Reducing harmful sexual behaviours in children and young people through training of professional staff a realistic evaluation of the brook traffic light tool

[摘要] This thesis presents a Realist Evaluation of the Brook Traffic Light Tool (TLT) which supports professionals in reducing harmful sexual behaviours (HSB) in children and young people (CYP). This is important as the numbers of HSB in CYP are rising, and no national strategy exists in the UK. The conceptual element consisted of developing a hybrid methodological approach combining: Realist Evaluation; The Kirkpatrick Model; evidence based policy, policy transfer and policy success perspectives. The empirical element involved evaluating the implementation of the TLT across Cornwall, with data collected in a three phase mixed method approach: a questionnaire with 436 responses; 60 detailed questionnaires and 13 interviews. The context, mechanisms and outcomes that emerged were complex. Conceptually, questions were raised about empirical research that underpins the TLT, with UK transfer and policy success criteria presenting a mixed picture of success. In Cornwall the TLT met the majority of its outcomes. Direct impact upon the behaviour of CYP was difficult to ascertain and categorisation anomalies were found when behaviours were not explicitly outlined in the TLT. The study found that a range of professionals were encountering both harmful and healthy sexual behaviours, yet comparison to national figures proved problematic as no baseline exists.

[发布机构] University:University of Birmingham;Department:Health Services Management Centre

[关键词] R Medicine;RA Public aspects of medicine