Communication and Recovery Enhancement (CARE) is a 2-session early intervention for survivors of recent sexual assault and their supporters that aims to improve supporters' ability to respond effectively. The goal of this pilot trial is to understand the acceptability and preliminary efficacy of two versions of CARE: a version in which survivors and supporters attend both sessions together (dyadic CARE) and a version in which supporters attend sessions alone (supporter-only CARE). Survivors aged 14+ with elevated posttraumatic stress symptoms will enroll with a supporter of their choosing. Dyads will be randomized to dyadic CARE, supporter-only CARE, or waitlist control, and will complete self-report assessments at baseline, post-session-1, and follow-ups (1, 2, and 3 months post-baseline). Results will be used to inform future changes to CARE and determine whether a fully-powered randomized controlled trial is warranted.
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Survivor Satisfaction With Intervention at 1 Month Post-baseline (Self Report)
Timeframe: 1 month
Supporter Satisfaction With Intervention at 1 Month Post-baseline (Self Report)
Timeframe: 1 month
Change in Survivor Knowledge at 1 Month Post-baseline (Self Report)
Timeframe: Baseline, 1 month
Change in Supporter Knowledge at 1 Month Post-baseline (Self Report)
Timeframe: Baseline, 1 month
Change in Survivor Confusion About Help-seeking Behavior at 1 Month Post-baseline (Self Report)
Timeframe: Baseline, 1 month
Change in Supporter Confusion About Helping Behavior at 1 Month Post-baseline (Self Report)
Timeframe: Baseline, 1 month
Survivor Disclosure Frequency to Supporter at 1 Month Post-baseline (Self Report)
Timeframe: 1 month
Supporter Overt Hostile Reactions to Disclosure at 1 Month Post-baseline (Informant Report)
Timeframe: 1 month
Supporter Subtly Unsupportive Reactions to Disclosure at 1 Month Post-baseline (Informant Report)
Timeframe: 1 month
Change in Supporter Responsiveness at 1 Month Post-baseline (Informant Report)
Timeframe: Baseline & 1 month
Change in Survivor PTSD Symptom Severity at 3 Months Post-baseline (Self Report)
Timeframe: Baseline, 3 months
Survivor Provisional PTSD Diagnostic Status at 3 Months Post-baseline (Self Report)
Timeframe: 3 months
Change in Survivor Stress at 3 Months Post-baseline (Self Report)
Timeframe: Baseline, 3 months
Change in Supporter Stress at 3 Months Post-baseline (Self Report)
Timeframe: Baseline, 3 months
Change in Survivor Perceived Relationship Quality at 3 Months Post-baseline (Self Report)
Timeframe: Baseline, 3 months
Change in Supporter Perceived Relationship Quality at 3 Months Post-baseline (Self Report)
Timeframe: Baseline, 3 months