School-Based Education Programs for the Prevention of Child Sexual Abuse

IF 1.7 4区社会学 Q1 SOCIAL WORK Research on Social Work Practice Pub Date : 2015-04-16 DOI:10.1177/1049731515619705

K. Walsh, K. Zwi, S. Woolfenden, A. Shlonsky

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引用次数: 216

Abstract

Objective: To assess evidence of the effectiveness of school-based education programs for the prevention of child sexual abuse (CSA). The programs deliver information about CSA and strategies to help children avoid it and encourage help seeking. Methods: Systematic review including meta-analysis of randomized controlled trials (RCTs), cluster RCTs, and quasi-RCTs. Results: Twenty-four studies with 5,802 participants were included. Child self-protective skills, odds ratio = 5.71, confidence interval = [1.98, 16.51]; factual, standardized mean difference (SMD) = 0.61 [0.45, 0.78]; and applied knowledge, SMD = 0.45 [0.24, 0.65], increased in the intervention group, and knowledge gains were retained at 6 months, SMD = 0.69 [0.51, 0.87]. There were no differences in anxiety or fear, SMD = −0.08 [0.22, 0.07], and findings regarding disclosure of abuse were inconclusive. Conclusion: Children’s self-protective skills and knowledge can be increased by participation in school-based sexual abuse prevention programs. However, it is unknown whether gains in skills and knowledge actually decrease the likelihood of CSA.

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预防儿童性虐待校本教育计划

目的:评估以学校为基础的预防儿童性虐待(CSA)教育项目有效性的证据。这些项目提供了有关CSA的信息和帮助孩子们避免它并鼓励寻求帮助的策略。方法:采用随机对照试验(rct)、聚类rct和准rct进行meta分析。结果:共纳入24项研究，5802名受试者。儿童自我保护技能，优势比= 5.71，可信区间= [1.98,16.51];实际标准化均差(SMD) = 0.61 [0.45, 0.78];干预组的应用知识，SMD = 0.45[0.24, 0.65]增加，6个月时知识收获保持不变，SMD = 0.69[0.51, 0.87]。在焦虑或恐惧方面没有差异，SMD = - 0.08[0.22, 0.07]，关于虐待披露的发现尚无定论。结论:儿童自我保护的技能和知识可以通过参与以学校为基础的性虐待预防项目来提高。然而，目前尚不清楚技能和知识的增加是否真的会降低CSA的可能性。

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来源期刊

Research on Social Work Practice SOCIAL WORK-

CiteScore

3.50

自引率

11.10%

发文量

105

期刊介绍： Research on Social Work Practice, sponsored by the Society for Social Work and Research, is a disciplinary journal devoted to the publication of empirical research concerning the methods and outcomes of social work practice. Social work practice is broadly interpreted to refer to the application of intentionally designed social work intervention programs to problems of societal and/or interpersonal importance, including behavior analysis or psychotherapy involving individuals; case management; practice involving couples, families, and small groups; community practice education; and the development, implementation, and evaluation of social policies.