Guastaferro Kate, Zadzora Kathleen M, Reader Jonathan M, Shanley Jenelle, Noll Jennie G
The Methodology Center, The Pennsylvania State University, University Park PA.
Center for Healthy Children, The Pennsylvania State University, University Park PA.
J Child Fam Stud. 2019 Jul;28(7):1862-1877. doi: 10.1007/s10826-019-01410-y. Epub 2019 Apr 18.
Child sexual abuse (CSA) affects nearly 60,000 children in the U.S. annually. Although prevention efforts targeting adults in the community and school-aged children have been somewhat successful, there is a clear gap in the current prevention efforts: parents. Generalized parent-education (PE) programs have effectively reduced the rates of physical abuse and neglect; however, currently no PE program targets risk factors for CSA specifically. We sought to develop a brief module to be added onto existing PE programs thereby leveraging the skills and implementation infrastructure to ensure sustainability.
In three phases, we developed the curriculum, refined content and presentation while simultaneously developing and psychometrically evaluating a measurement tool, and conducted an acceptability and feasibility pilot. These phases are described in detail such that intervention scientists wishing to develop a module to be added onto existing programs can follow our procedures.
The results of each phase are described so that the reader can see how information gleaned in one part of a phase informed subsequent phases of research. This was an iterative process of development, refinement, and piloting.
The resultant module is designed to be added onto extant evidence-based PE programs. The module, and the additive approach of the intervention, will be evaluated in a future randomized controlled trial.
在美国,每年有近6万名儿童遭受性虐待(CSA)。尽管针对社区成年人和学龄儿童的预防工作取得了一定成效,但目前的预防工作仍存在明显差距:家长。广义的家长教育(PE)项目有效降低了身体虐待和忽视的发生率;然而,目前尚无专门针对CSA风险因素的家长教育项目。我们试图开发一个简短的模块,添加到现有的家长教育项目中,从而利用其技能和实施基础设施来确保可持续性。
我们分三个阶段开发课程,在完善内容和呈现方式的同时,同步开发并对一种测量工具进行心理测量学评估,还进行了可接受性和可行性试点。对这些阶段进行了详细描述,以便希望开发一个可添加到现有项目中的模块的干预科学家能够遵循我们的程序。
描述了每个阶段的结果,以便读者了解一个阶段某一部分收集到的信息如何为后续研究阶段提供依据。这是一个开发、完善和试点的迭代过程。
最终形成的模块旨在添加到现有的循证家长教育项目中。该模块以及干预的附加方法将在未来的一项随机对照试验中进行评估。