400 Participants Needed

PAT + Smart Parents for Preventing Child Sexual Abuse

Recruiting at 1 trial location
KG
Overseen ByKate Guastaferro, PhD, MPH
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: New York University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a program called "Smart Parents" to determine if it helps parents better protect their children from sexual abuse. It compares parents using the standard "Parents as Teachers" (PAT) program with those receiving the additional "Smart Parents" module. The trial aims to discover if the new program increases awareness and protective actions, and if these improvements persist for up to two years. Parents new to the PAT program, who speak English or Spanish, and have a child over one year old may be suitable participants. As an unphased trial, this study offers parents a unique opportunity to contribute to important research that could enhance child safety and well-being.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this program is safe for parents and children?

Research shows that the "Parents as Teachers" (PAT) program, combined with the "Smart Parents" module, receives positive feedback from families. Studies have found that families in the PAT program maintain safer homes and report fewer cases of child abuse, with a 22% lower chance of confirmed child abuse in these families.

The Smart Parents module helps parents understand normal sexual development and communicate about it effectively. It raises parents' awareness and encourages protective actions without causing major issues. These findings suggest that combining PAT and Smart Parents is both safe and beneficial for families.12345

Why are researchers excited about this trial?

Researchers are excited about the PAT + Smart Parents approach because it adds an innovative educational module to the existing Parents as Teachers (PAT) program, specifically targeting the prevention of child sexual abuse. Unlike standard approaches that primarily focus on general parenting skills, this method combines the proven benefits of PAT with an additional focus on empowering parents with specific strategies to protect their children from sexual abuse. This dual approach aims to enhance parental awareness and proactive involvement, potentially leading to more effective prevention outcomes.

What evidence suggests that this trial's treatments could be effective for preventing child sexual abuse?

Research has shown that the Parents as Teachers (PAT) program helps families make their homes safer and reduces child abuse, with a 22% lower chance of confirmed reports. In this trial, one group of participants will receive the Smart Parents module in addition to PAT. The Smart Parents module helps parents understand their children's sexual development and improve communication. Early results suggest that this module aids parents in recognizing and preventing child sexual abuse (CSA). Studies have demonstrated that programs like Smart Parents can be successfully implemented and help families create safer environments for children. Combining PAT with Smart Parents could enhance parents' protective actions and awareness of CSA-related issues.12367

Are You a Good Fit for This Trial?

This trial is for new parents enrolled in the Parents as Teachers (PAT) program who speak English or Spanish and have at least one child over 12 months old at home. It's not open to those previously involved with PAT foundational sessions, not enrolled in PAT, or without a child over 12 months.

Inclusion Criteria

One parent per household that is currently enrolled in Parents as Teachers (PAT) qualified to receive bi-weekly visits
I have a child over 12 months old living with me.
Only newly enrolled parents (i.e., parents who have not received the PAT foundational sessions)

Exclusion Criteria

Not currently enrolled in Parents as Teachers (PAT)
Previously enrolled in Parents as Teachers (PAT) (i.e., parents who have received the PAT foundational sessions)
I do not have a child older than 12 months.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive the Smart Parents module in addition to the Parents as Teachers program

Varies by cluster
Ongoing participation in PAT sessions

Follow-up

Participants are monitored for retention of awareness and use of protective behaviors

24 months
Assessments at 12 and 24 months

What Are the Treatments Tested in This Trial?

Interventions

  • Parents as Teachers (PAT)
  • Smart Parents
Trial Overview The study tests if adding Smart Parents—a program focused on preventing child sexual abuse—to the regular PAT curriculum improves parental awareness and protective actions against CSA. The trial also looks at how well these improvements hold up after one and two years.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: PAT + Smart ParentsExperimental Treatment1 Intervention
Group II: PAT as usualActive Control1 Intervention

Parents as Teachers (PAT) is already approved in United States for the following indications:

🇺🇸
Approved in United States as Parents as Teachers for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

New York University

Lead Sponsor

Trials
249
Recruited
229,000+

Published Research Related to This Trial

A study involving 61 low-income preschool children found that both parents and teachers were equally effective in teaching personal safety skills, with children showing significant knowledge gains about sexual abuse compared to a control group.
The effectiveness of the programs was maintained over two months, and there were no reported increases in negative behaviors or heightened fear among children, indicating that these personal safety programs can be safely implemented at home and in school settings.
A comparison of teachers vs. parents as instructors of a personal safety program for preschoolers.Wurtele, SK., Gillispie, EI., Currier, LL., et al.[2019]
The Smart Parents-Safe and Healthy Kids (SPSHK) program, when added to the existing Parents as Teachers (PAT) program, significantly increased parents' awareness of child sexual abuse (CSA) and their use of protective behaviors, with these improvements maintained at a one-month follow-up.
Importantly, the addition of SPSHK did not detract from the effectiveness of the original PAT program, indicating that it can be successfully integrated into existing parent training without compromising its core objectives.
Parent-Focused Sexual Abuse Prevention: Results From a Cluster Randomized Trial.Guastaferro, K., Felt, JM., Font, SA., et al.[2023]
A study involving primary school-aged children (7-13 years) showed that safety education programs for both children and parents can significantly reduce accidental injuries over time, with a notable decrease in the second year after intervention.
In the second year, the Intervention group had a lower incidence of accidental injuries (6.54%) compared to the Control group (8.63%), indicating that the education had a lasting impact on injury prevention.
[Interventions to prevent accidental injuries in children between 7 and 13 years of age].Zhao, CH., Qiu, HS., Qiu, HX.[2006]

Citations

NCT04366687 | Smart Parents--Safe and Healthy KidsThe purpose of the proposed study is to assess the effectiveness of the addition of a single-session child sexual abuse (CSA) prevention module (Smart Parents ...
Research and ResultsParents as Teachers families practice better home safety, have fewer maltreatment reports, a 22% lower likelihood of substantiated child maltreatment, reduced ...
A Parent-focused Child Sexual Abuse Prevention ProgramThe Smart Parents – Safe and Healthy Kids module is designed to help parents (a) learn about typical sexual development; (b) know how to talk ...
NCT04366687 | Smart Parents--Safe and Healthy KidsThe purpose of the proposed study is to assess the effectiveness of the addition of a single-session child sexual abuse (CSA) prevention module (Smart Parents ...
Parent-Focused Sexual Abuse PreventionThis study tested whether a child sexual abuse (CSA) prevention program, Smart Parents-Safe and Healthy Kids (SPSHK), could be implemented as an additional ...
Smarter Parents, Safer KidsRead more about the development of Smarter Parents, Safer Kids and the demonstrated effect of the program on parental awareness and use of protective behaviors.
Parent-Focused Sexual Abuse PreventionThis study tested whether a child sexual abuse (CSA) prevention program, Smart Parents–Safe and Healthy Kids (SPSHK), could be implemented ...
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