Johns Hopkins University, Baltimore, MD, USA.
University of Maryland, Baltimore, MD, USA.
J Child Sex Abus. 2021 May-Jun;30(4):461-481. doi: 10.1080/10538712.2021.1881858. Epub 2021 Feb 8.
Child sexual abuse (CSA) is a preventable public health problem typically addressed with either after-the-fact interventions or prevention programs focused on teaching children to protect themselves and report abuse. Such responses do little to prevent CSA victimization, leading to calls for prevention efforts targeting individuals most at risk of perpetrating CSA. These individuals include young adolescents, who are prone to making mistakes and bad decisions when it comes to their sexual behaviors. To begin to address this call to action, we developed Responsible Behavior with Younger Children (RBYC), a universal school-based prevention program to provide sixth and seventh grade students (and their parents and educators) with the knowledge, skills, and tools to prevent engaging younger children in sexual behaviors. School-based CSA prevention interventions are often met with feasibility and acceptability concerns including that (a) people at risk of offending are impervious to prevention efforts, (b) schools do not have the resources to take on additional programs, and (c) the content is too sensitive for educators, parents, and students. The goal of this article is to describe how the RBYC program was developed to address these concerns. We also summarize data on the feasibility of the RBYC program obtained from focus groups with educators, parents, and students during the development of the program and interviews with educators after a pilot randomized controlled trial (RCT). Feedback received during program development and after the pilot RCT suggests that RBYC is relevant, salient, palatable, and feasible for implementation in middle schools.
儿童性虐待(CSA)是一个可预防的公共卫生问题,通常通过事后干预或预防计划来解决,这些计划侧重于教导儿童保护自己并报告虐待行为。这些反应几乎无法预防 CSA 受害,因此呼吁针对最有可能实施 CSA 的个人进行预防工作。这些人包括青少年,他们在性行为方面容易犯错和做出错误的决定。为了开始应对这一行动呼吁,我们开发了《与年幼儿童的负责任行为》(RBYC),这是一个普及的基于学校的预防计划,旨在为六年级和七年级学生(及其父母和教育者)提供知识、技能和工具,以防止他们与年幼的孩子发生性行为。基于学校的 CSA 预防干预措施常常面临可行性和可接受性方面的担忧,包括(a)有犯罪风险的人对预防措施无动于衷,(b)学校没有资源承担额外的项目,以及(c)内容对教育工作者、家长和学生来说过于敏感。本文的目的是描述如何开发 RBYC 计划来解决这些问题。我们还总结了在该计划的开发过程中从教育工作者、家长和学生的焦点小组以及在试点随机对照试验(RCT)后对教育工作者的访谈中获得的关于 RBYC 计划可行性的数据。在计划开发和试点 RCT 之后收到的反馈表明,RBYC 与中学的相关性、重要性、可接受性和可行性。