Evidence map›Paper›PMID 42177569›Full record

Trial reportBMC psychology2026

Single-exposure messages for child sexual abuse prevention: a randomized controlled online trial testing educational and humanizing approaches.

Viola Westfal, Maximilian von Heyden

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Viola WestfalCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Institute of Sexology and Sexual Medicine, Charitéplatz 1, Berlin, 10117, Germany. viola.westfal@charite.de.ORCID http://orcid.org/0000-0002-1856-4846
Maximilian von HeydenCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Institute of Sexology and Sexual Medicine, Charitéplatz 1, Berlin, 10117, Germany.ORCID http://orcid.org/0000-0002-9907-0038

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChild sexual abuse and exploitation, including online material depicting such acts, constitute a major public health concern. Prevention efforts likely benefit from public understanding and destigmatization, yet communication strategies on this topic face persistent misconceptions and strong emotional reactions. This randomized controlled online study examined whether brief educational and humanizing communication interventions influenced knowledge, attitudes, and behavioral intentions related to prevention, while avoiding adverse emotional or ethical effects.

methodsA total of 2,019 adults from Spain and Portugal were recruited via an online panel and randomly assigned to one of four conditions: an educational message, a humanizing message with empathy focus, a humanizing message with prevention focus, or a neutral control message. Each intervention consisted of a short video and accompanying text presented as part of a health information campaign. Measures included affective state, stigma-related attitudes, literacy about therapeutic options, openness toward the topic, and behavioral intention to seek information.

resultsExposure to any intervention message led to short-term changes in affective responses, with lower positive valence and slightly higher arousal compared to the control group (medium effect for valence, small for arousal). No significant differences emerged for stigma dimensions, knowledge, openness, or behavioral intentions. All three intervention formats performed similarly. The study did not identify measurable short-term adverse or rebound effects on stigma. Dropout rates did not differ across conditions, but languages.

conclusionsBrief communication interventions elicited short-term affective responses without evidence of increased stigma or avoidance on the measured outcomes. While the present single exposures appear insufficient to change attitudes or behavior, such formats may serve as a foundation for repeated, multi-channel prevention messaging integrated into broader educational efforts.

trial registrationGerman Clinical Trials Register (DRKS), DRKS00038927, retrospectively registered on 09/01/2026.

Indexed as

Child Abuse, SexualHealth EducationHealth Knowledge, Attitudes, PracticeAdolescentAdultChildFemaleHumansMaleMedia ExposureMiddle AgedPortugalSocial StigmaSpainYoung AdultChild sexual abuse materialChild sexual abuse preventionHealth messagingHumanizing interventionsPsychoeducationPublic health communicationStigma reduction

Identifiers

PMID42177569
PMCPMC13198056

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.