Projects

Smart Parents – Safe and Healthy Kids (SPSHK)

Parents have a responsibility to create a happy, healthy, and safe environments for their children. Many parent-education programs exist giving parents the skills to do this, but no parent-education program exists for the prevention of CSA specifically. Capitalizing on skills taught in existing parent-education programs, we seek to efficiently and economically help parents prevent their child from experiencing sexual victimization by teaching them about children’s healthy sexual development, facilitating parent-child communication regarding sex and sexual abuse, and enacting measures to ensure their children’s safety (i.e., monitoring and vetting of babysitters). SPSHK was designed as a single additional session added toward the end of an evidence-based parent education program. SPSHK aims to improve parents’ knowledge about sexual development (i.e., demonstration of age-appropriate and inappropriate behaviors), facilitate parent-child communication about sex and CSA, and empower parents to take charge of their children’s safety (i.e., vetting potential babysitters, monitoring exposure to media).

Safe and Healthy Communities Initiative

The Safe and Healthy Communities Initiative (SHCI) is a cooperative project between the CMSN and the Pennsylvania Commission on Crime and Delinquency (PCCD) with the goal of developing, implementing, and evaluating a comprehensive child sexual abuse (CSA) prevention strategy. SHCI consists of three evidence-based components: a community-based intervention, a school-based intervention, and a parent-focused intervention (see above). The components were rolled out in five counties over three years using a staggered implementation approach. We hypothesize that by targeting different segments of the population (i.e., adults in the community, children, and at-risk parents), the prevention of CSA is attainable. Impact of this approach is measured by administrative data (e.g., reports and substantiations of CSA), measurement of knowledge and skills learned among those who participate in the three interventions, and community level awareness via a statewide web panel survey.

Innovative methods for development of effective interventions

I am interested in and committed to using innovative methods to support the development, optimization, and evaluation of multicomponent behavioral interventions. Working closely with Dr. Linda Collins, I use the multiphase optimization strategy (MOST), an engineering inspired framework, to build behavioral and biobehavioral interventions that are effective, efficient, economical, and immediately scalable across a number of public health priorities including STI prevention, palliative care, and child mental health.

Selected Publications

• Guastaferro, K., Font, S.A., Miyamoto, S., Zadzora, K.M., Walters, K., O’Hara, K., Kemner, A., & Noll, J.G. (In Press) Provider attitudes and self-efficacy when delivering a child sexual abuse prevention module: An exploratory study. Health Education & Behavior

• Guastaferro, K., Felt, J.M., Font, S.A., Connell, C.M., Miyamoto, S., Zadzora, K.M., & Noll, J.G. (2020). Parent-focused sexual abuse prevention: Results from a cluster randomized controlled trial. Child Maltreatment, 1-12. DOI: 10.1177/1077559520963870

• Guastaferro, K., Zadzora, K.M., Reader, J.M., Shanley, J., & Noll, J.G. (2019). A parent-focused child sexual abuse prevention program: Development, acceptability, and feasibility. Journal of Child and Family Studies, 28(7), 1682-1877. DOI: 10.1007/s10826-019-01410-y

   

• Guastaferro, K.  & Collins, L.M. (2019). Achieving the goals of translational science in public health intervention research: The multiphase optimization strategy (MOST). American Journal of Public Health, 109(S2), S128 – S129. DOI: 10.2105/AJPH.2018.304874 PMID: 30785800