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: 10494015
• 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 2023-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10494015
• 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 以学校为基础的儿童性行为一级预防健康关系项目的评价 学前至五年级儿童中的虐待 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、情绪和身体健康。虽然存在CSA的初级预防干预措施，但很少有 严格评估。对预防CSA的学校教育计划的回顾（沃尔什等人，（2015年） 共有24项试验，代表了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改善的证据， 增加了披露的可能性。没有发现CSA的发病率/患病率随时间的变化。健康 关系项目（HRP）创建，修改和组织防止虐待儿童佛蒙特州运行， 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， 包括佛蒙特州在这几十年里，佛蒙特州每年的确诊病例数下降了 61%，儿童犯罪者人数每年下降69%。研究重点1、 HRP在Pre-K到5年级的实施将在混合方法中进行严格评估 楔形随机试验设计，在华盛顿三个高需求病房的16所公立特许学校。 《2018年学校安全综合修正案》的颁布是为了使DC学校有义务预防和 解决学生性虐待问题。我们的合作伙伴安全海岸，儿童倡导中心（CAC）的DC， 在公立特许学校成功实施HRP;在学校进行这项试验的机会仍然存在 在尚未交付的地方，通过与地区和学校建立信任来提高其可行性。我们 关于其有效性的研究结果可能会使HRP进入循证计划的梯队， 学校寻求使用，特别是那些授权提供CSA预防方案。数据来自Safe 海岸，CAC收到所有华盛顿公立学校涉嫌虐待儿童的报告，将 作为主要结果，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，包括法医服务，家庭宣传，案件 管理及更多。更常用的措施，改善保护行为，自我， 将从照顾者（n= 3，500）和教师（n= 266）收集功效、知识和披露。定性 研究将包括评估干预推出的优点和缺点，保真度监测，经验教训， 学习和可持续性。这种创新和新颖的混合方法评估研究将推动科学的发展， 通过社区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 在需求较高的城市地区参与公立小学。总之，严格的实验 将对已有30年以上历史的现有普遍初级预防方案进行评估， 在30个州实施多年，并有可靠的试点数据。