Integrative Review Addressing the Effectiveness of Child Sexual Abuse Preventive Interventions

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Egna Roberta Ferreira
Carlos Aznar-Blefari
Sidnei Rinaldo Priolo Filho
Murilo Ricardo Zibetti

Abstract

This integrative review addresses primary prevention programs to prevent child sexual abuse focusing on children and adolescents and professionals. We used PubMed, Biblioteca Virtual em Saúde (BVS), Scientific Electronic Library Online (SciELO), Scopus, and PsycInfo, with the following keywords: "personal safety education" or "protective behaviors" or "personal body safety" or "child assault prevention" or "protection education" associated with the term "child sexual abuse". Sixteen trials were included, nine interventions addressed children and adolescents, and seven, adults. The preventive interventions implemented among children and adolescents improved self-protection behaviors and knowledge regarding child sexual abuse. However, the interventions aimed at adults presented methodological variations that hinder generalization of the results.

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References

Altundağ, S. (2020). Raising the awareness of students in a child development department regarding the prevention of child sexual abuse. Journal of Child Sexual Abuse, 29(7), 821–835. https://doi.org/10.1080/10538712.2020.1825147

Brino, R. F., & Williams, L. C. (2008). Professores como agentes de prevenção do abuso sexual infantil. Educação & Realidade, 33(2), 209–229. https://seer.ufrgs.br/educacaoerealidade/article/view/7073#:~:text=Os%20professores%20participaram%20de%2012,na%20escola%20e%20na%20comunidade

Camargo, E. B., Pereira, A. C. E. S., Gliardi, J. M., Pereira, D. R., Puga, M. E., Silva, E. T., & Elias, F. T. S. (2017). Judicialização da saúde: Onde encontrar respostas e como buscar evidências para melhor instruir processos. Cadernos Ibero-Americanos de Direito Sanitário, 6(4), 27–40. https://doi.org/10.17566/ciads.v6i4.410

Dale, R., Shanley, D. C., Zimmer-Gembeck, M. J., Lines, K., Pickering, K., & White, C. (2016). Empowering and protecting children by enhancing knowledge, skills and well-being: A randomized trial of Learn to BE SAFE with Emmy™. Child Abuse & Neglect, 51, 368–378. https://doi.org/10.1016/j.chiabu.2015.07.016

Firnges, C., & Amann, S. B. (2016). Evaluation des Theaterstücks „Trau dich! Ein starkes Stück über Gefühle, Grenzen und Vertrauen“ im Rahmen der bundesweiten Initiative zur Prävention dessexuellen Kindesmissbrauchs. Springer Berlin Heidelberg, 59(1), 57–65. http://doi.org/10.1007/s00103-015-2266-7

Guastaferro, K., Felt, J. M., Font, S. A., Connell, C. M., Miyamoto, S., Zadzora, K. M., & Noll, J. G. (2020). Parent-focused sexual abuse prevention: Results from a cluster randomized trial. Child Maltreatment, 27(1), 114–125. https://doi.org/10.1177%2F1077559520963870

Gushwa, M., Bernier, J., & Robinson, D. (2018). Advancing child sexual abuse prevention in schools: An exploration of the effectiveness of the Enough! online training program for K-12 teachers. Journal of Child Sexual Abuse, 28(2), 144–159. https://doi.org/10.1080/10538712.2018.1477000

Hailes, H. P., Yu, R., Danese, A., & Fazel, S. (2019). Long-term outcomes of childhood sexual abuse: An umbrella review. The Lancet Psychiatry, 6(10), 830–839. https://doi.org/10.1016/S2215-0366(19)30286-X

Jin, Y., Chen, J., Jiang, Y., & Yu, B. (2017). Evaluation of a sexual abuse prevention education program for school-age children in China: A comparison of teachers and parents as instructors. Health Education Research, 32(4), 364–373. https://doi.org/10.1093/her/cyx047

Kang, S. R., Kim, S. J., & Kang, K. A. (2020). Effects of child sexual abuse prevention education program using hybrid application (CSAPE-H) on fifth-grade students in South Korea. The Journal of School Nursing, 1–12. https://doi.org/10.1177%2F1059840520940377

Khoori, E., Gholamfarkhani, S., Tatari, M., & Wurtele, S. K. (2020). Parents as teachers: Mothers’ roles in sexual abuse prevention education in Gorgan, Iran. Child Abuse & Neglect, 109(104695), 1–11. https://doi.org/10.1016/j.chiabu.2020.104695

Kim, S. J., & Kang, K. A. (2017). Effects of the Child Sexual Abuse Prevention Education (C-SAPE) Program on South Korean Fifth-Grade Students’ Competence in Terms of Knowledge and Self-Protective Behaviors. The Journal of School Nursing, 33(2), 123–132. https://doi.org/10.1177/1059840516664182

Kucuk, S., Platin, N., & Erdem, E. (2017). Increasing awareness of protection from sexual abuse in children with mild intellectual disabilities: An education study. Applied Nursing Research, 38, 153–158. https://doi.org/10.1016/j.apnr.2017.10.016

Lipson, G., Grant, B. J., Mueller, J., & Sonnich, S. (2019). Preventing school employee sexual misconduct: An outcome survey analysis of making right choices. Journal of Child Sexual Abuse, 28(2), 129–143. https://doi.org/10.1080/10538712.2018.1477002

ManGing, C. I., Böhm, B., Fuchs, K. A., Witte, S., & Frick, E. (2015). Improving empathy in the prevention of sexual abuse against children and youngsters. Journal of Child Sexual Abuse, 24(7), 796–815. https://doi.org/10.1080/10538712.2015.1077366

Mathews, B., Pacella, R., Dunne, M. P., Simunovic, M., & Marston, C. (2020). Improving measurement of child abuse and neglect: A systematic review and analysis of national prevalence studies. PLoS One, 15(1), e0227884. https://doi.org/10.1371/journal.pone.0227884

McMahon, H. J., & Reimers, B. (2013). An evaluation of a child welfare training program on the Commercial Sexual Exploitation of Children (CSEC). Evaluation and Program Planning, 40(1), 1–9. https://doi.org/10.1016/j.evalprogplan.2013.04.002

Morris, M. C., Kouros, C. D., Janecek, K., Freeman, R., Mielock, A., & Garber, J. (2017). Community-level moderators of a school-based childhood sexual assault prevention program. Child Abuse & Neglect, 63, 295–306. https://doi.org/10.1016/j.chiabu.2016.10.005

Nurse, A. M. (2018). Coaches and child sexual abuse prevention training: Impact on knowledge, confidence, and behavior. Children and Youth Services Review, 88, 395–400. https://doi.org/10.1016/j.childyouth.2018.03.040

O’Leary, P., Easton, S. D., & Gould, N. (2015). The effect of child sexual abuse on men toward a male sensitive measure. Journal of Interpersonal Violence, 32(3), 423–445. https://doi.org/10.1177/0886260515586362

Priolo Filho, S. R., Goldfarb, D., Zibetti, M. R., & Aznar-Blefari, C. (2020). Brazilian child protection professionals’ resilient behavior during the Covid-19 pandemic. Child Abuse & Neglect, 110(Part 2),104701, 1–8. https://doi.org/10.1016/j.chiabu.2020.104701

Priolo Filho, S. R., & Rodrigues, M. de B. (2019). Resiliência e a promoção do desenvolvimento saudável na infância, adolescência e adultez: Novas discussões dos conceitos psicológicos. Psicologia Argumento, 36(92), 163–174. http://dx.doi.org/10.7213/psicolargum.36.92.AO02

Rudolph, J., Zimmer-Gembeck, M. J., Shanley, D. C., & Hawkins, R. (2017). Child sexual abuse prevention opportunities: Parenting, programs, and the reduction of risk. Child Maltreatment, 23(1), 96–106. http://doi.org//10.1177/1077559517729479

Soma, S. M. P., & Williams, L. C. A. (2014). Livros infantis para prevenção do abuso sexual infantil: Uma revisão de estudos. Temas em Psicologia, 22(2), 353–361. http://dx.doi.org/10.9788/TP2014.2-07

Tunc, G. C., Gorak, G., Ozyazicioglu, N., Ak, B., Isil, O., & Vural, P. (2018). Preventing child sexual abuse: Body safety training for young children in Turkey. Journal of Child Sexual Abuse, 27(4), 347–364. https://doi.org/10.1080/10538712.2018.1477001

Walsh, K., Zwi, K., Woolfenden, S., & Shlonsky, A. (2015). School-based education programmes for the prevention of child sexual abuse. Cochrane Developmental, Psychosocial and Learning Problems Group, (4), CD004380. https://doi.org/10.1002/14651858.CD004380.pub3

White, C., Shanley, D. C., Zimmer-Gembeck, M. J., Lines, K., Walsh, K., & Hawkins, R. (2016). Cluster randomised-control trial for an Australian child protection education program: Study protocol for the Learn to be safe with Emmy and friends™. BMC Public Health, 16, 72. https://doi.org/10.1186/s12889-016-2721-x

Williams, L. C. D. A., Hackbarth, C., Blefari, C. A., Padilha, M. D. G. S., & Peixoto, C. E. (2014). Investigação de suspeita de abuso sexual infantojuvenil: O Protocolo NICHD. Temas em Psicologia, 22(2), 415–432. http://dx.doi.org/10.9788/TP2014.2-12

Wood, M., & Archbold, C. A. (2015). Bad touches, getting away, and never keeping secrets: Assessing student knowledge retention of the “Red Flag Green Flag People” program. Journal of Interpersonal Violence, 30(17), 2999–3021. https://doi.org/10.1177/0886260514554426

World Health Organization, & International Society for Prevention of Child Abuse and Neglect (2006). Preventing child maltreatment: A guide to taking action and generating evidence.

Wurtele, S. K. (2007). The body safety training workbook. www.sandywurtele.com