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1.
J Child Sex Abus ; 24(8): 853-72, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26701278

RESUMEN

Stop It Now! aims to prevent child sexual abuse using a free anonymous helpline. It provides information, advice, and guidance to anyone concerned about child sexual abuse. It targets people who have sexually abused children or who are worried that they might do so. This article presents findings from a pilot study on the operation and outcomes of the helplines in the United Kingdom and the Netherlands. The findings underline the strength of the public health approach to prevention efforts. More specifically, benefits reported by helpline users are shown to correspond with the aims of the helplines. A number of factors were reported by users that helped them modify their own or others' actions to minimize risk of abuse. However, a challenge that remains is ensuring that helplines are accessible to those most in need. Recommendations are included to further expand the effect of Stop It Now! in reducing CSA.


Asunto(s)
Abuso Sexual Infantil/prevención & control , Educación en Salud/métodos , Líneas Directas/estadística & datos numéricos , Prevención Primaria/métodos , Adulto , Niño , Abuso Sexual Infantil/estadística & datos numéricos , Humanos , Países Bajos , Padres/educación , Proyectos Piloto , Evaluación de Programas y Proyectos de Salud , Reino Unido
2.
BMC Med Res Methodol ; 10: 110, 2010 Dec 22.
Artículo en Inglés | MEDLINE | ID: mdl-21176229

RESUMEN

BACKGROUND: The purpose of this study was to explore women's views of the design of a large pragmatic cost-effectiveness randomised controlled trial of the policy of offering a health professional-delivered intervention to promote early presentation with breast symptoms in older women and thereby improve survival, with a view to informing protocol development. The trial will recruit over 100,000 healthy women aged 67+, and outcome data will be collected on those who develop breast cancer. The scale of the trial and the need for long-term follow-up presented a number of design challenges in relation to obtaining consent, ascertaining and contacting participants who developed breast cancer, and collecting outcome data. METHODS: Qualitative study involving 69 women participating in 7 focus groups and 17 in-depth interviews. 15 women had a previous diagnosis of breast cancer and 54 did not. RESULTS: The women held strong views and had a good understanding of the rationale of the design of clinical trials. The women recognised that in a very large trial with long-term follow-up it was necessary to incorporate design features to make the trial feasible and efficient. Most strikingly, they supported the idea of opt-out consent and identifying women with breast cancer using routine datasets. CONCLUSIONS: This model of user involvement engaged women well with the design challenges of the trial and led to improvements to the protocol. The study strengthens the case for user involvement, in particular through focus groups and in-depth interviews, in the design of trials.


Asunto(s)
Neoplasias de la Mama/prevención & control , Educación en Salud , Conocimientos, Actitudes y Práctica en Salud , Ensayos Clínicos Controlados Aleatorios como Asunto , Femenino , Humanos , Mamografía , Participación del Paciente , Investigación Cualitativa , Proyectos de Investigación
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