This proposal aims to develop and test the feasibility of a novel school-based child sexual abuse (CSA) prevention program targeting 6th and 7th grade youth. The program will specifically address risk of adolescent CSA perpetration against younger children within the context of a universal prevention program. This study will proceed in three phases. First, a qualitative process be undertaken to ensure that the intervention is relevant and tolerable to students, parents, and educators. Second, a process will be undertaken in which feedback about a given module will inform changes to the next delivery of that module, minimizing the time needed to revise intervention components. Third, a pilot randomized control trial will be conducted within 6th and 7th grade classes at four urban schools to assess feasibility, acceptability, and early indicators of change. If successful, this project will lead to larger controlled trials to assess the effects of the prevention intervention on sexual abuse victimization and perpetration.
Aim 1. To iteratively develop and refine a new classroom-based universal intervention for the prevention of CSA perpetration that can serve as a stand-alone program or be integrated into existing school programs (e.g., sexual education or other prevention programs). Given the modal age of onset of juvenile sexual offending (approx. age 13), RBYC will target both boys and girls in 6th and 7th grade classrooms.
Aim 2. To preliminarily evaluate the immediate effects (pre-post design) of RBYC on targeted constructs, as well as retention of gains over a 6-month follow-up period. The intervention is expected to show positive effects on CSA-related knowledge, cognitions/attitudes, self-efficacy, and behaviors. This study will provide the basis for a larger, more rigorous RCT, if proximal outcomes prove favorable.
Aim 3. To determine the feasibility and acceptability of RBYC to youth, parents, and school personnel.

Public Health Relevance

This proposal aims to develop and test the feasibility of a novel school-based child sexual abuse (CSA) prevention program targeting 6th and 7th grade youth that specifically addresses the risk of CSA to younger children. This study proceeds in three phases including (I) focus groups with students, parents, and educators to ensure that the intervention is feasible and acceptable; (II) preliminary evaluation of intervention components using a process called ?rapid prototyping? that allows for changes to be made quickly, minimizing the time needed to revise intervention components; and (III) a small randomized control trial conducted within 6th and 7th grade classes at four urban schools to assess program feasibility, acceptability, and early indicators of change.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21HD083704-01A1
Application #
9034700
Study Section
Psychosocial Development, Risk and Prevention Study Section (PDRP)
Program Officer
Esposito, Layla E
Project Start
2016-05-06
Project End
2018-04-30
Budget Start
2016-05-06
Budget End
2017-04-30
Support Year
1
Fiscal Year
2016
Total Cost
Indirect Cost
Name
Johns Hopkins University
Department
Other Health Professions
Type
Schools of Public Health
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21205
Letourneau, Elizabeth J; Schaeffer, Cindy M; Bradshaw, Catherine P et al. (2017) Preventing the Onset of Child Sexual Abuse by Targeting Young Adolescents With Universal Prevention Programming. Child Maltreat 22:100-111