Mobilizing evidence into tertiary prevention of child sexual abuse: A pilot study

调动证据进行儿童性虐待的三级预防：一项试点研究

• 批准号: 10428856
• 负责人: MICHAEL H MINER
• 金额: $ 23.48万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-01-09 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10428856
• 关键词: 14 year old; Address; Adult; Aftercare; Age; Attitude; Behavioral; Belief; California; Canada; Characteristics; Child Development; Child Health; Child Sexual Abuse; Clinical Trials; Collaborations; Complement; Consensus; Data; Development; Effectiveness; Effectiveness of Interventions; Empirical Research; Experimental Designs; Feasibility Studies; Funding; Generations; Goals; Grant; Humanities; Imprisonment; Incidence; Individual; International; Intervention; Knowledge; Longitudinal Studies; Measurement; Measures; Mental Health; Meta-Analysis; Methods; Minnesota; Modeling; Modification; Motivation; National Institute of Child Health and Human Development; Outcome; Outcome Study; Participant; Patient Self-Report; Pattern; Personality Disorders; Pilot Projects; Prevention approach; Prevention program; Procedures; Process; Process Measure; Program Effectiveness; Psychometrics; Public Health; Publishing; Random Allocation; Randomized; Regulation; Reporting; Research; Research Design; Risk; Sample Size; Sampling; Sexual abuse; Social Sciences; Statistical Data Interpretation; Testing; Therapeutic; Treatment outcome; Uncertainty; aged; boys; design; effectiveness study; efficacy testing; experience; feasibility testing; girls; implementation fidelity; implementation intervention; implementation measures; improved; innovation; instrument; intervention delivery; male; men; offender; perpetrators; pilot test; prevent; programs; public health priorities; recruit; relapse prevention; response; sexual violence; social; symposium; tertiary prevention; therapy design; treatment as usual; treatment program

Project Summary/Abstract Child sexual abuse is one of the most disturbing issues confronting the public health sector. It is estimated that one in four girls and one in eight boys will be sexually abused before reaching the age of 18. Moreover, victims of such abuse are known to experience a wide range of psychiatric, behavioral, and relationship problems over their lifetimes. While much progress has been made in recognizing that child sexual abuse is a major public health problem, there have been few rigorous studies of tertiary prevention interventions designed to minimize re-offending amongst those individuals who have perpetrated child sexual abuse. The only random clinical trial with adult males, who perpetrate the vast majority of sexual abuse, began in 1985 and its final results were published in 2005. This study, funded by the State of California and a state enhancement grant from the National Institute on Mental Health, found no differences between treated and untreated sexual offenders using a first-generation relapse prevention approach, although they found some indications of effectiveness in those who met the treatment program goals. This proposal describes a feasibility and pilot study of a model tertiary prevention program designed to target adult men who have committed child sexual abuse. This model intervention was developed with input from a panel of international experts in sexual offender treatment convened in September 2019 with funding from the Social Science and Humanities Research Council of Canada and the Eunice Shriver National Institute of Child Health and Development. This application proposes a small pilot study with a sample drawn from male inmates incarcerated by the Minnesota Department of Corrections (MnDOC) and within 20-24 months of release from sentences for criminal sexual conduct against victims aged under 14 years of age. Participants will be randomly assigned to either complete the model intervention or receive treatment as usual through MnDOC. Data will be collected on the process of intervention implementation and outcomes of the intervention as measured by participant self-report and reports of disciplinary actions experienced during participants’ incarceration. Data will also be collected on factors that could influence outcome, such as therapist characteristics, participant characteristics, motivation, and participation. Process measures related to intervention completion, barriers encountered, and fidelity to the intervention will be obtained. The purpose of this proposed project is to provide information and data that will allow for the design and development of a multinational, random assignment, long-term effectiveness study. Thus, statistical analysis will explore effect size rather than statistical significance and issues encountered will be documented. This will allow for calculation of necessary sample size and for modification of the intervention and methods for a subsequent study to explore the effectiveness of the model intervention across jurisdictions and cultures.

项目总结/摘要 儿童性虐待是公共卫生部门面临的最令人不安的问题之一。据估计 四分之一的女孩和八分之一的男孩在18岁之前会受到性虐待。此外，受害者 这种虐待被称为经历了广泛的精神，行为，和关系问题， 他们的一生虽然在认识到儿童性虐待是一个主要的公共问题方面取得了很大进展， 健康问题，很少有严格的研究三级预防干预措施，旨在尽量减少 曾实施儿童性虐待的人再次犯罪。唯一的随机临床试验 对成年男性的性虐待，他们犯下了绝大多数的性虐待，开始于1985年，其最终结果是 出版于2005年。这项研究由加州州资助， 美国国家心理健康研究所发现，接受治疗和未接受治疗的性犯罪者之间没有差异， 第一代复发预防方法，尽管他们发现了一些有效的迹象， 达到治疗计划目标的人这项建议描述了一个示范高等教育的可行性和试验性研究 旨在针对犯有儿童性虐待行为的成年男性的预防计划。该模型 在性犯罪者治疗国际专家小组的投入下制定了干预措施 在2019年9月召开，由社会科学和人文研究理事会的资助， Eunice Shriver国家儿童健康与发展研究所。本申请提出 一项小型试点研究，样本来自明尼苏达州监狱部监禁的男性囚犯， 惩教（MnDOC）和20-24个月内释放的刑事性行为， 14岁以下的受害者。参与者将被随机分配完成模型 通过MnDOC进行干预或接受常规治疗。数据将在以下过程中收集： 通过参与者自我报告衡量的干预措施实施情况和干预措施成果， 参与者在监禁期间所经历的纪律处分报告。还将收集以下数据： 可能影响结果的因素，如治疗师特征，参与者特征，动机， 和参与。与干预完成、遇到的障碍和对 将获得干预。本拟议项目的目的是提供信息和数据， 将允许设计和开发一个多国，随机分配，长期有效的 study.因此，统计分析将探讨效应大小，而不是统计意义和问题 遇到的将被记录。这将允许计算必要的样本量和修改 对干预的方法和效果进行后续研究，探讨该模式的干预效果 跨越司法管辖区和文化。