Child Sexual Abuse Prevention Training for Childcare Professionals: An Independent Multi-Site Randomized Controlled Trial of Stewards of Children

Authors
Rheingold, A. Zajac, A. Chapman, K. Patton, J. Arellano, E Saunders, M. Kilpatrick, M.
Publication year
2014
Citation Title
Child sexual abuse prevention training for childcare professionals: An independent multi-site randomized controlled trial of stewards of children.
Journal Name
Prevention Science
Journal Volume
16
Issue Number
3
Page Numbers
374-385
DOI
10.1007/s11121-014-0499-6
Summary
Due to high rates of childhood sexual abuse, teachers who are equipped with knowledge on childhood sexual abuse prevention, which includes recognizing warning signs and responding effectively to suspicions of abuse, can help protect children. This study evaluated how the training, Steward of Children, affected childcare professionals’ knowledge, attitudes, and behavior related to child sexual abuse prevention, as well as if in-person versus web-based training impacted its effectiveness. Researchers found that the follow-up assessment showed that Steward of Children training was an effective workshop that increased prevention of childhood sexual abuse and there was no significant difference between in-person and web-based training effectiveness.
Key Findings
Stewards of Children training for childcare professionals increased their level of knowledge, attitudes, and preventative behaviors regarding childhood sexual abuse.
Knowledge and preventative behaviors for childhood sexual abuse were the same between professionals who took training in-person and those who took the web-based version.
A brief training program, as short as two and a half hour workshop, designed for childcare professionals can impact their child sexual abuse prevention efforts.
Implications for Military Professionals
Facilitate childhood sexual abuse training to help decrease rates of childhood sexual abuse among military children
Develop web-based childhood sexual abuse trainings for childcare professionals who care for military children
Implications for Program Leaders
Offer adult-focused childhood sexual abuse prevention workshops for military parents and spouses paired with child-focused workshops for their children, due to higher success rates when the programs are paired together
Disseminate information on child sexual abuse to military parents, educating them on the impact it can have on children and informing them of available resources
Implications for Policy Makers
Recommend education of childcare professionals on how to respond to warning signs of childhood sexual abuse
Encourage collaboration among DoD, community-based organizations, and schools to develop training on resources and services regarding childhood sexual abuse prevention and intervention
Methods
Site coordinators recruited childcare professionals from youth serving organizations among their communities.
The in-person steward training was a two and a half hour group workshop, the web-based steward training was completed over a two-week period, and the waitlist control group received no training materials.
Assessments were completed pre-intervention, immediately follwong the intervention, and three months following intervention. These assessments included the childhood sexual abuse knowledge questionnaire, childhood sexual abuse myth scale, and childhood sexual abuse prevention behaviors.
Participants
Participants were between the ages of 18 and 65 years old and a total of 352 professionals were enrolled in the study and 267 professionals completed the study.
The childcare professionals were recruited from organizations in Bend, OR; Atlanta, GA; and Beaufort, SC.
Participants were 85% female and were White (65.2%), Black (28.4%), Asian/Pacific Islander (.9%), American Indian/Alaskan native (.9%) and other (4.8%).
Each group had 115 childcare professionals: waitlist control, web-based training, and in-person training.
Limitations
Participants were only child care professionals who expressed interest in participating, which could have biased the results of the study because they were more interested in learning how to prevent childhood sexual abuse.
Participants from the groups who received training and the group who did not receive training worked in the same programs, allowing for potential sharing of learned information gained by the trained professionals with their colleagues in the non-trained group and potentially influencing the scores of those who did not receive training.
Eighty-five percent of the participants were female, limiting the genralizability of the findings to male childcare professionals.
Avenues for Future Research
Evaluate if the length of time in the childcare profession impacts outcomes, and whether adjusting training to subgroups based on time in the profession can increase the outcomes of the training
Recruit more male participants, allowing for greater generalizability
Explore the success rate of adult-focused training programs when paired with evidence-based child-focused preventative programs
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
2 Stars - There are a few factors that limit the ability to extend the results to an entire population, but the results can be extended to most of the population.
Focus
Civilian
Target Population
Population Focus
Abstract
Given the significant rates and deleterious consequences of childhood sexual abuse (CSA), identifying effective primary prevention approaches is a clear priority. There is a growing awareness that childcare professionals (e.g., teachers, childcare personnel, clergy) are in a unique position to engage in prevention efforts due to high accessibility to children and expertise in child development. However, CSA prevention programs targeting childcare professionals have received insufficient attention. The goal of this study was to conduct an independent multi-site controlled evaluation of an existing CSA prevention program, Stewards of Children, offered through both in-person and web-based formats. This study included 352 childcare professionals recruited from children’s advocacy centers across three states. Participants were randomly assigned to one of three conditions: (1) in-person training, (2) web-based training, or (3) waitlist control. Dependent variables included CSA knowledge, CSA attitudes, and self-reported CSA preventive behaviors. Results indicated that Stewards impacted knowledge, attitudes, and preventive behaviors. No differences were found between training modalities (i.e., in-person versus web-based) on knowledge and preventive behaviors. Results indicate that brief trainings for childcare professionals may impact CSA prevention efforts.
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