Breaking the silence: Development of a qualitative measure for inquiry of child sexual abuse (CSA) awareness and perceived barriers to CSA disclosure.

The present study aimed to develop a qualitative measure for assessment of child sexual abuse (CSA) awareness and perceived barriers to CSA disclosure based on adolescents' perspectives and expert consensus. Focus group discussions (FGD) were conducted with the adolescents (n = 10) and the Delphi method was used to gain expert consensus (n = 5). The FGDs were audio recorded and Delphi method was conducted via email. Salient domains and themes were identified through manual thematic analysis of the qualitative data obtained from both the methods. Data validity and authentication was obtained through data and researcher triangulation. The qualitative measure for assessment of CSA awareness and perceived barriers to CSA disclosure consisting of 13 qualitative questions was developed based on these domains and expert opinion. The test-version was administered to a pilot sample of 20 adolescents meeting the inclusion criteria for this study. Based on their feedback on ease of understanding and clarity, questions were modified and rearranged. Participation rate was found to be high amongst adolescents as they readily agreed to engage in the study. Findings further indicated that the ambit of CSA awareness includes knowledge of multiple aspects like forms of sexual abuse, characteristics associated with people at risk for perpetration and at risk for victimisation, prevalent beliefs about CSA, prevention strategies and CSA legislation in India. Perceived barriers to CSA disclosure were identified in the context of self, others and the society. Implications for research, and the need for preventive frameworks for CSA in Indian context are discussed.