UTH

Code of Respect



ABOUT X-CORE



XCoRe Logo

OVERVIEW

Welcome to Code of Respect, or X-CoRe for short. X-CoRe is an evidence-informed multi-component program to prevent sexual harassment and sexual assault among active-duty Airmen. It was developed by researchers at The University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health. The program consists of 10 brief digital modules optimized for use on a mobile phone and a social marketing campaign to target cultural norms.





Components

X-CoRe comprises three main components:

  • Junior Enlisted Track: designed for Airmen ranked E1-E4;

  • Leadership Track: designed for mid-level and Senior leaders (ranked E5 and above);

  • Social Marketing Campaign: to target cultural norms. 

The program sequence is based on the module topic, gradually progressing from identifying respectful and disrespectful behaviors to more serious forms of sexual harassment and sexual assault. 



Scope & Sequence

Junior Enlisted Track

Module 1: Relationship Basics 

Module 2: Setting your Personal Boundaries 

Module 3: Protecting your Boundaries 

Module 4: Tech Protect 

Module 5: Thoughts and Emotions 

Module 6: Communication for Respectful Relationships 

Module 7: Consent 

Module 8: Alcohol Use 

Module 9: Reporting 

Module 10: Bystander Intervention 

Leadership Track

Module 1: Relationship Basics 

Module 2: Setting your Personal Boundaries 

Module 3: Protecting your Boundaries 

Module 4: Tech Protect 

Module 5: Thoughts and Emotions 

Module 6: Communication for Respectful Relationships 

Module 7: Consent 

Module 8: Respond 

Module 9: Refer and Report 

Module 10: Positive Command Climate 





X-CoRe is presented in a unique and engaging comic-book style with a variety of interactive skill-building activities based on theoretical methods, such as:  

Knowledge Transfer
Skills/Practice
Scenario Based Risk Information & Framing
Modeling

Screenshots of the X-CoRe program, including three comic panels and an airforce member speaking.





WHY DID WE DEVELOP X-CORE?

Icon of a graph Nearly 29,000 Service members experienced some form of unwanted sexual contact in 2023.
Icon of a military officer There are very few military-specific programs. Evidence-based sexual health programs developed for civilians have been effective in preventing dating violence and sexual violence by using a healthy relationships approach.
Icon of a handshake Our goal is to shift the culture around sexual violence in the military. We believe it ‘Starts at the Core’ by equipping active-duty Service members and their leaders with the skills to maintain respectful work, social, and intimate relationships.




RESULTS TO DATE

Publications and presentations: 

  • Hernandez B, Shegog R, Markham C, Emery S, Baumler E, Thormaehlen L, Andina Teixeira R, Rivera Y, Pertuit O, Kanipe C, Witherspoon I, Doss J, Jones V, Peskin M. Short-Term Outcomes of a Healthy Relationship Intervention for the Prevention of Sexual Harassment and Sexual Assault in the US Military: Pilot Pretest-Postest Study. JMIR Form Res 2024;8:e64412 URL: https://formative.jmir.org/2024/1/e64412 DOI: 10.2196/64412

  • Bowie, B.; Li, A.; Peskin, M.; Shegog, R.; Markham, C.; Emery, S.; Thormaehlen, L.; Teixeira, R.A.; Witherspoon, I.; Doss, J.; Jones, V.; Hernandez, B. Attitudes and perceptions of current sexual harassment and assault prevention training among Airmen: a mixed methods study. Poster presented at American Public Health Association (APHA) Annual Meeting November 2022, Boston, MA. 

  • Hernandez, B.; Li, A.; Shegog, R.; Markham, C.; Emery, S.; Thormaehlen, L.; Bowie, B.; Teixeira, R.A.; Witherspoon, I.; Doss, J.; Jones, V.; Peskin, M. "It depends": Attitudes and perceptions of sexual harassment and assault and intentions to report incidents among Active-duty Airmen. Poster presented at American Public Health Association (APHA) Annual Meeting November 2022, Boston, MA. 



ABOUT OUR TEAM

Code of Respect (X-CoRe) was developed by behavioral scientists specializing in sexual health, prevention of risk behaviors, behavior change theories, military populations, and intervention development and evaluation.

Dr. Belinda Hernandez

Belinda Hernandez, PhD
Principal Investigator 

Dr. Melissa Peskin

Melissa Peskin, PhD
Co-Investigator

Dr. Christine Markham

Christine Markham, PhD
Co-Investigator

Dr. Ross Shegog

Ross Shegog, PhD
Co-Investigator

Dr. Susan Tortolero Emery

Susan Tortolero Emery, PhD 
Co-Investigator

Dr. Elizabeth Baumler

Elizabeth Baumler, PhD
Statistician

Dr. Robert Addy

Robert Addy, PhD 
Data Manager

Laura Thormaehlen

Laura Thormaehlen, MPH
Research Coordinator 

Rejane Teixeira

Rejane Teixeira, MPH 
Research Assistant 

Blank headshot

Yanneth Rivera, MPH
Research Associate 

Olive Pertuit

Olive Pertuit, MPH
Research Assistant 

Blank headshot

Chelsey Kanipe, MS 
Doctoral Graduate
Research Assistant

We are grateful for the invaluable collaboration of our military partners and advisory group in developing the program. We extend our thanks to all the Airmen who participated in the program evaluation.



OUR FUNDERS

The development of Code of Respect (X-CoRe) was funded by the United States Department of Defense (Grant # W81XWH2020031). The randomized control trial of X-CoRe is being funded by the United States Department of Defense (Grant # HT94252310763).







JBMDL PARTICIPANTS

If you are stationed at JBMDL and interested in joining a study to determine if X-CoRe is effective at reducing sexual harassment and sexual assault, click on the link to learn more about the study and enroll.

This is an opportunity to help improve the Air Force culture.



JBMDL Page_link icon 2.png

Everyone who participates will receive an incentive!





BECOME A COLLABORATOR 

If you’re interested in learning more about X-CoRe or piloting it at your installation, contact Dr. Belinda Hernandez (Lead Researcher) at [email protected] or Laura Thormaehlen (Project Coordinator) at [email protected]







FREQUENTLY ASKED QUESTIONS

X-CoRe Randomized Controlled Trial

X-CoRe Program

  • How long does it take to complete X-CoRe?

    If you are assigned to receive X-CoRe, we suggest you complete one ten-minute module per day for 10 days, anytime during your off-duty hours. This means you would complete the program in about a week and a half. Easy, right? Of course, if you love it, you could complete it all at once! Remember, you can use any device that connects to Wi-Fi

  • The program is not loading properly. What can I do?

    Try clearing your browser cache and cookies or logging in from a different browser or device. If the problem continues, please email us at codeofrespect@uth.tmc.edu.  

  • I finished one module. How do I access the next one?

    If you’re taking the course on a desktop, laptop, or iPad:

    • At the end of each module, you will be prompted to close the browser window. To do this, simply click on the “X” or “Close” button, usually located at the top right corner of your browser. Once you have closed the module window, navigate back to the tab labeled “Content Info”. Here, you can select the next module you wish to complete. Continue this process until you have completed all the required modules. You can also log out if you wish to complete the next module at a different time (recommended if you’re using a public device).

    If you’re using your phone:

    • IOS (iPhone) or Android device: At the end of each module, you will be prompted to close the browser window. If you want to move on to the next module right away, click the back button to be redirected to the course catalog screen, where you can select the next module you wish to complete. You can also log out if you wish to complete the next module at a different time.

Other

  • How can I get involved?

    X-CoRe is currently being evaluated with active-duty Airmen of all ranks at JBMDL. If that’s your installation and you want to know how to get more involved, click here.

    If you’re at a different installation and you’re interested in participating in a future study, let us know too! Contact our Lead Researcher or Research Coordinator here

  • I have more questions. Who can I contact?

    You can reach out to our team at [email protected]. We’re here to help!





CONTACT US

Have any questions? 

Let us know! The X-CoRe team is here for you if you have questions about the website or the implementation of the program at your installation. 

For questions, please contact us at [email protected] 

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