Our objectives are three-fold: (1) reduce rates of CSA in intervention counties, (2) change participating adults’ knowledge, attitudes, and behaviors related to preventing CSA, and (3) Change participating children’s ability to recognize and avoid unsafe touches and talk to a trusted adult.

Research Questions:

  1. How does each intervention component affect knowledge, attitudes, and behaviors related to CSA prevention?
    1. Are these effects maintained over time?
  2. What is the effect of these components together?
  3. How do these components affect the general knowledge and awareness of CSA on a county level?
  4. What effect does a comprehensive prevention strategy have on referral and substantiation rates of CSA?

Our Approach

We are using a staggered implementation design in the SHCI. This approach affords several advantages: (1) adequate time for set-up and training of each component is allowed, and (2) we’re able to assess the impact of each initiative component of the project independent from each other. Since this is the first time all of these components have been implemented together and at this scale, it is important for us to measure the effect of each component individually and collectively to make informed decisions about the efficacy and economy of this approach.

Selected Reference(s):

Hussey, M.A., & Hughes, J.P. (2007). Design and analysis of stepped wedge cluster randomized trials. Contemporary Clinical Trials, 28(2), 182-191.