scholarly journals @myTabu—A Placebo Controlled Randomized Trial of a Guided Web-Based Intervention for Individuals Who Sexually Abused Children and Individuals Who Consumed Child Sexual Exploitation Material: A Clinical Study Protocol

2021 ◽  
Vol 11 ◽  
Author(s):  
Peter Fromberger ◽  
Sonja Schröder ◽  
Louisa Bauer ◽  
Bruno Siegel ◽  
Safiye Tozdan ◽  
...  

Background: There is a high demand for evidence-based and cost-effective treatment concepts for convicted individuals who sexually abused children (ISAC) and individuals who consumed child sexual exploitation material (ICCSEM) under community supervision (CS). The @myTabu-consortium developed a guided web-based intervention for convicted ISAC and ICCSEM under CS consisting of six online modules targeting psychological meaningful risk factors. The study aims to evaluate the effectiveness of this guided web-based intervention in reducing dynamic risk factors and the risk to re-offend compared to a placebo condition. Furthermore, these dynamic risk factors are measured before and after every module to evaluate their individual effectiveness to reduce the respective risk factor as well as risk to re-offend. This clinical trial protocol describes the planned methods as well as the intervention concept.Methods: The methodological design is a placebo controlled randomized add-on trial (N = 582) with follow-ups at 8 points in time. The placebo condition controls for attention and expectation effects and comprises the same amount of modules with a comparable temporal effort as the experimental intervention. The trial is conducted as an add-on to community supervision as usually done. Primary outcomes are dynamic risk factors assessed by self-report risk assessment tools and officially recorded re-offenses.Discussion: To the best of our knowledge, the study is the first to compare the (cost-) effectiveness of a guided web-based intervention for convicted ISAC and ICCSEM under community supervision against a placebo condition. Methodological limitations (e.g., potential ceiling- or volunteers-effects) are discussed.Clinical Trial Registration: German Clinical Trial Register (DRKS 00021256). Prospectively registered: 24.04.2020.

Author(s):  
Leslie Helmus ◽  
Kelly M. Babchishin ◽  
Julie Blais

Although Aboriginal offenders are overrepresented in Canadian prisons, there is limited research examining the extent to which commonly used risk factors and risk scales are applicable to Aboriginals. Aboriginal ( n = 88) and non-Aboriginal ( n = 509) sex offenders on community supervision were compared on the dynamic risk factors of STABLE-2007. Data on sexual, violent, any crime, and any recidivism (including breaches) were collected with an average follow-up of 3.4 years. Aboriginal offenders scored significantly higher than non-Aboriginal offenders on STABLE-2007 total scores and on several items measuring general criminality. STABLE-2007 did not significantly predict recidivism with Aboriginal offenders (although it did for non-Aboriginals). The general antisociality items were generally significantly less predictive for Aboriginals than non-Aboriginals, whereas items assessing sexual self-regulation and relationship stability predicted similarly for both groups. These exploratory results suggest that Aboriginal sex offenders are a higher-needs group but that some STABLE-2007 items are not predictive with this population.


2021 ◽  
Vol 12 ◽  
Author(s):  
Fritjof von Franqué ◽  
Peer Briken

Child sexual abuse is associated with multiple and often severe consequences for people who are affected by it. From the perspective of indicative prevention, the treatment of people who have sexually abused children represents one important strategy, with the assumption that there is often a risk for sexual recidivism. However, there is still very limited knowledge about how men who have not been convicted of child sexual abuse but participate in voluntary treatment (here called non-forensic clients) differ from those who have been convicted and undergo mandated treatment (here called forensic clients). This study compared 22 forensic and 22 non-forensic clients regarding pedophilic interests, static and dynamic risk factors, responsivity features, and treatment progress during an individualized treatment based on the principles of risk, need, and responsivity. We found neither differences in the rates in the DSM-5 diagnosis of pedophilic disorder, nor in risk and responsivity associated scores at the beginning of treatment. In both groups, a low to moderate risk for sexual re-offending was estimated. Both groups improved their functioning on dynamic risk and responsivity factors under treatment, while age at the beginning of therapy also had a positive effect on all outcomes. Non-forensic clients had a higher amount of responsivity associated resources than forensic clients during treatment. The limitations of these results and their implications for further research and prevention approaches are discussed.


2016 ◽  
Vol 23 (1) ◽  
pp. 3-18 ◽  
Author(s):  
L. F. Kuhle ◽  
E. Schlinzig ◽  
G. Kaiser ◽  
T. Amelung ◽  
A. Konrad ◽  
...  

2017 ◽  
Vol 29 (2) ◽  
pp. 323-336 ◽  
Author(s):  
Bianca Mastromanno ◽  
Delene M. Brookstein ◽  
James R. P. Ogloff ◽  
Rachel Campbell ◽  
Chi Meng Chu ◽  
...  

2021 ◽  
pp. 1-8
Author(s):  
Elena M. D’Argenio ◽  
Timothy G. Eckard ◽  
Barnett S. Frank ◽  
William E. Prentice ◽  
Darin A. Padua

Context: Anterior cruciate ligament (ACL) injuries are a common and devastating injury in women’s soccer. Several risk factors for ACL injury have been identified, but have not yet been examined as potentially dynamic risk factors, which may change throughout a collegiate soccer season. Design: Prospective cohort study. Methods: Nine common clinical screening assessments for ACL injury risk, consisting of range of motion, movement quality, and power, were assessed in 29 Division I collegiate women’s soccer players. Preseason and midseason values were compared for significant differences. Change scores for each risk factor were also correlated with cumulative training loads during the first 10 weeks of a competitive soccer season. Results: Hip external rotation range of motion and power had statistically significant and meaningful differences at midseason compared with preseason, indicating they are dynamic risk factors. There were no significant associations between the observed risk factor changes and cumulative training load. Conclusions: Hip external rotation range of motion and power are dynamic risk factors for ACL injury in women’s collegiate soccer athletes. Serial screening of these risk factors may elucidate stronger associations with injury risk and improve prognostic accuracy of screening tools.


2021 ◽  
Vol 2 (1) ◽  
pp. 1-20
Author(s):  
Tamara Sweller ◽  
◽  
Stuart Thomas ◽  
Michael Daffern ◽  
◽  
...  

This study investigated change in behavioural manifestations of dynamic risk factors, in a sample of adult male sexual offenders who completed a custody-based treatment program. A checklist was developed to monitor and determine change in the frequency of behavioural manifestations of dynamic risk factors and prosocial equivalent behaviours. Offenders and custodial staff completed the checklist once each week for the duration of the offender’s period of treatment (range = 26-69 weeks, M = 45). Checklist scores were aggregated into domains based on the organisation of the Risk for Sexual Violence Protocol (Psychological Adjustment; Social Adjustment; Mental Disorder; Manageability). Change over time for individuals and the group was evaluated. Results showed an increase in positive behaviour in all domains, but there was only a decrease in risk-related manifestations in Psychological Adjustment, and this was only according to offenders. Offender self-report and staff observations were compared, revealing different perceptions of change. Using a behavioural checklist that incorporates self-report and observer data to measure change may provide a comprehensive measure of change over time.


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