School of Global Public Health, New York University, New York, NY 10003, USA.
Int J Environ Res Public Health. 2024 Jan 29;21(2):149. doi: 10.3390/ijerph21020149.
In the U.S., the most pervasive child sexual abuse (CSA) prevention strategy involves school-based prevention programs; however, the reach of these programs is limited due to implementation constraints, such as budgets or turnover. This is notable as standard delivery of often requires two facilitators in the classroom. Leveraging a natural experiment in the implementation of , the current study sought to explore the feasibility of implementation with a single facilitator using pre-recorded videos compared to the standard in-person delivery.
A six-item CSA-related knowledge questionnaire was delivered to (N = 1480) second-graders post-workshop. An independent-samples -test was used to compare the mean of CSA-related knowledge item responses for each delivery modality. Student-level data were paired with teacher evaluations and an interview with the facilitator.
Across workshops delivered in 25 schools, there was no significant difference in knowledge based on CSA-related questions by workshop modality. Teachers indicated the facilitators responded effectively to the children's questions and comments in both delivery modalities. Input from the facilitator was positive.
Triangulation of student knowledge, teacher input, and facilitator experience indicates the viability and feasibility of this implementation strategy for , and potentially other school-based CSA prevention programs. To ensure equitable access to the CSA prevention program, the empirical examination of, and investment in, alternative implementation options for school-based CSA preventive programs is encouraged.
在美国,最普遍的儿童性虐待(CSA)预防策略涉及基于学校的预防计划;然而,由于预算或人员流动等实施限制,这些计划的覆盖面有限。这是因为标准的交付通常需要课堂上的两名协调员。利用 实施中的自然实验,本研究旨在探索使用预录制视频的单一协调员进行实施的可行性,与标准的面对面交付相比。
在课后向(N = 1480)二年级学生提供了与 CSA 相关的六个知识问题的问卷。使用独立样本 t 检验比较了两种交付方式的 CSA 相关知识项目反应的平均值。学生层面的数据与教师评估和与协调员的访谈相匹配。
在 25 所学校开展的所有研讨会中,基于研讨会模式的 CSA 相关问题的知识没有显著差异。教师表示,在两种交付模式中,协调员都有效地回应了孩子们的问题和评论。协调员的反馈是积极的。
学生知识、教师投入和协调员经验的三角测量表明,这种实施策略对于 CSA 预防计划具有可行性和可行性,并且可能适用于其他基于学校的 CSA 预防计划。为了确保公平获得 CSA 预防计划,鼓励对基于学校的 CSA 预防性计划的替代实施选项进行实证检验和投资。