42 Participants Needed

Phase-Based Treatment for Problematic Sexual Behavior

BA
Overseen ByBrian Allen, PsyD
Age: < 18
Sex: Any
Trial Phase: Academic
Sponsor: Milton S. Hershey Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called Phase-Based Treatment (PBT) for preteen children with problematic sexual behavior. PBT aims to help children understand and change their behaviors using the latest research. The trial will compare PBT to usual treatments to see if it works better.

Do I need to stop my child's current medications for this trial?

The trial information does not specify whether participants need to stop taking their current medications.

How is Phase-Based Treatment for Problematic Sexual Behavior of Preteen Children different from other treatments?

Phase-Based Treatment for Problematic Sexual Behavior of Preteen Children is unique because it is specifically designed to address the developmental and psychological needs of preteen children with problematic sexual behavior, using a structured approach that incorporates insights from developmental psychopathology, social learning theory, and trauma-related symptoms. Unlike other treatments, it provides a tailored treatment planning algorithm to guide clinicians in selecting the most effective interventions for each child.12345

What data supports the effectiveness of the treatment Phase-Based Treatment (PBT) for Problematic Sexual Behavior of Preteen Children?

Research suggests that early intervention for youth with problematic sexual behavior (PSB) shows strong promise, and established interventions may be effective for treating PSB. A meta-analysis found that treatments focusing on caregiver involvement, like Parenting/Behavior Management Skills, were effective in reducing sexual and general behavior problems in children.12367

Are You a Good Fit for This Trial?

This trial is for children aged 4-12 displaying problematic sexual behavior, with a caregiver willing to participate. Children must have certain scores on the CSBI and KBIT-2 tests and be proficient in English. It's not for those outside this age range, lacking English proficiency, or if the caregiver is suspected of abuse.

Inclusion Criteria

Child proficient in spoken English
Child earns a scaled score above 69 on the Kaufman Brief Intelligence Test (KBIT-2)
My child is between 4 and 12 years old.
See 3 more

Exclusion Criteria

Child not proficient in spoken English
Caregiver reports a score on the CSBI lower than 4
My child is either under 4 years old or over 12 years old.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive Phase-Based Treatment (PBT) or Treatment-as-Usual (TAU) for Problematic Sexual Behavior of Preteen Children

12 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Phase-based Treatment (PBT) for Problematic Sexual Behavior of Preteen Children
  • Treatment-as-Usual (TAU)
Trial Overview The study compares Phase-based Treatment (PBT) against usual treatments for preteen problematic sexual behavior. This first randomized controlled trial will test if PBT is more effective than standard approaches used currently.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Experimental TreatmentExperimental Treatment1 Intervention
The experimental treatment is Phase-Based Treatment (PBT) for Problematic Sexual Behavior of Preteen Children, an innovative intervention demonstrating promise in preliminary testing.
Group II: Control TreatmentActive Control1 Intervention
The Control Treatment will utilize a Treatment-as-Usual (TAU) condition designed to mimic the types of treatment generally provided in the community for mental health concerns of children.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Milton S. Hershey Medical Center

Lead Sponsor

Trials
515
Recruited
2,873,000+

Published Research Related to This Trial

The study involved 100 community members across eight locations in the U.S. and found that youth with problematic sexual behavior (PSB) are most commonly identified through victim disclosures and direct observations, with caregivers and school personnel being the primary identifiers.
There are significant challenges in the identification process due to unclear reporting pathways and caregivers' fears, highlighting the need for clear, evidence-based policies to improve early intervention and public health responses to youth PSB.
Early identification of youth with problematic sexual behavior: A qualitative study.Shawler, P., Silvis, VG., Taylor, EK., et al.[2021]
A new single-item screening tool for identifying problematic sexual behavior (PSB) in preteen children has shown strong test-retest reliability (phi = 0.70-0.74) and validity, making it a promising option for mental health professionals.
Caregivers' positive responses on this tool correlated with significantly higher scores on a comprehensive measure of PSB, indicating its effectiveness in detecting concerns, although it did not differentiate between internalizing issues or posttraumatic stress symptoms.
Psychometric evaluation of a single-item screening tool for the presence of problematic sexual behavior among preteen children.Allen, B., Pistone, LF.[2023]
The paper highlights that problematic sexual behavior (PSB) in preteen children is not well understood due to a lack of clinical trial research, making it challenging for clinicians to develop effective treatment strategies.
However, the review suggests that established interventions, informed by etiological research and frameworks like developmental psychopathology and social learning theory, can be effective in treating PSB, and it provides a treatment planning algorithm to guide clinicians.
Etiological Perspectives on Problematic Sexual Behavior of Preteen Children: Implications for Treatment.Allen, B.[2023]

Citations

Early identification of youth with problematic sexual behavior: A qualitative study. [2021]
Psychometric evaluation of a single-item screening tool for the presence of problematic sexual behavior among preteen children. [2023]
Etiological Perspectives on Problematic Sexual Behavior of Preteen Children: Implications for Treatment. [2023]
Meta-analysis of treatment for child sexual behavior problems: practice elements and outcomes. [2019]
Treatment outcome and criminal offending by youth with sexual behavior problems. [2021]
Developing a trauma focused cognitive behavioral therapy application for adolescents with problematic sexual behaviors: A conceptual framework. [2023]
Preliminary findings of problematic sexual behavior-cognitive-behavioral therapy for adolescents in an outpatient treatment setting. [2021]
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