Southern Connecticut State University s1

APPENDICES

APPENDIX B

Institutional Review Board (IRB) Forms

In order to submit an application to the IRB for review, investigators must complete the IRB Application for Protocol Review, which may be obtained online at http://www.southernct.edu/departments/graduatestudies/irbhrppform.php or on a 3.5 floppy disk from the School of Graduate Studies Office. Please be advised that research participant recruitment may not begin until IRB approval has been obtained.

2 APPENDIX C

Letter of Agreement to Serve as Special Project Advisor

Directions: Upon approval of your Special Project Application by the Department, you should complete Sections 1 and 2 of this form before forwarding it to the faculty member of the Department of Public Health who has been assigned to serve as your Special Project Advisor. Please type. The Advisor completes Section 3 and returns the completed form to the Coordinator of Graduate Studies.

SECTION 1: MASTER'S DEGREE STUDENT

Name: ______Address: ______Telephone: (______) ______- ______

SECTION 2: SERVICE AGREEMENT

a. Agency ______

b. Preceptor ______

c. Problem/Need______

______

d. Proposed Response ______

______

SECTION 3: AGREEMENT OF FACULTY MEMBER TO SERVE AS SPECIAL PROJECT ADVISOR

I have discussed the concept of the Special Project with the above-named student. I agree to serve as her or his Special Project Advisor.

______Project Advisor's Name Project Advisor's Signature Date

APPENDIX D

Letter of Intent to Serve as Agency Preceptor

The Special Project is one option for the culminating academic experience, required in the Master of Public Health program in the SCSU Department of Public Health. To complete an agency- based Special Project a graduate student will work with an agency preceptor to respond to a void or gap in service. The Special Project must meet the Special Project Guidelines and Requirements published by the Department of Public Health. The Special Project is completed under the guidance and supervision of a faculty member of the Department and an Agency Preceptor. The Special Project is composed of two documents: a) the Special Project Prospectus, which is a proposal to provide a service to respond to the void or gap in service, and b) the Special Project Report, which describes the process for the development of the response to the void or gap in service.

The student's work is monitored by the Special Project Advisor and reviewed periodically by the Agency Preceptor. The final Special Project Report is approved by the Project Advisor and Agency Preceptor.

The Agency Preceptor’s responsibilities include, but may not be limited to, the following:

1. Approve the concept for the Special Project with special attention to the needs of the agency. 2. Provide students with access to all relevant resources for completing the Special Project. 3. Provide guidance to the student and review drafts of the Prospectus and Report, as necessary. 4. Approve the Special Project, if it meets the requirements agreed upon by the student, Advisor and Agency Preceptor.

The Agency Preceptor is encouraged to contact the student's Project Advisor at any time.

4 Letter of Intent to Serve as Agency Preceptor

I have discussed the concept of the student's Special Project. I find the concept acceptable and agree to serve as the student's Agency Preceptor. I am authorized and/or will ensure authorization to approve the Special Project being undertaken in this organization.

______Preceptor's Name (Please Print)

______Date______/______/______Preceptor’s Signature

______Preceptor’s Title Agency Department

______Agency Name

______Agency Address

(_____)______(_____)______Telephone FAX

Preceptor’s or Agency’s Email ______

______Student’s Name (Please Print)

______Student’s Address

(_____)______Student’s Telephone Student’s Email

Brief Description of the Special Project Prospectus (To include the problem/need and the proposed response)

5 APPENDIX E

Letter of Intent to Serve as Second Reader

The Special Project is one option for the culminating academic experience, required in the Master of Public Health program in the SCSU Department of Public Health. To complete a non-agency based Special Project a graduate student will work with a Second Reader. The Special Project must meet the Special Project Guidelines and Requirements published by the Department of Public Health. The Special Project is completed under the guidance and supervision of a faculty member of the Department and an Agency Preceptor. The Special Project is composed of two documents: a) the Special Project Prospectus, which is a proposal to provide a service to respond to the void or gap in service, and b) the Special Project Report, which describes the process for the development of the response to problem/need.

The student's work is monitored by the Special Project Advisor and reviewed periodically by the Second Reader. The final Special Project Report is approved by the Project Advisor and Second Reader.

The Second Reader’s responsibilities include, but may not be limited to, the following:

1. Approve the concept for the Special Project. 2. Provide guidance to the student and review drafts of the Prospectus and Report, as necessary. 3. Approve the Special Project, if it meets the requirements agreed upon by the student, Advisor and Second Reader.

The Second Reader is encouraged to contact the student's Project Advisor at any time.

6 Letter of Intent to Serve as Second Reader

I have discussed the concept of the student's Special Project. I find the concept acceptable and agree to serve as the student's Second Reader.

______Name (Please Print)

______Date______/______/______Signature

______Title

______Organization

______Address

(_____)______(_____)______Telephone FAX

Reader’s Email ______

______Student’s Name (Please Print)

______Student’s Address

(_____)______Student’s Telephone Student’s Email

Brief Description of the Special Project Prospectus (To include the Problem/need and the proposed response)

7 APPENDIX F

Title Page

AN INNOVATION TO INCREASE AWARENESS OF SEXUAL ASSAULT AMONG MALE COLLEGE STUDENTS AT AN URBAN UNIVERSITY IN THE NORTHEASTERN UNITED STATES

CORY P. SONNA

A Special Project Report Submitted to the Department of Public Health in Partial Fulfillment for the Requirements for the Degree of Master of Public Health

Southern Connecticut State University New Haven, Connecticut May 2007

8 APPENDIX G

Copyright Page

9 APPENDIX H

Signature Page

AN INNOVATION TO INCREASE AWARENESS OF SEXUAL ASSAULT AMONG MALE COLLEGE STUDENTS AT AN URBAN UNIVERSITY IN THE NORTHEASTERN UNITED STATES

CORY P. SONNA

This Special Project has been successfully completed and partially fulfills the requirements for the degree of Master of Public Health.

______Special Project Advisor Date

______

Agency Preceptor/Second Reader Date

______Department Chairperson Date

10 APPENDIX I

Acknowledgments

I wish to take this opportunity to acknowledge several special people who have significantly contributed to the development of my Special Project. First, I would like to thank my family for the extraordinary understanding and emotional support given to me while I pursued my Master’s Degree. I would also like to extend my deepest appreciation to my good friend, Jackie Krieger, for her invaluable input to this project.

I wish to express my gratitude to Ms. Sonja Cotez, Director of the Sommers

Valley Health District, and Mr. Emanuel Koontz, Executive Director of the Valley

Collaborative, who provided extensive reviews of the manual and offered their expert commentary and personal support throughout.

To the staffs of the Sommers Valley Health District and the Valley Collaborative,

I extend my deepest appreciation for your participation in my project and my respect for the tireless work you do on behalf of those who are victims of sexual assault.

I wish to thank my Special Project Advisor, Dr. A. M. Mansville, for the patient guidance she provided throughout the development of this Special Project, and my

Agency Preceptor Ms. Roberta Simpson, for her devotion to this project and each of her clients. To all of my professors in the Public Health Department for the learning experiences provided to me during my training for the Master’s Degree I extend my deepest appreciation.

Finally, I thank the clients served by the Sommers Valley Health District and the

Valley Collaborative who have put faces to the struggle of victims of sexual assault.

11 APPENDIX J

Abstract

AUTHOR: Cory P. Sonna

TITLE: AN INNOVATION TO INCREASE AWARENESS OF SEXUAL ASSAULT AMONG MALE COLLEGE STUDENTS AT AN URBAN UNIVERSITY IN THE NORTHEASTERN UNITED STATES

PROJECT ADVISOR: Dr. A. M. Mansville, Department of Pubic Health

AGENCY PRECEPTOR: Ms. Roberta Simpson, Director of Wellness Office, CEP

INSTITUTION: Southern Connecticut State University

DEGREE: Master of Public Health

YEAR: 2007

Over half of undergraduate college women in the U.S. have revealed at least one experience with sexual coercion during their college years. Approximately 12% of college women were victims of forcible rape in 1997. Healthy People 2010 proposes to reduce the rate of forced sexual intercourse or attempted intercourse of persons 12 and older to less than 0.55 per 1,000. According to the experts, the most effective means of preventing rape on college campuses is education. Many current programs place emphasis on the potential victim in contrast to the potential assailant. The goal of this project was to raise the awareness about sexual assault and its consequences among male college students by developing an educational innovation that addressed the predisposing, enabling and reinforcing factors related to sexual assault. The cost of the Project was estimated to be $38, 256.

12 APPENDIX K

Table of Contents

List of Tables……………………………………………………………………… vii List of Figures…………………………………………………………………….. viii SECTION ONE – INTRODUCTION…………………………………………….. 1

Project Purpose and Description………………………………...... …….. 1

Description of the Host Agency…..…...... …….. .1

Significance and Relevance………………………………………... …….. .3

Theoretical Background………………………………………...... …….. .7

Goals and Objectives ...... …….. .9

Ethics Governing Project.. ……...... ………11

Author’s Qualifications…………………………………………...... ………11

Conclusion…………….. ……...... ………12

SECTION TWO – METHODOLOGY…………………………………...………..13

Overview…………………………………………...... ………13

Needs Assessment Results……………………………………….....………14

Design of the Project…………………………….……………….....………18

Instrumentation…………………………………………...... ………26

Pilot Study…………………………………………...... ……....29

Conclusion……………………………………………………….....……....32

SECTION THREE – PROJECT RESULTS……………………………………. 33

Overview…………………………………...... …….. 33

Development of the Intervention…………………………………... …….. 33

13 Pilot Study Results………………………………………………………….38

Refinement of the Intervention…………………………………...... …….. 41

Conclusion………………………………………………………………… 44

SECTION FOUR – CONCLUSION AND RECOMMENDATIONS……………..45

Interpretation of the Results………………...………………………………45

Significance and Implications for Practice………………………………. 49

Lessons Learned………………………….……………………………….. 53

Conclusion.………………………………………………………………….57

BIBLIOGRAPHY…………………………...... ……. 58

APPENDICES………………………...... ……. 64

Appendix A: Formative Research Process……………………………… 65

Appendix B: IRB Forms………………………………………………… 68

______1 Page numbers in sample Table of Contents are not necessary indicative of expected length of either section components or individual sections. Length of components and sections is determined solely by the requirements of each component as described in the Special Project Guidelines and Requirements and the requirements of your Special Project Advisor.

14 APPENDIX L

List of Tables (Exhibits/Illustrations)

Table 1: Demographic Characteristics of Sample...... ……. 34