Kate Guastaferro
Kate Guastaferro
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Assistant Professor of Social and Behavioral Sciences
Co-Director of the Center for the Advancement and Dissemination of Intervention Optimization
Director of the Doctor of Public Health (DrPH) Program
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Professional overview
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Kate Guastaferro, PhD is an intervention scientist by training, her work is devoted to the development, optimization, implementation and evaluation of effective, efficient, affordable and scalable interventions with high public health impact. She is an expert in the multiphase optimization (MOST) strategy and her expertise is in parent-focused, multicomponent behavioral interventions to prevent child maltreatment. Dr. Guastaferro co-led a statewide trial focused on the coordinated implementation of three evidence-base child sexual abuse prevention programs; included in this trial was the parent-focused child sexual abuse program that she developed, piloted and evaluated. Her current work is focused on the integration of intervention optimization into the prevention of child maltreatment.
Prior to joining NYU, Dr. Guastaferro was an assistant research professor in human development and family studies at the Pennsylvania State University, and an affiliate of its Prevention Research Center and Child Maltreatment Solutions Network. In 2020, she was awarded the Victoria S. Levin Award for Early Career Success in Young Children’s Mental Health Research from the Society for Research in Child Development. She has been published in Child Maltreatment, Translational Behavioral Medicine, and the American Journal of Public Health.
Dr. Guastaferro received her PhD and MPH from Georgia State University’s School of Public Health, and her BA in anthropology from Boston University. She also completed a year of postdoctoral training at the Pennsylvania State University.
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Education
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Postdoctoral Fellow, Prevention and Methodology Training Program (T32 DA017629), The Pennsylvania State UniversityPhD Public Health, Georgia State UniversityMPH Health Promotion, Georgia State UniversityBA Anthropology, Boston University
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Honors and awards
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Victoria S. Levin Award, Society for Research on Child Development (2020)NIH Loan Repayment Program Award: Toward the Optimization of Behavioral Interventions to Prevent Child Maltreatment (201820192020)Public Health Achievement Award, Georgia State University (2016)Scarlet Key Honor Society, Boston University (2008)
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Publications
Publications
Cultural and Family Influences on Parents’ Child Sexual Abuse-Related Awareness and Protective Behaviors.
AbstractBhoja, A., Abourjaily, E., McCormick, K., Zeleke, M., & Guastaferro, K. (n.d.).Publication year
2024Abstract~Enhancing Assessment of Child Maltreatment Risk in Research: Integrating Measures of Food Insecurity.
AbstractAbuchaibe, V., Ott, K., Dan, C., & Guastaferro, K. (n.d.).Publication year
2024Abstract~Family structure and children's risk of child protective services re-reports
AbstractGuastaferro, K., Shipe, S. L., Guastaferro, K., Ayer, L., Lee, J. Y., & Connell, C. M. (n.d.).Publication year
2024Journal title
Child Abuse and NeglectVolume
154AbstractBackground: Single parent families are at higher risk of re-report to Child Protective Services (CPS) than two-parent families. Yet, how single-family homes differ in risk from two-parent families remains under researched. Objective: To identify heterogenous patterns of child and caregiver factors among CPS-involved families and the subsequent risk for CPS re-report based on child and family characteristics (i.e., sociodemographic information, family structure, and risk indicators). Participants and setting: Data were from the 2017 National Child Abuse and Neglect Data System Child File (N = 249,026). Methods: We conducted latent class analysis (LCA) to identify discrete patterns (i.e., classes) based on child and caregiver risk indicators (e.g., substance use, behavioral health). We then used logistic regression to examine family structure and other family characteristics and CPS indicators predicted CPS re-report for each class. Results: Results yielded five distinct classes: 1) Financial Stressors (25 % of the sample); 2) Caregiver Substance Use (16 %); 3) Complex Household Stressors (3 %); 4) Child Disabilities (4 %); and 5) Minimal Household Stressors (53 %). Family structure was significantly associated with CPS re-reports for Classes 1, 2, and 5. For Class 1, single father families had increased odds of CPS re-report compared to other family structures. For Classes 2 and 5, single father families' odds of CPS re-reports were greater than those of married families, but lower than single mother families. Conclusions: Children growing up in single father families have different likelihoods of repeat CPS involvement compared to those in single mother and married families. Financial stressors and parental substance use within single father families should be addressed.Firearm screening and secure storage counseling among home visiting providers : a cross-sectional study of SafeCare® providers in the U.S.
AbstractOsborne, M. C., Guastaferro, K., Banks, S., Vedantam, H., & Self-Brown, S. (n.d.).Publication year
2024Journal title
Frontiers in Public HealthVolume
12AbstractBackground: Firearms used in pediatric firearm deaths are most often obtained from the child’s home, making secure firearm storage initiatives imperative in prevention efforts. Evidence-based home visiting (EBHV) programs are implemented with over 277,000 families annually, providing an opportunity for secure firearm storage counseling. The purpose of this study was to assess EBHV providers’ experiences with firearm screening (“assessment”), secure storage counseling, and their perceptions for related training needs. Methods: Providers in the U.S. from SafeCare®, an EBHV program often implemented with families experiencing increased risk of child neglect and physical or emotional abuse, were invited to participate in a survey to examine firearm assessment and attitudes toward and experiences with firearm safety counseling. Survey items were primarily Likert scale ratings to indicate level of agreement, with some open-ended follow-up questions. Descriptive statistics (i.e., frequencies and percentages) were used to report item-level agreement. A post hoc analysis was conducted using Spearman correlation to examine the association between assessment and counseling and provider-level factors. Results: Sixty-three SafeCare providers consented to and completed the survey items. Almost three-quarters (74.6%) agreed/strongly agreed that they assess in-home firearm availability. However, 66.7% agreed/strongly agreed that they have not been adequately trained to discuss firearm safety topics. A substantial proportion (80.6%) indicated they would counsel more if materials and training on this topic were available. Response variability emerged by level of urbanicity. A post hoc analysis found that providers’ self-reported frequency of assessment and counseling were associated with their comfort level discussing firearm safety and whether or not they had worked with families impacted by firearm injury. Conclusion: SafeCare providers report a need for materials and training on secure firearm storage, and a willingness to provide more counseling with proper training to the families they serve. Findings illuminate the need for secure storage initiatives for EBHV programs, which have broad service reach to a substantial number of at-risk U.S. families annually.Firearm screening and secure storage counseling among home visiting providers: A cross-sectional survey of SafeCare® providers in the U.S.
AbstractOsborne, M. C., Guastaferro, K., Banks, S., Vedantam, H., & Self-Brown, S. (n.d.).Publication year
2024Journal title
Frontiers in Public HealthVolume
12Abstract~HIV Prevention in Foster Care Youth: Time for a Refocus
AbstractAdrian, C., Shipe, S. L., & Guastaferro, K. (n.d.).Publication year
2024Journal title
American Journal of Public HealthPage(s)
e1-e5Abstract~HIV Prevention in Foster Care Youths : Time for a Refocus
AbstractAdrian, C. W., Shipe, S. L., & Guastaferro, K. (n.d.).Publication year
2024Journal title
American journal of public healthVolume
114Issue
11Page(s)
1179-1183Abstract~Household family type and children’s risk of child protective services re-reports
AbstractShipe, S. L., Guastaferro, K., Ayer, L., Lee, J. Y., & Connell, C. M. (n.d.).Publication year
2024Journal title
Child Abuse & NeglectVolume
154AbstractBackground: Single parent families are at higher risk of re-report to Child Protective Services (CPS) than two-parent families. Yet, how single-family homes differ in risk from two-parent families remains under researched. Objective: To identify heterogenous patterns of child and caregiver factors among CPS-involved families and the subsequent risk for CPS re-report based on child and family characteristics (i.e., sociodemographic information, household family type, and risk indicators).Participants and Setting: Data were from the 2017 National Child Abuse and Neglect DataSystem Child File (N = 249,026). Methods: We conducted latent class analysis (LCA) to identify discrete patterns (i.e., classes) based on child and caregiver risk indicators (e.g., substance use, behavioral health). We then used logistic regression to examine household family type and other family characteristics and CPS indicators predicted CPS re-report for each class.Results: Results yielded five distinct classes: 1) Financial Stressors (25% of the sample); 2) Caregiver Substance Use (16%); 3) Complex Household Stressors (3%); 4) Child Disabilities (4%); and 5) Minimal Household Stressors (53%). Family type was significantly associated with CPS re-reports for Classes 1, 2, and 5. For Class 1, single father families had increased odds of CPS re-report compared to other family types. For Classes 2 and 5, single father families’ odds of CPS re-reports were greater than those of married families, but lower than single mother families. Conclusions: Children growing up in single father families have different likelihoods of repeat CPS involvement compared to those in single mother and married families. Financial stressors and parental substance use within single father families should be addressed.Implementing a Sexual and Reproductive Health Workshop for Latina Teens and their Female Caregivers: Findings from Theater Testing and Piloting.
AbstractMerrill, K. G., Silva, J., Atadero, J., Hung, I. L., Salgado, S., Cano, J., Nabor, V., Sedeno, A., Vargas, V., Romero, G., Perez, C., Fuentes, J., Florence, K., Merrill, J., DeCelles, J., Guastaferro, K., & Donenberg, G. (n.d.).Publication year
2024Abstract~Increasing pre-exposure prophylaxis (PrEP) in primary care : A study protocol for a multi-level intervention using the multiphase optimization strategy (MOST) framework
AbstractLockhart, E., Turner, D. A., Guastaferro, K., Szalacha, L. A., Alzate, H. T., Marhefka, S., Pittiglio, B., Dekker, M., Yeh, H. H., Zelenak, L., Toney, J., Manogue, S., & Ahmedani, B. K. (n.d.).Publication year
2024Journal title
Contemporary Clinical TrialsVolume
143AbstractBackground: In the United States, over 1.2 million people are living with HIV. This disease disproportionately affects men who have sex with men (MSM), people of color, youth and young adults, and transgender individuals. Pre-exposure prophylaxis (PrEP) is an effective HIV prevention method. Barriers exist for both primary care providers (PCPs) to prescribe PrEP and prevent patients from initiating PrEP. Methods: This study, MOST: PrEP, follows the multiphase optimization strategy (MOST) framework. The purpose is to identify a multi-level intervention among patients and PCPs to increase PrEP prescriptions in primary care. First, feedback will be obtained from providers and patients via focus groups, then, suggestions related to the context-specific (provider and individual level) factors of intervention component delivery will be incorporated. Subsequently, a rigorous experiment will be conducted using a 24 factorial design focusing on priority populations for PrEP initiation. Provider components include computer-based simulation training and a best practice alert. Patient components include a tailored PrEP educational video and HIV risk assessment. Finally, the facilitators and barriers to implementing the intervention components will be qualitatively examined. Conclusion: In this protocol paper, we describe the one of the first known multilevel MOST optimization trial in healthcare. Intervention components are to be delivered to patients and providers in a large healthcare system, based in an HIV Ending the Epidemic priority jurisdiction. If effective, this multi-level approach could be disseminated to providers and patients in other large healthcare systems to make a significant impact on HIV prevention.Increasing pre-exposure prophylaxis (PrEP) in primary care: A study protocol for a multi-level intervention using the Multiphase Optimization Strategy (MOST) framework
AbstractLockhart, E., Turner, D., Guastaferro, K., Szalacha, L. A., Alzate, H. T., Marhefka, S., Pittiglio, B., Dekker, M., Yeh, H.-H., Toney, J., Manogue, S., & Ahmedani, B. K. (n.d.).Publication year
2024Journal title
Contemporary Clinical TrialsVolume
143AbstractBackground In the United States, over 1.2 million people are living with HIV. This disease disproportionately affects men who have sex with men (MSM), people of color, youth and young adults, and transgender individuals. Pre-exposure prophylaxis (PrEP) is an effective HIV prevention medication. Barriers exist for both primary care providers (PCPs) to prescribe PrEP and prevent patients from initiating PrEP. Methods The research design for this study, MOST: PrEP, follows the multiphase optimization strategy (MOST) framework. The purpose is to identify a multi-level intervention among patients and PCPs to increase PrEP prescriptions in primary care. First, feedback will be obtained from providers and patients via focus groups, then suggestions related to the context-specific (provider and individual level) factors of intervention component delivery will be incorporated. Subsequently, a rigorous experiment will be conducted using a 24 factorial design focusing on priority populations for PrEP initiation. Provider components include a computer-based simulation training and a best practice alert. Patient components include a tailored PrEP educational video and HIV risk assessment. Finally, the facilitators and barriers to implementing the intervention components will be examined. Conclusion In this protocol paper, we describe the first known multilevel MOST optimization trial in healthcare. Intervention components are to be delivered to patients and providers in a large healthcare system, based in an Ending the Epidemic priority jurisdiction. If effective, this multi-level approach could be disseminated to providers and patients in other large healthcare systems to make a significant impact on HIV prevention.Intervention Optimization : A Paradigm Shift and Its Potential Implications for Clinical Psychology
AbstractCollins, L., Nahum-Shani, I., Guastaferro, K., Strayhorn, J. C., Vanness, D. J., & Murphy, S. A. (n.d.).Publication year
2024Journal title
Annual Review of Clinical PsychologyVolume
20Issue
1Page(s)
21-47AbstractTo build a coherent knowledge base about what psychological intervention strategies work, develop interventions that have positive societal impact, and maintain and increase this impact over time, it is necessary to replace the classical treatment package research paradigm. The multiphase optimization strategy (MOST) is an alternative paradigm that integrates ideas from behavioral science, engineering, implementation science, economics, and decision science. MOST enables optimization of interventions to strategically balance effectiveness, affordability, scalability, and efficiency. In this review we provide an overview of MOST, discuss several experimental designs that can be used in intervention optimization, consider how the investigator can use experimental results to select components for inclusion in the optimized intervention, discuss the application of MOST in implementation science, and list future issues in this rapidly evolving field. We highlight the feasibility of adopting this new research paradigm as well as its potential to hasten the progress of psychological intervention science.Intervention optimization: A paradigm shift and its potential implications for clinical psychology
AbstractCollins, L. M., Nahum-Shani, I., Guastaferro, K., Strayhorn, J. C., Vanness, D., & Murphy, S. (n.d.).Publication year
2024Journal title
Annual Review of Clinical PsychologyVolume
20Page(s)
10.1-10.27AbstractTo build a coherent knowledge base about what psychological intervention strategies work, develop interventions that have positive societal impact, and maintain and increase this impact over time, it is necessary to replace the classical treatment package research paradigm. The multiphase optimization strategy (MOST) is an alternative paradigm that integrates ideas from behavioral science, engineering, implementation science, economics, and decision science. MOST enables optimization of interventions to strategically balance effectiveness, affordability, scalability, and efficiency. In this review we provide an overview of MOST, discuss several experimental designs that can be used in intervention optimization, consider how the investigator can use experimental results to select components for inclusion in the optimized intervention, discuss the application of MOST in implementation science, and list future issues in this rapidly evolving field. We highlight the feasibility of adopting this new research paradigm as well as its potential to hasten the progress of psychological intervention science.Maximizing Impact: Expanding the Reach of Child Maltreatment Prevention Interventions
AbstractGuastaferro, K. (n.d.).Publication year
2024Abstract~Maximizing the reach of universal child sexual abuse prevention : Protocol for an equivalence trial
AbstractGuastaferro, K., Melchior, M. S., Heng, S., Trudeau, J., & Holloway, J. L. (n.d.).Publication year
2024Journal title
Contemporary Clinical Trials CommunicationsVolume
41AbstractBackground: Child sexual abuse (CSA) affects 1 in 5 girls and 1 in 12 boys before age 18. Universal school-based prevention programs are an effective and cost-efficient method of teaching students an array of personal safety skills. However, the programmatic reach of universal school-based programs is limited by the inherent reliance on the school infrastructure and a dearth of available alternative delivery modalities. Methods: The design for this study will use a rigorous cluster randomized design (N = 180 classrooms) to determine the equivalence of two delivery modalities of Safe Touches: as usual vs. modified. The as usual workshop will be delivered by two facilitators with live puppet skits (n = 90). Whereas, the modified workshop will be delivered by one facilitator using prerecorded skit videos (n = 90). We will determine the equivalence by measuring concept learning acquisition preworkshop to immediate postworkshop (Aim 1) and retention at 3-months postworkshop (Aim 2) among students in classrooms that receive the as usual or modified workshops. To conclude equivalence, it is imperative to also examine factors that may impact future dissemination and implementation, specifically program adoption among school personnel and implementation fidelity between the two modalities (Aim 3). Conclusion: Study findings will inform the ongoing development of effective CSA prevention programs and policy decisions regarding the sustainable integration of such programs within schools. Clinical trial registration: NCT06195852.Maximizing the reach of universal child sexual abuse prevention: Protocol for an equivalence trial
AbstractGuastaferro, K., Melchior, M. S., Heng, S., Trudeau, J., & Holloway, J. L. (n.d.).Publication year
2024Journal title
Contemporary Clinical Trials CommunicationsVolume
41AbstractBackground Child sexual abuse (CSA) affects 1 in 5 girls and 1 in 12 boys before age 18. Universal school-based prevention programs are an effective and cost-efficient method of teaching students an array of personal safety skills. However, the programmatic reach of universal school-based programs is limited by the inherent reliance on the school infrastructure and a dearth of available alternative delivery modalities. Methods The design for this study, Roads to Impact, will use a rigorous cluster randomized design (N = 180 classrooms) to determine the equivalence of two delivery modalities of Safe Touches: as usual vs. modified. The usual workshop will be delivered by two facilitators with live puppet skits, as designed (n=90). Whereas, the modified workshop will be delivered by one facilitator using prerecorded skit videos (n=90). We will determine the equivalence by measuring concept learning acquisition preworkshop to immediate postworkshop (Aim 1) and retention at 3-months postworkshop (Aim 2) among students in classrooms that receive the as usual or modified workshops. To conclude equivalence, it is imperative to also examine factors that may impact future dissemination and implementation, specifically program adoption among school personnel and implementation fidelity between the two modalities (Aim 3). Conclusion Study findings will inform the ongoing development of effective CSA prevention programs and policy decisions regarding the sustainable integration of such programs within schools.Optimization of implementation strategies using the multiphase optimization strategy (MOST) framework: Practical guidance using the factorial design
AbstractSzeszulski, J., & Guastaferro, K. (n.d.).Publication year
2024Journal title
Translational Behavioral MedicineAbstractBackground: The Multiphase Optimization Strategy (MOST) is a principled framework that uses three phases – preparation, optimization, and evaluation – to develop multicomponent interventions that are Effective, Affordable, Scalable, and Efficient, resulting in intervention EASE. When used in the field of implementation science, optimization of the intervention may require focus on the implementation strategies – all the things that we do to deliver the intervention – and implementation outcomes (e.g., acceptability, appropriateness, feasibility), as opposed to the components of the intervention that produce the behavioral or health outcome. To date, the MOST framework has been primarily used to optimize the components of the intervention related to behavioral or health outcomes. However, innovative opportunities to optimize implementation strategies exist and are detailed here. Methods/Results: To optimize the implementation of an intervention, this paper details four scenarios where the MOST framework can be used in the optimization of implementation strategies: (1) the development and testing of multifaceted implementation strategies; (2) evaluating interactions between evidence-based program components and implementation strategies; (3) evaluating the independent effects of several discrete strategies that have been previously evaluated as a multifaceted implementation strategy; and (4) modification of an implementation strategy for local context. We supply hypothetical applied examples rooted in mental health interventions to illustrate these four scenarios, including describing the use of cognitive behavioral therapy in schools and providing hypothetical data that can help users to make informed decisions derived from their trial data.Optimization of implementation strategies using the Multiphase Optimization STratgey (MOST) framework : Practical guidance using the factorial design
AbstractSzeszulski, J., & Guastaferro, K. (n.d.).Publication year
2024Journal title
Translational Behavioral MedicineVolume
14Issue
9Page(s)
505-513AbstractThe Multiphase Optimization STrategy (MOST) is a framework that uses three phases—preparation, optimization, and evaluation—to develop multicomponent interventions that achieve intervention EASE by strategically balancing Effectiveness, Affordability, Scalability, and Efficiency. In implementation science, optimization of the intervention requires focus on the implementation strategies—things that we do to deliver the intervention—and implementation outcomes. MOST has been primarily used to optimize the components of the intervention related to behavioral or health outcomes. However, innovative opportunities to optimize discrete (i.e. single strategy) and multifaceted (i.e. multiple strategies) implementation strategies exist and can be done independently, or in conjunction with, intervention optimization. This article details four scenarios where the MOST framework and the factorial design can be used in the optimization of implementation strategies: (i) the development of new multifaceted implementation strategies; (ii) evaluating interactions between program components and a discrete or multifaceted implementation strategies; (iii) evaluating the independent effects of several discrete strategies that have been previously evaluated as a multifaceted implementation strategy; and (iv) modification of a discrete or multifaceted implementation strategy for the local context. We supply hypothetical school-based physical activity examples to illustrate these four scenarios, and we provide hypothetical data that can help readers make informed decisions derived from their trial data. This manuscript offers a blueprint for implementation scientists such that not only is the field using MOST to optimize the effectiveness of an intervention on a behavioral or health outcome, but also that the implementation of that intervention is optimized.Optimization of Smoking Cessation Interventions via Multiphase Optimization STrategy (MOST): Basic Concepts, Practical Considerations and New Developments
AbstractCollins, L., Guastaferro, K., Strayhorn, J., Cantrell, J., Kimber, C., & Piper, M. (n.d.).Publication year
2024Abstract~Optimizing COPD self-management treatment using the Multiphase Optimization Strategy: Results from a pilot factorial experiment
AbstractMathew, A. R., Esqueda Medina, M., Avery, E., Younker, L., Guastaferro, K., & Press, V. G. (n.d.).Publication year
2024Abstract~Optimizing home visiting programs to improve reach: A case study in strategically balancing intervention effectiveness with provider time
AbstractGuastaferro, K., & Strayhorn, J. (n.d.).Publication year
2024Journal title
Child Protection and PracticeAbstract~Parent-focused Child Sexual Abuse Prevention: A Universal Approach.
AbstractAbuchaibe, V., Melchior, M., Dan, C., Zeleke, M., McCormick, K., Bhoja, A., Abourjaily, E., Welikson, P., Grayson, C., & Guastaferro, K. (n.d.).Publication year
2024Abstract~Piloting an alternative implementation modality for a school-based child sexual abuse prevention curriculum
AbstractMozid, N. E., Espinosa, R. N., Grayson, C., Falode, O., Yang, Y., Glaudin, C., & Guastaferro, K. (n.d.).Publication year
2024Journal title
International Journal on Environmental Research and Public HealthVolume
21Issue
2AbstractBackground: In the U.S., the most pervasive child sexual abuse (CSA) prevention strategy involves school-based prevention programs; however, the reach of these programs is limited due to implementation constraints, such as budgets or turnover. This is notable as standard delivery of often requires two facilitators in the classroom. Leveraging a natural experiment in the implementation of Safe Touches, the current study sought to explore the feasibility of implementation with a single facilitator using pre-recorded videos compared to the standard in-person delivery. Methods: A six-item CSA-related knowledge questionnaire was delivered to (N = 1480) second-graders post-workshop. An independent-samples t-test was used to compare the mean of CSA-related knowledge item responses for each delivery modality. Student-level data were paired with teacher evaluations and an interview with the facilitator. Results: Across workshops delivered in 25 schools, there was no significant difference in knowledge based on CSA-related questions by workshop modality. Teachers indicated the facilitators responded effectively to the children’s questions and comments in both delivery modalities. Input from the facilitator was positive. Conclusions: Triangulation of student knowledge, teacher input, and facilitator experience indicates the viability and feasibility of this implementation strategy for Safe Touches, and potentially other school-based CSA prevention programs. To ensure equitable access to the CSA prevention program, the empirical examination of, and investment in, alternative implementation options for school-based CSA preventive programs is encouraged.Piloting an Alternative Implementation Modality for a School-Based Child Sexual Abuse Prevention Curriculum
AbstractMozid, N. E., Espinosa, R. N., Grayson, C., Falode, O., Yang, Y., Glaudin, C., & Guastaferro, K. (n.d.).Publication year
2024Journal title
International journal of environmental research and public healthVolume
21Issue
2AbstractBackground: In the U.S., the most pervasive child sexual abuse (CSA) prevention strategy involves school-based prevention programs; however, the reach of these programs is limited due to implementation constraints, such as budgets or turnover. This is notable as standard delivery of often requires two facilitators in the classroom. Leveraging a natural experiment in the implementation of Safe Touches, the current study sought to explore the feasibility of implementation with a single facilitator using pre-recorded videos compared to the standard in-person delivery. Methods: A six-item CSA-related knowledge questionnaire was delivered to (N = 1480) second-graders post-workshop. An independent-samples t-test was used to compare the mean of CSA-related knowledge item responses for each delivery modality. Student-level data were paired with teacher evaluations and an interview with the facilitator. Results: Across workshops delivered in 25 schools, there was no significant difference in knowledge based on CSA-related questions by workshop modality. Teachers indicated the facilitators responded effectively to the children’s questions and comments in both delivery modalities. Input from the facilitator was positive. Conclusions: Triangulation of student knowledge, teacher input, and facilitator experience indicates the viability and feasibility of this implementation strategy for Safe Touches, and potentially other school-based CSA prevention programs. To ensure equitable access to the CSA prevention program, the empirical examination of, and investment in, alternative implementation options for school-based CSA preventive programs is encouraged.Preparation Phase Activities to Develop and Optimize an Intervention Using MOST for Grandparents Raising Grandchildren.
AbstractGuastaferro, K. (n.d.).Publication year
2024Abstract~