This study tested whether a child sexual abuse (CSA) prevention program, Smart Parents–Safe and Healthy Kids (SPSHK), could be implemented as an additional module in evidence-based parent training and whether the added module might detract from the efficacy of the original program. In a cluster randomized trial, six community-based organizations were randomized to deliver Parents as Teachers (PAT) with SPSHK (PAT+SPSHK) or PAT as usual (PAT-AU). CSA-related awareness and protective behaviors, as well as general parenting behaviors taught by PAT were assessed at baseline, post-PAT, post-SPSHK, and 1-month follow-up. Multilevel analyses revealed significant group by time interactions for both awareness and behaviors (ps < .0001), indicating the PAT+SPSHK group had significantly greater awareness of CSA and used protective behaviors more often (which were maintained at follow-up) compared to the PAT-AU group. No differences were observed in general parenting behaviors taught by PAT suggesting adding SPHSK did not interfere with PAT efficacy as originally designed. Results indicate adding SPHSK to existing parent training can significantly enhance parents’ awareness of and readiness to engage in protective behavioral strategies. Implementing SPHSK as a selective prevention strategy with at-risk parents receiving parent training through child welfare infrastructures is discussed.

本研究测试了儿童性虐待（CSA）预防计划“聪明父母——安全健康的孩子”（SPSHK）是否可以作为循证家长培训的附加模块实施，以及附加模块是否可能会降低该计划的有效性。原始程序。在一项整群随机试验中，六个社区组织被随机提供家长即教师 (PAT) 与 SPSHK (PAT+SPSHK) 或照常 PAT (PAT-AU)。在基线、PAT 后、SPSHK 后和 1 个月的随访中对 CSA 相关意识和保护行为以及 PAT 教授的一般养育行为进行了评估。多级分析显示，意识和行为之间存在显着的时间交互作用 ( ps < .0001)，表明与相比，PAT+SPSHK 组对 CSA 的意识显着更高，并且更频繁地使用保护行为（在随访中维持） PAT-AU 小组。 PAT 教授的一般养育行为没有观察到差异，这表明添加 SPHSK 不会干扰最初设计的 PAT 功效。结果表明，将 SPHSK 添加到现有的家长培训中可以显着提高家长对采取保护性行为策略的认识和准备情况。讨论了实施 SPHSK 作为选择性预防策略，让高危父母通过儿童福利基础设施接受家长培训。