@article{ref1,
title="Parent-focused sexual abuse prevention: results from a cluster randomized trial",
journal="Child maltreatment",
year="2020",
author="Guastaferro, Kate and Felt, John M. and Font, Sarah A. and Connell, Christian M. and Miyamoto, Sheridan and Zadzora, Kathleen M. and Noll, Jennie G.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="This study tested whether a child sexual abuse (CSA) prevention program, Smart Parents-Safe and Healthy Kids (SPSHK), could be implemented as an additional module in evidence-based parent training and whether the added module might detract from the efficacy of the original program. In a cluster randomized trial, six community-based organizations were randomized to deliver Parents as Teachers (PAT) with SPSHK (PAT+SPSHK) or PAT as usual (PAT-AU). CSA-related awareness and protective behaviors, as well as general parenting behaviors taught by PAT were assessed at baseline, post-PAT, post-SPSHK, and 1-month follow-up. Multilevel analyses revealed significant group by time interactions for both awareness and behaviors (ps <.0001), indicating the PAT+SPSHK group had significantly greater awareness of CSA and used protective behaviors more often (which were maintained at follow-up) compared to the PAT-AU group. No differences were observed in general parenting behaviors taught by PAT suggesting adding SPHSK did not interfere with PAT efficacy as originally designed. <br><br>RESULTS indicate adding SPHSK to existing parent training can significantly enhance parents' awareness of and readiness to engage in protective behavioral strategies. Implementing SPHSK as a selective prevention strategy with at-risk parents receiving parent training through child welfare infrastructures is discussed.<p /> <p>Language: en</p>",
language="en",
issn="1077-5595",
doi="10.1177/1077559520963870",
url="http://dx.doi.org/10.1177/1077559520963870"
}