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Child Abuse Interventions
Interventions with Children
Background
One approach to decrease risk of abuse, including abduction
by strangers, is to directly teach children about how to resist abuse or abduction.
There have been a number of studies of these types of programs. None examine
the effect of the program on actual abuse or abduction. We have chosen to review
only those interventions where there has been an evaluation of changes in observed
behavior and have not included any studies in which the only intervention is
a change in knowledge or attitudes.
Review of interventions with children:
Author | Poche et al., 1988 |
Study design and target population | RCT
USA; 74 kindergarten and first grade students (ages 5-7); 26%
black, 74% white; low, middle and upper income schools in Michigan
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Intervention | Randomized to: video training
of how to deal with strangers and avoid abduction; video plus behavior rehearsal;
live presentation by trainer; no training |
Outcomes | 1-2 days after training research
assistant approached children and tried to get them to go in a car |
Results | Percent of children who ran away
from research assistant posing as abductor: 74% in video plus rehearsal,
47% in video only; 13% in live trainer; 0% in control group. OR for going
with stranger, compared to control groups: video+rehearsal = 0.04 (0.00-0.28);
video only = 0.09 (0.02-0.48);
live teacher = 0.26 (.05-1.30)
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Study quality and conclusions | This was a RCT. While it did not
have real life data, it did have a reasonable scenario which showed that
both video only and video plus rehearsal were effective in decreasing the
risk that young children would go into a car with a stranger.
Since the post-test observations were done 1-2 days after
the intervention, it is unknown how long the effect will last.
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Author | Fryer et al., 1987 |
Study design and target population | RCT
USA
48 kindergarten and first grade students in a Denver school
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Intervention | 8 day block of instruction, 20
minutes each day focusing on stranger abduction. No intervention in control
group. |
Outcomes | Research assistant tired to get
child into a car |
Results | 22% of intervention group and
48% of control group agreed to go with the stranger. OR=0.31 (0.07-1.34) |
Study quality and conclusions | Although the study suggests an
effect, it was non-significant. |
Summary of interventions with children
The studies reviewed suggest that educational programs aimed
at children can decrease the risk of stranger abduction. However, these conclusions
are tempered by the fact that the Poche study evaluated the impact only 1-2
days after the intervention. The results of the Fryer study are limited by small
sample sizes. Both studies are also limited by the fact that they use mock situations
to test the effectiveness of the intervention.
Recommendations on interventions with children
The impact of these interventions on physical abuse is unknown
and therefore cannot be recommended at this time. These interventions appear
more appropriate for the prevention of sexual abuse.
Recommendations for future research
There is a need to evaluate these interventions in larger populations
and to test whether the effect persists over time.
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