Evaluation of the school-based Healthy Relationships Project for primary prevention of child sexual abuse among children pre-K through 5th grade

对学前班至五年级儿童儿童性虐待初级预防的校本健康关系项目的评估

• 批准号: 10403817
• 负责人: BETH Ellen MOLNAR
• 金额: $ 40万
• 依托单位: NORTHEASTERN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-30 至 2025-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10403817
• 关键词: Evaluation; based; Healthy; Relationships; Project

Project Abstract Evaluation of the school-based Healthy Relationships Project for primary prevention of child sexual abuse among children pre-K through 5th grade Child sexual abuse (CSA) is a major issue worldwide, with rigorous evidence of its magnitude and impacts on social, emotional and physical health. While interventions for the primary prevention of CSA exist, few have been rigorously evaluated. A review of school-based education programs for CSA prevention (Walsh et al., 2015) found a total of 24 trials representing 5,802 participants in both elementary and high schools across 7 countries. Findings included evidence of improvements in protective behaviors and knowledge, with limited evidence of increased odds of disclosure. None found changes in incidence/prevalence of CSA over time. The Healthy Relationships Project (HRP) created, modified and run by the organization Prevent Child Abuse Vermont, has been delivering CSA primary prevention curricula since 1990 with implementation across 30 U.S. States, including statewide in Vermont. During those decades, substantiated cases per year in Vermont dropped 61% and the number of child perpetrators per year dropped 69%. Addressing Research Priority 1, implementation of the HRP in Pre-K through 5th grade will be rigorously evaluated in a mixed-methods stepped wedge randomized trial design with 16 public charter schools in three high-need wards in Washington, DC. The School Safety Omnibus Amendment Act of 2018 was enacted to obligate DC schools to prevent and address student sexual abuse. Our partner Safe Shores, the Child Advocacy Center (CAC) for DC, has implemented HRP in public charter schools with success; the opportunity remains to conduct this trial in schools where it has not been delivered and increase its feasibility via established trust with the district and schools. Our findings about its efficacy will potentially place the HRP into the echelon of evidence-based programs that many schools seek to use, especially those mandated to deliver CSA prevention programming. Data from Safe Shores, the CAC that receives reports of suspected child abuse from all Washington, DC public schools, will be utilized as the primary outcome including the numbers and types of CSA investigations and other services provided by the CAC involving the participating schools which include forensic services, family advocacy, case management and more. More commonly utilized measures of improvements in protective behaviors, self- efficacy, knowledge and disclosure will be collected from caregivers (n=3,500) and teachers (n= 266). Qualitative research will be included to assess strengths and weaknesses of intervention rollout, fidelity monitoring, lessons learned and sustainability. This innovative and novel mixed methods evaluation study will move the science of child sexual abuse prevention research forward with a community-based participatory research partnership between scientists in family violence prevention research, professionals at community-based organizations and participating public elementary schools in high need urban areas. In summary, a rigorous experimental evaluation will be conducted of an existing universal primary prevention program with a history of 30+ years of implementation across 30 states and robust pilot data.

项目摘要 校本儿童性行为一级预防健康关系项目评价 学前班至五年级儿童的虐待行为 儿童性虐待（CSA）是世界范围内的一个重大问题，有严格的证据表明其严重程度和对儿童的影响 社会、情感和身体健康。虽然存在 CSA 一级预防的干预措施，但很少有 严格评估。对预防 CSA 的校本教育计划的回顾（Walsh 等，2015） 总共有 24 项试验，涉及 7 个国家的小学和高中的 5,802 名参与者。 调查结果包括保护行为和知识有所改善的证据，但证据有限 增加披露的可能性。没有发现 CSA 的发病率/患病率随时间的变化。健康的 关系项目 (HRP) 由佛蒙特州防止虐待儿童组织创建、修改和运行， 自 1990 年以来一直在提供 CSA 初级预防课程，并在美国 30 个州实施， 包括佛蒙特州全州。在这几十年里，佛蒙特州每年确诊的病例数量有所下降 61%，儿童犯罪者数量每年下降 69%。解决研究优先事项 1， 学前班至五年级 HRP 的实施情况将通过混合方法进行严格评估 楔形随机试验设计，涉及华盛顿特区三个高需求病区的 16 所公立特许学校。 颁布《2018 年学校安全综合修正案》，责成 DC 学校预防和 解决学生性虐待问题。我们的合作伙伴 Safe Shores，哥伦比亚特区儿童倡导中心 (CAC)， 在公立特许学校成功实施 HRP；仍然有机会在学校进行这项试验 尚未交付的地方，通过与学区和学校建立的信任来增加其可行性。我们的 关于其功效的发现可能会将 HRP 纳入许多基于证据的计划的梯队中。 学校寻求使用，特别是那些被授权提供 CSA 预防规划的学校。来自保险箱的数据 Shores 是从华盛顿特区所有公立学校收到涉嫌虐待儿童报告的 CAC， 用作主要结果，包括 CSA 调查和其他服务的数量和类型 由 CAC 提供，涉及参与学校，包括法证服务、家庭宣传、案例 管理等等。更常用的改善保护行为、自我保护措施 将从看护者 (n=3,500) 和教师 (n=266) 处收集功效、知识和披露信息。定性 将包括研究以评估干预措施的优点和缺点、保真度监测、经验教训 学习和可持续性。这项创新的混合方法评估研究将推动科学发展 与基于社区的参与性研究伙伴关系推进儿童性虐待预防研究 家庭暴力预防研究的科学家、社区组织的专业人员和 参与高需求城市地区的公立小学。综上所述，经过严格的实验 将对已有 30 多年历史的现有全民初级预防计划进行评估 经过多年在 30 个州的实施和可靠的试点数据。