Mobilizing evidence into tertiary prevention of child sexual abuse: A pilot study

调动证据进行儿童性虐待的三级预防：一项试点研究

• 批准号: 10428856
• 负责人: MICHAEL H MINER
• 金额: $ 23.48万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-01-09 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10428856
• 关键词: 14 year old; Address; Adult; Aftercare; Age; Attitude; Behavioral; Belief; California; Canada; Characteristics; Child Development; Child Health; Child Sexual Abuse; Clinical Trials; Collaborations; Complement; Consensus; Data; Development; Effectiveness; Effectiveness of Interventions; Empirical Research; Experimental Designs; Feasibility Studies; Funding; Generations; Goals; Grant; Humanities; Imprisonment; Incidence; Individual; International; Intervention; Knowledge; Longitudinal Studies; Measurement; Measures; Mental Health; Meta-Analysis; Methods; Minnesota; Modeling; Modification; Motivation; National Institute of Child Health and Human Development; Outcome; Outcome Study; Participant; Patient Self-Report; Pattern; Personality Disorders; Pilot Projects; Prevention approach; Prevention program; Procedures; Process; Process Measure; Program Effectiveness; Psychometrics; Public Health; Publishing; Random Allocation; Randomized; Regulation; Reporting; Research; Research Design; Risk; Sample Size; Sampling; Sexual abuse; Social Sciences; Statistical Data Interpretation; Testing; Therapeutic; Treatment outcome; Uncertainty; aged; boys; design; effectiveness study; efficacy testing; experience; feasibility testing; girls; implementation fidelity; implementation intervention; implementation measures; improved; innovation; instrument; intervention delivery; male; men; offender; perpetrators; pilot test; prevent; programs; public health priorities; recruit; relapse prevention; response; sexual violence; social; symposium; tertiary prevention; therapy design; treatment as usual; treatment program

Project Summary/Abstract Child sexual abuse is one of the most disturbing issues confronting the public health sector. It is estimated that one in four girls and one in eight boys will be sexually abused before reaching the age of 18. Moreover, victims of such abuse are known to experience a wide range of psychiatric, behavioral, and relationship problems over their lifetimes. While much progress has been made in recognizing that child sexual abuse is a major public health problem, there have been few rigorous studies of tertiary prevention interventions designed to minimize re-offending amongst those individuals who have perpetrated child sexual abuse. The only random clinical trial with adult males, who perpetrate the vast majority of sexual abuse, began in 1985 and its final results were published in 2005. This study, funded by the State of California and a state enhancement grant from the National Institute on Mental Health, found no differences between treated and untreated sexual offenders using a first-generation relapse prevention approach, although they found some indications of effectiveness in those who met the treatment program goals. This proposal describes a feasibility and pilot study of a model tertiary prevention program designed to target adult men who have committed child sexual abuse. This model intervention was developed with input from a panel of international experts in sexual offender treatment convened in September 2019 with funding from the Social Science and Humanities Research Council of Canada and the Eunice Shriver National Institute of Child Health and Development. This application proposes a small pilot study with a sample drawn from male inmates incarcerated by the Minnesota Department of Corrections (MnDOC) and within 20-24 months of release from sentences for criminal sexual conduct against victims aged under 14 years of age. Participants will be randomly assigned to either complete the model intervention or receive treatment as usual through MnDOC. Data will be collected on the process of intervention implementation and outcomes of the intervention as measured by participant self-report and reports of disciplinary actions experienced during participants’ incarceration. Data will also be collected on factors that could influence outcome, such as therapist characteristics, participant characteristics, motivation, and participation. Process measures related to intervention completion, barriers encountered, and fidelity to the intervention will be obtained. The purpose of this proposed project is to provide information and data that will allow for the design and development of a multinational, random assignment, long-term effectiveness study. Thus, statistical analysis will explore effect size rather than statistical significance and issues encountered will be documented. This will allow for calculation of necessary sample size and for modification of the intervention and methods for a subsequent study to explore the effectiveness of the model intervention across jurisdictions and cultures.

项目概要/摘要 据估计，儿童性虐待是公共卫生部门面临的最令人不安的问题之一。 四分之一的女孩和八分之一的男孩在 18 岁之前会遭受性虐待。此外，受害者 据了解，此类虐待中的人会经历各种精神、行为和人际关系问题 尽管在认识到儿童性虐待是一个主要公众问题方面已经取得了很大进展。 健康问题，很少有针对三级预防干预措施的严格研究，旨在最大限度地减少 实施儿童性虐待的人再次犯罪唯一的随机临床试验。 绝大多数性虐待行为都是由成年男性实施的，这项调查于 1985 年开始，最终结果是 发表于 2005 年。这项研究由加利福尼亚州资助，并由 美国国家心理健康研究所发现，接受治疗和未接受治疗的性犯罪者在使用药物方面没有差异 第一代预防复发方法，尽管他们发现了一些有效的迹象 谁达到了治疗计划的目标 该提案描述了模型高等​​教育的可行性和试点研究。 旨在针对对儿童进行性虐待的成年男性的预防计划。 干预措施是根据性犯罪者治疗国际专家小组的意见制定的 于 2019 年 9 月召开，由社会科学与人文研究委员会资助 加拿大和尤尼斯·施赖弗国家儿童健康与发展研究所提出了本申请。 一项小型试点研究，样本取自明尼苏达州司法部监禁的男性囚犯 惩戒 (MnDOC) 以及因犯罪性行为而被判刑后 20-24 个月内 14 岁以下的受害者将被随机分配完成模型。 通过 MnDOC 照常进行干预或接受治疗 将收集有关过程的数据。 干预措施的实施和干预结果（通过参与者自我报告衡量） 参与者在监禁期间经历的纪律处分的报告也将被收集。 可能影响结果的因素，例如治疗师特征、参与者特征、动机、 与干预完成、遇到的障碍和忠诚度相关的流程措施。 该拟议项目的目的是提供信息和数据： 将允许设计和开发跨国、随机分配、长期有效的 因此，统计分析将探讨效应大小而不是统计显着性和问题。 遇到的情况将被记录下来，这将允许计算必要的样本量并进行修改。 后续研究的干预措施和方法，以探索模型干预的有效性 跨越司法管辖区和文化。