Child Sexual Abuse Prevention Research Articles

Training and evaluation of robot-based psychological intervention program for preventing child sexual abuse

Background and purposePreventing child sexual abuse is a health and medical priority in many countries. The risk of sexual abuse can be markedly reduced through education, awareness, and skill-building for children. The purpose of this study was to train and evaluate a robot-based psychological intervention program for preventing child sexual abuse. MethodsThis study had a semiexperimental design that included pre- and posttests as well as a control group. A stratified random sample of 80 individuals was drawn from the population of eight-to ten-year-old children in Ghaen, Iran, in 2018. Subsequently, the sample was randomly divided into two experimental groups and two control groups. The experimental group participated in a robot-based psychological intervention program, for a total of 10 sessions. The control group received no intervention. The tool used to measure children's knowledge and awareness of sexual abuse was a custom-designed questionnaire developed by Tahan (Tahan, 2023). Participants completed the questionnaire in the pretest, posttest, and follow-up stages. The collected data were analyzed using repeated measures ANCOVA in SPSS (v.25). ResultsThe findings demonstrated that educating children about sexual abuse was effective in enhancing their knowledge of appropriate and inappropriate touching (p < 0.01). Furthermore, the robot-based cognitive-behavioral intervention program for the prevention of child sexual abuse was effective (p < 0.01). ConclusionThe psychological intervention program increased children's knowledge and awareness concerning the prevention of sexual abuse and associated coping skills. Furthermore, psychological intervention programs were effective in preventing child sexual abuse.

Prevention of child sexual abuse in the United States: Scoping review of United States legislative policies

BackgroundStates in the United States (US) have passed and enacted legislation for the purpose of preventing child sexual abuse (CSA) since 2000, but it is unknown whether these legislative policies reduce adult-perpetrated CSA. ObjectiveReview the literature from 2000 to 2023 to understand which US CSA prevention policies have been evaluated, the effectiveness of these policies, study populations, and barriers and facilitators associated with the implementation of CSA prevention policies. MethodsThe study protocol was published prior to undertaking the review: PMC10603531. The review follows Joanna Briggs Institute methodology and is reported according to the PRISMA-ScR Checklist. We searched 27 databases, hand searched reference lists of included studies, and sent notice via listserv to other researchers in the field. Articles were included if the content focused on CSA prevention policies and the effects. No limits to methodology were applied. Methodological rigor was assessed. Results2209 potentially relevant articles were identified; 20 articles advanced to full-text review, three satisfied the inclusion criteria. Three eligible studies focused on CSA prevention education policies, while the other focused on mandated reporting policies. Effects of these policies were mixed in relation to CSA reporting and substantiation rates. No study considered child demographics. ConclusionsDespite decades of legislative action for CSA prevention across the US, only a few studies have assessed the effects of these policies. These findings highlight the need for additional research to ensure that CSA prevention policies such as CSA prevention education in schools and mandated reporting practices are working as intended.

Role of Artificial Intelligence in the Prevention of Online Child Sexual Abuse: A Systematic Review of Literature

Online Child sexual abuse (OCSA) is a major menace in the digitalized world. Every year, more than a billion children between the ages of 2–17 years are sexually abused. Despite the harsh reality of most incidents, they remain unreported. Not only that but activities on dark web platforms go unmoderated and it becomes very difficult and complex to trace the origin of abuse and exploitation of children. In cases of online abuse, the sources through which detection can be done are evaded. Although several government and non-government initiatives have been implemented worldwide to curb this social menace, their effectiveness and accuracy remain questionable. AI-based services if regulated and executed cautiously can be effective in diagnosing and preventing sexual abuse in children on virtual platforms. Existing literature implies that AI can be a potent armor to detect and predict child sexual abuse online. The ability of artificial intelligence to predict and stop sexual abuse in children is very promising. AI-based technologies that can aid in the identification and prevention of violence against children include mobile computing, the Internet of Things, chatbots, machine learning, pattern recognition, and cloud computing. Therefore, it is essential to examine the existing literature pertaining to the research area, to highlight the emergent need for more applied and evidence-based research in the area. Thus, this study aimed to identify interventions driven by artificial intelligence in preventing online child sexual abuse, its limitations, and future implications. We conducted an extensive systematic literature review to understand the trends and efficacy of AI-based services in preventing and tracing child sexual abuse. The selection of research studies was performed in accordance with the PRISMA standards. Relevant studies were extracted from databases such as ScienceDirect, Springer, IEEE, and MDPI. Articles were selected and screened based on inclusion and exclusion criteria. This study identified 35 papers that were strictly limited to the prospect of AI interventions for online child sexual abuse. The review helped in deducing 3 major themes, namely, current trends in the field of AI for preventing online child sexual abuse, algorithm evaluation (advantages and disadvantages of AI tools) in preventing OCSA, and recommendation for technique advancements of AI tools. However, there is scarce evidence that proves AI interventions are effective in solving online child sexual abuse issues, as shown in the paper, thereby encouraging more extant research to be conducted in the area.

The effectiveness of a child and parent-oriented modular education program on the prevention of child sexual abuse knowledge and parental views: A mixed method study

This study evaluates the effectiveness of a modular training program on the prevention of child sexual abuse (CSA) on the level of sexual abuse knowledge of children and their parents and the views of parents. The study was conducted in a sequential explanatory mixed-methods design. In the quantitative part of the research, a randomized quasi-experimental method with a pre-test/post-test, and a control group was used, and in the qualitative phase, the descriptive phenomenological method was used. The quantitative phase was conducted with 122 children and 122 parents: those who participated in the modular training (intervention group) and those who did not (control group). The qualitative part of the study was completed with 15 parents. The modular training program was applied by the researchers to the children in the intervention group and their parents in sessions on different days. Children and their parents were measured 4 times in total: pre-test before modular training, post-test after training, 15 days after training, and 1-month follow-up test. The sexual abuse knowledge levels of children who received modular training were higher than those who did not (post-test, follow-up 1, and follow-up 2). Post-test scores related to child abuse knowledge and attitude levels of parents were higher in the intervention group (21.45) than in the control group (10.37). Qualitative findings were grouped under three main themes: “CSA risk factors”, “insecurity”, and “prevention methods”. The training program is effective in increasing the knowledge of children and parents.

The effectiveness of school-based child sexual abuse prevention programmes among primary school-aged children: A systematic review

This systematic review provides a comprehensive overview of child sexual abuse prevalence globally, along with an examination of the effectiveness of school-based prevention education programmes for primary school-aged children. These prevention programmes utilise social cognitive learning theories to teach children the importance of identifying and responding to abusive situations. A total of 676 papers were evaluated with 13 Randomised Controlled Trial (RCT) or cluster RCT design studies identified as meeting the study's inclusion criteria. These studies were published in English between January 2000 and May 2022, and focus on outcomes of school-based prevention programmes designed for primary school-aged children (5–12 years old). To ensure a comprehensive and academically rigorous analysis, the following databases were included: Science Direct, Web of Science, Scopus, the American Psychiatric Association (APA) PsycINFO, Ovid Medline, and Embase. The studies reviewed aim to evaluate the effectiveness of various child sexual abuse prevention programmes in improving children's knowledge and recognition of, and response to potentially unsafe situations. In terms of outcomes and results, the interventions have significantly impacted knowledge, skills, confidence, and awareness in the short and long term. These studies used different intervention methods, including mobile applications, personal safety programmes, and protective behaviour programmes, delivered in various formats such as web-based, textbooks, and in-person sessions. This systematic review highlights the importance of child sexual abuse prevention programmes in schools and the need for further research.

Engaging Parents in Child-Focused Child Sexual Abuse Prevention Education Strategies: A Systematic Review.

Parents are their children's first teachers and there are long-standing calls for their involvement in child sexual abuse prevention. In this rapid systematic review, we asked the following questions: what rationales are used to justify parental involvement in child-focused child sexual abuse (CSA) prevention programs? what approaches are used for parental engagement in child-focused CSA prevention programs? and what are the facilitators and barriers to parental involvement in child-focused CSA prevention programs? We searched CINAHL, Cochrane, ERIC, Medline, PsycInfo, Scopus, and SocINDEX in May 2021. A total of 57 papers met our inclusion criteria, comprised of 50 empirical studies, and 7 program descriptions. Rationales for parental involvement included monitoring and shaping parental attitudes toward CSA program delivery in schools; reinforcing children's learning at home; promoting parent-child communication about CSA prevention; building parent capacity to respond to child disclosures; and supporting program delivery for preschoolers. Types of parental involvement included the following: communication, learning at home, volunteering, decision-making, and collaboration with the community. Barriers to parent involvement included ineffective program engagement modalities, and parental fears and misconceptions.

"We Need to Raise Awareness and Never Give Up": Israeli Druze and Muslim Arab Kindergarten Teachers' Proactivity When Facing the Sexual Abuse of Their Students.

Kindergarten teachers are expected to lead the intervention process in cases of child sexual abuse (CSA) in their kindergarten. This study examines the proactive role of Druze and Muslim Arab kindergarten teachers in addressing and coping with the CSA of their kindergarten students in Israel. A qualitative thematic analysis was used to investigate the semi-structured interviews conducted with eight Druze Arab and six Muslim Arab kindergarten teachers. Three distinct themes were revealed. The first theme described the participants' fear and concern for their personal children and themselves when dealing with CSA incidents involving their students. The second and third themes described their proactive coping on two fronts: (1) inside their homes to protect their own children and (2) as educators within religious communities, using professional and religious principles to support CSA survivors and raise awareness among parents. The results emphasized the personal burden on kindergarten teachers coping with CSA in their kindergarten and, as mainly expressed by Druze kindergarten teachers, the contribution of religious values to CSA intervention and prevention processes among their students and communities. Thus, there is a need for comprehensive support that considers ethnic and religious characteristics and will be available to kindergarten teachers facing CSA in their kindergarten.

Assessment of Effectiveness of School-Based Child Sexual Abuse Prevention Programs: A Meta-Analysis

Assessment of Effectiveness of School-Based Child Sexual Abuse Prevention Programs: A Meta-Analysis

Piloting an Alternative Implementation Modality for a School-Based Child Sexual Abuse Prevention Curriculum.

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 Safe Touches, 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 t-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 Safe Touches, 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.

Sex differences in the association of childhood sexual abuse severity with premarital sex among Chinese college students in Luzhou, China

PurposeThe adverse health consequences of premarital sex and childhood sexual abuse (CSA) are both global public health problems. Based on a random sample of college students from a Chinese city, this study investigated the relationship between CSA severity and premarital sex among students, focusing on sex differences.MethodsA total of 2722 college students from 4 schools in Luzhou were recruited by multistage random sampling. Self-administered questionnaires were used to measure CSA experiences and premarital sex. Binary logistic regression analyses were conducted to analyse the relationship between CSA and premarital sex.ResultsThe prevalence of CSA was 9.39%, and that of mild, moderate and severe CSA was 4.04%, 2.90% and 2.46%, respectively. The premarital sex reporting rate was 22.42%. After adjusting for confounding variables, CSA was positively associated with premarital sex. Notably, a cumulative effect of CSA on premarital sex was observed among students. Further stratification analyses showed that males who experienced CSA had a higher premarital sex rate than females, and this sex difference was also observed among students with different CSA severities.ConclusionCSA and its severity were associated with premarital sex among college students. Furthermore, this association was stronger for males than females. Therefore, it is important to emphasize CSA prevention, especially for boys. These findings can promote understanding of the effects of CSA on premarital sex, and CSA prevention and intervention strategies should consider CSA severity and sex differences.

Context matters: Conceptualising and operationalising the contextual prevention of child sexual abuse

AbstractThere is growing recognition of the contextual dynamics of child sexual abuse, with a developing evidence base supporting it, sparking calls to ensure prevention efforts are contextualised. Contextual approaches extend the focus of prevention beyond the individual, to include immediate situations, and the physical and social contexts in which abuse occurs. Although academic and industry support for contextual approaches is gaining momentum, there is no consistent definition of contextual prevention nor operational clarity currently available to inform research, policy and practice. This contributes to a lack of policy guidance and practice consistency; also impeding much needed evaluation research, and likely slowing scholarly and practice uptake. In this article, we address this important gap. Based on a critical review of relevant literature, we propose a conceptual definition of contextual prevention and its operationalisation and provide a framework and guidance for policymakers and practitioners tasked with protecting children from child sexual abuse.

Support Group Intervention on Self-Awareness and Parental Coping Strategies as an Effort to Prevent Sexual Violence in Children

Background: The victims, primarily female children, have suffered sexual abuse, often perpetrated by individuals known to them, such as neighbors or acquaintances. In interviews with concerned parents regarding ongoing cases of sexual abuse, they expressed fears about their children falling victim to such incidents.. The research aim was to assess the effectiveness of support group interventions in enhancing self-awareness and parental coping strategies as preventive measures against child sexual abuse. Methods: The study's main objective is to evaluate the impact of Support Groups in improving Self-Awareness and Parental Coping Strategies. It employed a quasi-experimental design using a non-equivalent group pre-test and post-test methodology, with one group as the control and the other as the experimental group. The study included 70 respondents in the intervention group and an equal number in the control group, selected through purposive sampling. Research instruments comprised the Revised Ways of Coping Scale questionnaire for coping strategies and a self-awareness questionnaire. Non-parametric data analysis was conducted using SPSS, specifically the Wilcoxon Signed Rank Test. Results: Results of the normality test indicated that both the intervention and control groups had p-values of less than 0.05 for coping strategies (0.002 for the intervention group and 0.003 for the control group) and self-awareness (0.000 for both groups), suggesting non-normal data distribution. Consequently, non-parametric statistical analysis was applied with SPSS, and a significance level was set at p &lt; 0.05. The Wilcoxon Signed Rank Test results for the intervention group were 0.000 (coping strategies) and 0.000 (self-awareness), signifying a significant difference in average pretest and posttest scores within the intervention group. Conversely, the control group's Wilcoxon Signed Rank Test results were 0.953 (coping strategies) and 0.317 (self-awareness), indicating no significant difference in average pretest and posttest scores within the control group. Conclusion: Based on the research findings and discussion, it can be deduced that support group interventions positively impact the enhancement of parental coping strategies and self-awareness in the endeavor to prevent child sexual abuse.

Child sexual abuse prevention: A qualitative study of teachers' educational needs.

Child sexual abuse (CSA) has emerged as a global concern, particularly affecting children in Indonesia. However, there remains a scarcity of research on CSA within the Indonesian context.Objective: This study aimed to explore the educational needs of primary school teachers in preventing child sexual abuse. A qualitative descriptive study design was employed, with eight teachers and school principals selected through purposive sampling. Data were collected through focus group discussions and analyzed using content analysis. Six categories emerged: 1) The risk of sexual abuse, 2) The necessity for clear CSA preventive regulations and sanctions for abusers, 3) Lack of CSA program socialization, 4) The need for structured CSA prevention education for children, 5) The importance of effective coordination with various relevant stakeholders, and 6) The presence of barriers and obstacles. This study provides valuable insights into the educational prerequisites for teachers to implement CSA prevention measures effectively. The findings emphasize the pressing need for school teachers to develop and implement CSA prevention programs, with the government's and nursing professionals' support, to enhance educators' abilities in combating CSA. Nurses have a pivotal role in preventing and addressing child sexual abuse, and they should actively contribute to improving child safety and well-being through knowledge, collaboration, and advocacy for comprehensive prevention strategies.

Child sexual abuse by different classes and types of perpetrator: Prevalence and trends from an Australian national survey

BackgroundLittle evidence exists about the prevalence of child sexual abuse (CSA) inflicted by different relational classes of perpetrators (e.g., parents; institutional adults; adolescents), and by individual types of perpetrators (e.g., fathers and male relatives; male teachers and male clergy; known and unknown adolescents). ObjectiveTo generate evidence of the prevalence of CSA by different perpetrators, and trends by victim gender and age group. Participants and settingThe Australian Child Maltreatment Study collected information about CSA victimisation from a nationally-representative sample of 8503 individuals aged 16 and over. MethodsWe analysed data about 42 perpetrator types, collapsed into eight classes. We generated national prevalence estimates of CSA inflicted by each perpetrator class and individual perpetrator type, and compared results by victim gender and age group. ResultsAustralian CSA prevalence was 28.5%, with the following prevalence by perpetrator classes: other known adolescents (non-romantic): 10.0%; parents/caregivers in the home: 7.8%; other known adults: 7.5%; unknown adults: 4.9%; adolescents (current/former romantic partners): 2.5%; institutional caregivers: 2.0%; siblings: 1.6%; unknown adolescents: 1.4%. Women experienced more CSA by all perpetrator classes except institutional caregivers. Age group comparison showed significant declines in CSA by parents/caregivers, and other known adults; and increases in CSA by adolescents (current/former romantic partners). Individual perpetrator type comparison showed declines in CSA by fathers, male relatives living in the home, non-resident male relatives, and other known male adults; and increases in CSA by known male adolescents, current boyfriends, and former boyfriends. ConclusionsCSA by adults has declined, indicating positive impacts of prevention efforts. However, CSA by adolescents has increased. Further declines in CSA by adults are required and possible. Targeted prevention of CSA by adolescents must be prioritised.

It’s More Than a Matter of Trust: What Parents and Young Children Need to Know to Prevent Intrafamilial Child Sexual Abuse

ABSTRACT Programs aimed at preventing child sexual abuse typically focus on skilling up young children and, to a lesser extent, parents by imparting a range of protective messages. Many sexual abuse prevention programs include a focus on identifying or vetting “safe” or “trustworthy” people. The authors qualitatively analyzed the content of narratives from individuals with childhood experience of intrafamilial sexual abuse, an under-represented voice in the development of child sexual abuse prevention programs. The analysis of impediments to protection indicated that, within the family context, reductionistic judgments of familiar individuals’ perceived safety or trustworthiness impaired child safety. In addition to adults and children being unable to recognize sexually abusive behavior and warning signs, child-victim survivor narratives highlighted the barriers for prevention in family environments characterized by maltreatment, a lack of child rights or that were unsupported by external authorities. Implications for the content of messages young children and their parents need to prevent child sexual victimization in the context of everyday family life are discussed.

Twelve barriers preventing child sexual abuse disclosures

Twelve barriers that prevent young people from disclosing sexual abuse and four factors that help them have been identified by researchers. Pete Henshaw explains

How Do Survivor and Mandatory Reporter Status Correlate with Program Outcomes for an Adult-Focused Child Sexual Abuse Prevention Program?

ABSTRACT This exploratory study investigated group differences and pre-post changes in knowledge, beliefs, and behavior by mandatory reporters and Child Sexual Abuse (CSA) survivor status for a CSA prevention training designed for the general public. Of the 8,114 study participants, 32% identified as having experienced CSA, and 77% indicated they were mandatory reporters for child abuse and neglect. Mandatory reporters had higher baseline knowledge about CSA than those who were not mandatory reporters and reported more CSA preventative behaviors. Mandatory reporters continued to have higher levels of knowledge following the training. Survivors of CSA also had higher baseline knowledge about CSA and preventative behavior scores than individuals who are not survivors of CSA. Unlike mandatory reporters, they experienced fewer increases in knowledge. At posttest, there was no evidence of a difference in knowledge between CSA survivors and non-CSA survivors. For items related to beliefs, mandatory reporters had higher baseline scores than other participants. However, they had smaller gains, so mandatory reporters and non-mandatory reporters had more similar beliefs related to CSA after the training. There were few differences between CSA survivors and non-survivors on baseline beliefs related to CSA, though CSA survivors reported greater increases in beliefs that CSA prevention is their responsibility and in the idea that they know what to do to prevent CSA. These results have significant results for the development and evaluation of trauma-informed prevention programming.

Increasing self-protection skills of children staying in women's shelters with body safety training: a child sexual abuse prevention study

Objectives: Child sexual abuse is a risk for children living in a happy family environment, as well as for children under state protection who have problems in achieving family unity. Methods: The study was conducted with 17 children between 3-7 years of age staying at women’s shelters with their mothers and aimed to improve their sexual abuse recognition and self-protection skills. 7 children identified as experimental group were provided with the Body Safety Training program and the effect of the training was evaluated with the “What If” Situation Test. The test results in the experimental group were compared with 10 children in the control group and the test was repeated three weeks later in order to determine the persistance of the training. Results: The data obtained were evaluated by non-parametric analysis and Kruskal Wallis, Wilcoxon-signed Rank Test were used in addition to Mann Whitney U tests to determine the difference between the groups. As a result of the research, “What If” Situation Test sub-dimension mean scores showed an increase in favor of the post-test in the experimental group, but no significant increase was observed in the control group. Conclusions: This difference observed in the experimental group shows that the Body Safety Training program is an effective program to increase self-protection skills for preventing sexual abuse in children.

Parental access to ‘Sexual Conviction Record Check’ sex offender registry in Hong Kong

BackgroundSex offender registry systems aim to prevent child sexual abuse (CSA) by restricting the interaction between convicted offenders and children. Although Hong Kong enacted the Sexual Conviction Record Check (SCRC) policy in 2011, debates regarding legal access to the sex offender registry remain unresolved. ObjectiveThis study examines parental beliefs, attitudes, and knowledge of the SCRC policy. It explores if parents' motivation to learn more about SCRC can mediate the relationships between parental support for the SCRC and policy advocacy actions. MethodIn Hong Kong, a social service agency employed a digital randomization method to invite 507 consented parents of elementary schoolers to participate in a phone survey. Human Subjects Protection Board approved using the survey data to analyze the variables related to SCRC and policy advocacy. ResultsThe results demonstrate that parents' beliefs in CSA prevention, attitudes toward home-based sex education, and SCRC knowledge are associated with parental advocacy for SCRC access. Furthermore, parental motivation mediates the relationships between advocacy efforts and (1) beliefs in CSA prevention, (2) home-based sex education, and (3) support of SCRC. ConclusionThis study highlights the importance of establishing a community-professional-government partnership platform to mobilize parents and promote public awareness regarding SCRC access regulations.

Preventive Education Outreach on Social Media: The Quest to Enroll Community Members in a Child Sexual Prevention Workshop

ABSTRACT Social media is a frequently used tool in health promotion efforts although less so for the prevention of child sexual abuse (CSA). This is due, in part, to the lack of standardized branding guides for community-based efforts in how to craft messages related to CSA prevention. This study examined the use of Twitter (now “X”) as a means of promoting participation in the adult-focused Stewards of Children CSA prevention workshop, prior to and following the implementation of a standardized branding guide. The exposure, reach, and engagement of the top tweets and top media tweets were examined over 24-months pre- and post-implementation of a five-point branding guide. Engagement was descriptively compared to the number of adults who enrolled in the Stewards of Children workshop. As evidenced by the increase in tweet impressions and the number of adults trained, it is likely the implementation of the branding guide was beneficial in promoting participation in the Stewards of Children workshop. Though participation in a program does not inherently suggest behavior change, getting participants to enroll is a crucial first step. The findings emphasize the potential of using social media to ultimately promote behavior change in the field of CSA prevention and beyond.