Clinical trial NCT06497803: The Effect of Nurse-Led Body Protection Education in Students With Visual Impairments
Official title: The Effect of Nurse-Led Body Protection Education on the Sexual Abuse Knowledge Levels of Students With Visual Impairments: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Child Sexual Abuse
Disability, Vision
Keywords: Child sexual abuse
Visually impaired children
Prevention
Health education
Public health nursing
Lead sponsor: Marmara University
Sponsor class: OTHER
First posted: 2024-07-12
Enrollment: 53
Sex: ALL
Minimum age (years): 7
Maximum age (years): 14
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This study is parallel group randomized controlled study.
Primary purpose: PREVENTION

Brief summary: In the study, it was aimed to examine the effect of nurse-led body protection education on the sexual abuse knowledge levels of students with visual impairments.

Detailed description: Children with visual impairments form a risky group in terms of abuse as they are more dependent in relation to providing self-care compared to children with visually healthy and they use their sense of touch in communicating with the environment. The 53 students with visual impairments were randomly assigned to the intervention group and the control group. The study data were collected through children's knowledge of abuse questionnaire - revised with the subdimensions of good touch and bad touch. Nurse-led body protection education was provided to the intervention group in groups of 3-4 in 40 minutes. The education was provided as verbal narration by using a doll and distress whistle. In addition, two weeks after the post-test, a reminder education brochure prepared with the braille alphabet was distributed to the students in the intervention group.

Eligibility criteria: Inclusion Criteria:

* Students with visual impairments who gave their consent to participate in the study and who could communicate in Turkish were included in the study.

Exclusion Criteria:

* Students who had a mental disability in addition to visual impairment were excluded from the study.

Primary outcomes:
measure: The Good Touch subscale of the Children's Knowledge of Abuse Questionnaire-Revised scale
timeFrame: Change in knowledge level within two months
measure: The Bad Touch subscale of the Children's Knowledge of Abuse Questionnaire-Revised scale
timeFrame: Change in knowledge level within two months
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Marmara University
Study officials:
affiliation: Marmara University
name: Ayse Ergun, Prof
role: STUDY_CHAIR
affiliation: Marmara University
name: Esma Akgul, MSc, RN
role: PRINCIPAL_INVESTIGATOR
References:
citation: Cecen-Erogul AR, Kaf Hasirci O. The effectiveness of psycho-educational school-based child sexual abuse prevention training program on turkish elementary students. Educational Sciences: Theory and Practice. 2013; 13(2): 725-729.
citation: Jin Y, Chen J, Jiang Y, Yu B. Evaluation of a sexual abuse prevention education program for school-age children in China: a comparison of teachers and parents as instructors. Health Educ Res. 2017 Aug 1;32(4):364-373. doi: 10.1093/her/cyx047.
citation: Huang S, Cui C. Preventing Child Sexual Abuse Using Picture Books: The Effect of Book Character and Message Framing. J Child Sex Abus. 2020 May-Jun;29(4):448-467. doi: 10.1080/10538712.2020.1719449. Epub 2020 Feb 28.
citation: Czerwinski F, Finne E, Alfes J, Kolip P. Effectiveness of a school-based intervention to prevent child sexual abuse-Evaluation of the German IGEL program. Child Abuse Negl. 2018 Dec;86:109-122. doi: 10.1016/j.chiabu.2018.08.023. Epub 2018 Oct 1.
citation: Manheim M, Felicetti R, Moloney G. Child Sexual Abuse Victimization Prevention Programs in Preschool and Kindergarten: Implications for Practice. J Child Sex Abus. 2019 Aug-Sep;28(6):745-757. doi: 10.1080/10538712.2019.1627687. Epub 2019 Jun 20.
citation: Pulido ML, Dauber S, Tully BA, Hamilton P, Smith MJ, Freeman K. Knowledge Gains Following a Child Sexual Abuse Prevention Program Among Urban Students: A Cluster-Randomized Evaluation. Am J Public Health. 2015 Jul;105(7):1344-50. doi: 10.2105/AJPH.2015.302594. Epub 2015 May 14.
citation: White C, Shanley DC, Zimmer-Gembeck MJ, Walsh K, Hawkins R, Lines K, Webb H. Promoting young children's interpersonal safety knowledge, intentions, confidence, and protective behavior skills: Outcomes of a randomized controlled trial. Child Abuse Negl. 2018 Aug;82:144-155. doi: 10.1016/j.chiabu.2018.05.024. Epub 2018 Jun 11.
citation: Wurtele SK. Teaching young children personal body safety. The Body Safety Training Workbook. 2007. University of Colorado: Colorado Springs.
citation: Akgül E, Darak S, Sisman FN, Ergun A. Effect of the Nurse-Led. Journal of Psychiatric Nursing. 2021; 12(2): 156-164.
citation: Citak Tunc G, Gorak G, Ozyazicioglu N, Ak B, Isil O, Vural P. Preventing Child Sexual Abuse: Body Safety Training for Young Children in Turkey. J Child Sex Abus. 2018 May-Jun;27(4):347-364. doi: 10.1080/10538712.2018.1477001. Epub 2018 Jun 1.
citation: Irmak TY, Kızıltepe R, Aksel Ş, Güngör D, Eslek D. Mika ile kendimi korumayı öğreniyorum: Cinsel istismarı önleme programının etkililiği ["I am learning to protect myself with Mika": The effectiveness of a sexual abuse prevention program]. Türk Psikoloji Dergisi. 2018; 33(81): 41-61.
citation: Warraitch A, Amin R, Rashid A. Evaluation of a school-based sexual abuse prevention program for female children with intellectual disabilities in rural Pakistan- A feasibility study. Appl Nurs Res. 2021 Feb;57:151391. doi: 10.1016/j.apnr.2020.151391. Epub 2020 Nov 25.
citation: Bustamante G, Andrade MS, Mikesell C, Cullen C, Endara P, Burneo V, Yepez P, Avila Saavedra S, Ponce P, Grunauer M. "I have the right to feel safe": Evaluation of a school-based child sexual abuse prevention program in Ecuador. Child Abuse Negl. 2019 May;91:31-40. doi: 10.1016/j.chiabu.2019.02.009. Epub 2019 Feb 26.
citation: Kim SJ, Kang KA. Effects of the Child Sexual Abuse Prevention Education (C-SAPE) Program on South Korean Fifth-Grade Students' Competence in Terms of Knowledge and Self-Protective Behaviors. J Sch Nurs. 2017 Apr;33(2):123-132. doi: 10.1177/1059840516664182. Epub 2016 Sep 20.
citation: Jones C, Scholes L, Rolfe B, Stieler-Hunt C. A serious-game for child sexual abuse prevention: An evaluation of orbit. Child Abuse Negl. 2020 Sep;107:104569. doi: 10.1016/j.chiabu.2020.104569. Epub 2020 Jun 11.
citation: Tutty LM. Child sexual abuse prevention programs: evaluating Who Do You Tell. Child Abuse Negl. 1997 Sep;21(9):869-81. doi: 10.1016/s0145-2134(97)00048-3.
citation: Yılmaz Y, Cenkseven-Önder F. The Adaptation of Children's Knowledge of Abuse Questionnaire-Revised (CKAQ-R) to Turkish: Validity and reliability study. Elementary Education Online. 2020; 19(1): 384-392.