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This article details the theoretical framework, content, and piloting of a sexual assault prevention program for college men who engage in heavy drinking, a high-risk group who may be particularly well positioned to intervene as proactive bystanders in drinking environments. In an open trial, male facilitators delivered the three-session Sexual Assault and Alcohol Feedback and Education (SAFE) program to 25 heavy drinking college men. Session 1 was a 90-min review of personalized normative feedback regarding alcohol use, sexual activity, alcohol-related sexual consequences, understanding of consent, and engagement in bystander intervention, delivered individually in a motivational interviewing style. Session 2 was a 2\u00bd-hr group-based sexual assault prevention workshop focusing on social norms, empathy, masculinity, consent, and bystander intervention. Session 3 was a 90-min booster group session that reviewed previous topics and included the active practice of bystander intervention skills. Analyses of postsession assessments of utility, therapeutic alliance, and satisfaction and examination of alcohol use and sexual assault\u2013related outcomes from baseline to the 2-month assessment support the preliminary feasibility and acceptability of the SAFE program.<\/jats:p>","DOI":"10.1177\/1077801218787928","type":"journal-article","created":{"date-parts":[[2018,8,6]],"date-time":"2018-08-06T00:57:11Z","timestamp":1533517031000},"page":"1369-1396","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":71,"title":["Sexual Assault Prevention for Heavy Drinking College Men: Development and Feasibility of an Integrated Approach"],"prefix":"10.1177","volume":"24","author":[{"given":"Lindsay M.","family":"Orchowski","sequence":"first","affiliation":[{"name":"Brown University, Providence, RI, USA"},{"name":"Rhode Island Hospital, Providence, RI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy P.","family":"Barnett","sequence":"additional","affiliation":[{"name":"Brown University, Providence, RI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Berkowitz","sequence":"additional","affiliation":[{"name":"Independent Consultant, Mount Shasta, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Borsari","sequence":"additional","affiliation":[{"name":"San Francisco Veterans Affairs Health Care System, San Francisco, CA, USA"},{"name":"University of California, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Oesterle","sequence":"additional","affiliation":[{"name":"Rhode Island Hospital, Providence, RI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caron","family":"Zlotnick","sequence":"additional","affiliation":[{"name":"Brown University, Providence, RI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,8,5]]},"reference":[{"key":"bibr1-1077801218787928","doi-asserted-by":"publisher","DOI":"10.1111\/j.1465-3362.2011.00296.x"},{"key":"bibr2-1077801218787928","doi-asserted-by":"publisher","DOI":"10.1177\/0886260503253301"},{"key":"bibr3-1077801218787928","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.72.5.747"},{"key":"bibr4-1077801218787928","doi-asserted-by":"publisher","DOI":"10.1037\/a0026346"},{"key":"bibr5-1077801218787928","doi-asserted-by":"publisher","DOI":"10.1177\/1524838014521031"},{"key":"bibr6-1077801218787928","doi-asserted-by":"publisher","DOI":"10.1016\/S1359-1789(03)00011-9"},{"key":"bibr7-1077801218787928","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2000","edition":"4"},{"key":"bibr8-1077801218787928","doi-asserted-by":"publisher","DOI":"10.1525\/sp.2006.53.4.483"},{"key":"bibr9-1077801218787928","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1991.52.580"},{"key":"bibr10-1077801218787928","doi-asserted-by":"publisher","DOI":"10.1037\/a0033470"},{"key":"bibr11-1077801218787928","doi-asserted-by":"publisher","DOI":"10.1002\/jcop.20159"},{"key":"bibr12-1077801218787928","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2007.06.017"},{"key":"bibr13-1077801218787928","volume-title":"Manual for the Beck Depression Inventory-II","author":"Beck A. 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