
| work_keys_str_mv | AT katewalsh refiningavideoandtextmessageinterventionstarskillstraininginactiverecoverytopreventtheonsetorescalationofposttraumaticstressandopioidmisuseamongrecentsexualassaultsurvivorscommunityengagedstudy AT annemarieschipanimclaughlin refiningavideoandtextmessageinterventionstarskillstraininginactiverecoverytopreventtheonsetorescalationofposttraumaticstressandopioidmisuseamongrecentsexualassaultsurvivorscommunityengagedstudy AT cynthiastappenbeck refiningavideoandtextmessageinterventionstarskillstraininginactiverecoverytopreventtheonsetorescalationofposttraumaticstressandopioidmisuseamongrecentsexualassaultsurvivorscommunityengagedstudy AT shahzarinkhan refiningavideoandtextmessageinterventionstarskillstraininginactiverecoverytopreventtheonsetorescalationofposttraumaticstressandopioidmisuseamongrecentsexualassaultsurvivorscommunityengagedstudy AT annawoodworth refiningavideoandtextmessageinterventionstarskillstraininginactiverecoverytopreventtheonsetorescalationofposttraumaticstressandopioidmisuseamongrecentsexualassaultsurvivorscommunityengagedstudy AT sanikapanwalkar refiningavideoandtextmessageinterventionstarskillstraininginactiverecoverytopreventtheonsetorescalationofposttraumaticstressandopioidmisuseamongrecentsexualassaultsurvivorscommunityengagedstudy AT ronaldacierno refiningavideoandtextmessageinterventionstarskillstraininginactiverecoverytopreventtheonsetorescalationofposttraumaticstressandopioidmisuseamongrecentsexualassaultsurvivorscommunityengagedstudy AT amandakgilmore refiningavideoandtextmessageinterventionstarskillstraininginactiverecoverytopreventtheonsetorescalationofposttraumaticstressandopioidmisuseamongrecentsexualassaultsurvivorscommunityengagedstudy |