Provider attitudes and self-efficacy when delivering a child sexual abuse prevention module: An exploratory study

<jats:sec><jats:title>Background/jats:title<jats:p> As constant figures in children’s lives, parents are key in protecting children from sexual abuse. One barrier to reaching parents is that the topic can be difficult to broach and is sensitive in nature. Such barriers can interfere with implementation and fidelity of evidence-based prevention strategies that are focused on reducing rates of childhood sexual abuse (CSA). /jats:p/jats:sec<jats:sec><jats:title>Aims/jats:title<jats:p> In this exploratory study, we examine provider attitudes about delivering CSA-specific content in an evidence-based prevention module and their self-efficacy. /jats:p/jats:sec<jats:sec><jats:title>Method/jats:title<jats:p> Thirty-three providers participated in three surveys: prior to a skills-oriented training on how to deliver the CSA prevention module (pretraining), immediately posttraining, and 6 months posttraining. Changes in self-reported willingness to deliver content, beliefs about parents’ role in CSA prevention, and confidence about their ability to deliver content were assessed over time. Open-ended questions were coded thematically to reinforce quantitative findings. /jats:p/jats:sec<jats:sec><jats:title>Results/jats:title<jats:p> Prior to training, providers were worried that parents would respond negatively to CSA content and were concerned about their comfort level discussing victimization and sexual development. Findings suggest that skill-oriented training and provision scripts effectively supported providers and improved confidence in delivering CSA prevention content. /jats:p/jats:sec<jats:sec><jats:title>Discussion/jats:title<jats:p> Provider self-efficacy is an important element of implementation fidelity. This exploratory study demonstrated that, though providers may approach CSA content with wariness and trepidation, adequate skills-oriented training can reduce negative attitudes and increase perceived efficacy in the actual delivery of CSA content that persists through implementation. /jats:p/jats:sec<jats:sec><jats:title>Conclusion/jats:title<jats:p> Skills-based training can significantly enhance fidelity in the delivery of difficult content included in parent-focused preventative interventions. /jats:p/jats:sec

Guastaferro, Provider Attitudes and Self-Efficacy When Delivering a Child Sexual Abuse Prevention Module: An Exploratory Study, 'Health Education & Behavior' (, ) pp. 109019812199773. Copyright © 2021. DOI: 10.1177/1090198121997731. Users who receive access to an article through a repository are reminded that the article is protected by copyright and reuse is restricted to non-commercial and no derivative uses. Users may also download and save a local copy of an article accessed in an institutional repository for the user's personal reference. For permission to reuse an article, please follow our Process for Requesting Permission.



Work Title Provider attitudes and self-efficacy when delivering a child sexual abuse prevention module: An exploratory study
Open Access
  1. Kate Guastaferro
  2. Sarah A. Font
  3. Sheridan Miyamoto
  4. Kathleen M. Zadzora
  5. Katie E. Walters
  6. Kathryn O’Hara
  7. Allison Kemner
  8. Jennie G. Noll
License CC BY-NC-ND 4.0 (Attribution-NonCommercial-NoDerivatives)
Work Type Article
  1. SAGE Publications
Publication Date March 4, 2021
Publisher Identifier (DOI)
  1. 10.1177/1090198121997731
  1. Health Education & Behavior
Deposited September 09, 2021




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  • Created
  • Added Guastaferro_Provider+Attitudes_NIHMS+Upload-1.docx
  • Added Creator Kate Guastaferro
  • Added Creator Sarah A. Font
  • Added Creator Sheridan Miyamoto
  • Added Creator Kathleen M. Zadzora
  • Added Creator Katie E. Walters
  • Added Creator Kathryn O’Hara
  • Added Creator Allison Kemner
  • Added Creator Jennie G. Noll
  • Published
  • Updated
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  • Updated Creator Kate Guastaferro