Methods: A quasi-experimental study (from May 2024-December 2025) leveraged ongoing implementation of SPSK in 15 Pennsylvania communities to evaluate potential gains in CSA-related awareness and intentions to use protective behaviors among parents who received SPSK compared to those who did not (N=343). All participants completed three surveys: baseline, 1-month post-, and 3-months post-baseline (or SPSK workshop, for experimental group). The primary analysis was conducted with a difference-in-differences approach using a linear mixed-effects regression model to fit the outcome, CSA-related knowledge and intentions to use protective behaviors.
Results: Findings demonstrated no significant differences between groups at baseline (p=0.989). Parents who participated in SPSK demonstrated statistically significant gains in CSA-related knowledge and intentions to use protective behaviors compared to parents in the control condition (p<0.001; d=0.60). These gains were maintained after 3-months (p<0.001; d=0.54).
Conclusions and Implications: This work demonstrates the preliminary efficacy of SPSK and has the potential to advance large scale efforts to implement universal CSA prevention with parents and primary caregivers, ultimately preventing victimization.
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