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基于学校的干预措施预防儿童性虐待的效果——德国 IGEL 项目的评估。

Effectiveness of a school-based intervention to prevent child sexual abuse-Evaluation of the German IGEL program.

机构信息

School of Public Health, Bielefeld University, Universitätsstraße 25, D-33615 Bielefeld, Germany.

出版信息

Child Abuse Negl. 2018 Dec;86:109-122. doi: 10.1016/j.chiabu.2018.08.023. Epub 2018 Oct 1.

Abstract

BACKGROUND

Child sexual abuse (CSA) is a problem with severe consequences for victimized children. A variety of interventions have been developed and implemented over the last decades to prevent CSA. However, most of them have not been systematically evaluated to determine their effectiveness. The IGEL program is a school-based intervention to prevent CSA in third-grade primary school children in Germany.

METHODS

This study was conducted using a quasi-experimental design, in which almost 300 children and their parents from eight intervention and four control schools were surveyed three times (pretest, posttest, 3 months later). In order to measure outcomes, a questionnaire was developed based on validated instruments to assess the knowledge, courses of action and self-protective skills of the children. Furthermore, increased anxiety and generalized touch aversion were examined as potentially harmful side effects of the program.

RESULTS

The results clearly demonstrate increased CSA-related knowledge and courses of action in children from the intervention group compared to the control children. These effects were medium-sized and sustained for at least three months after the last session. No meaningful negative side effects were detected in the evaluation for either the children or parents.

CONCLUSION

The outcome evaluation indicates that the IGEL program is an effective intervention in terms of knowledge about CSA and known courses of action, and may therefore contribute to the prevention of CSA in primary schools. Despite this positive core finding of the intermediate outcomes, some adaptations of the program to children with different cultural backgrounds were made prior to further dissemination.

摘要

背景

儿童性虐待(CSA)是一种对受害儿童有严重后果的问题。在过去几十年中,已经开发并实施了各种干预措施来预防 CSA。然而,大多数干预措施都没有经过系统评估来确定其有效性。IGEL 计划是一种基于学校的干预措施,旨在预防德国三年级小学生的 CSA。

方法

本研究采用准实验设计,对来自 8 所干预学校和 4 所对照学校的近 300 名儿童及其家长进行了三次调查(前测、后测和 3 个月后)。为了测量结果,根据经过验证的工具开发了一份问卷,以评估儿童的知识、行动方案和自我保护技能。此外,还检查了焦虑增加和普遍触摸厌恶是否为该计划的潜在有害副作用。

结果

结果清楚地表明,与对照组儿童相比,干预组儿童的 CSA 相关知识和行动方案有所增加。这些影响是中等规模的,并在最后一次课程结束后至少持续三个月。在对儿童或家长的评估中,都没有发现有意义的负面副作用。

结论

结果评估表明,IGEL 计划在 CSA 知识和已知行动方案方面是一种有效的干预措施,因此可能有助于预防小学中的 CSA。尽管这是中期结果的积极核心发现,但在进一步传播之前,对该计划进行了一些针对不同文化背景儿童的调整。

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