# Never Again: Advancing the Prevention of Recurrent Child Sexual Abuse

> **NIH NIH R01** · TEMPLE UNIV OF THE COMMONWEALTH · 2024 · $524,780

## Abstract

Project Summary
Child sexual abuse (CSA) is an adverse childhood experience with wide ranging effects on health,
wellbeing, and development throughout the lifespan. The long-term goal of this Stephen I. Katz, Early-Stage
Investigator R01 is to develop novel, targeted prevention approaches for recurrent CSA, a new research
direction for the PI (Kobulsky). The objectives are to illuminate the etiology of recurrent CSA and to
conceptualize prevention models within child welfare systems.To accomplish this, we propose a mixed
methods
practitioners at the Philadelphia
Philadelphia
design to reduce recurrent CSA via
Children's Alliance (PCA, Child Advocacy Center)
Department of Human Services (DHS; jurisdictional CPS agency). Our team of experts on
existing partnerships among Temple University researchers,
, and administrators in the
CSA
prevention, data science, geographic spatial analysis, qualitative and mixed methods, and health equity,
positions us to create and analyze a unique linked longitudinal dataset, and to conceptualize prevention that
will integrate research findings and the perspectives of multiple system constituents.
 Aim 1 is to curate a comprehensive longitudinal dataset from 2013-2021 including both CPS and law
enforcement-investigated cases of CSA. We will leverage state-of-the-art data science techniques to create the
dataset through the linkage of the PCA and DHS administrative data (Aim 1a). Natural language processing
will be applied to extract data elements from free text fields, (Aim 1b) and geocoding to link neighborhood-level
information. This unique dataset allows us to conduct a rigorous study of CSA and gain new insights into the
prevalence and contributing risk and protective factors to CSA over time.
 Aim 2 is to illuminate the multilevel etiology of recurrent CSA. The aim will apply shared frailty survival
analyses and spatial survival analysis to the dataset created in Aim 1 in order to identify the most potent
predictors of recurrent CSA over time. It will examine the influences of CSA characteristics (Aim 2a), and social
determinants of health (SDH) at the family (Aim 2b) and neighborhood (Aim 2c) levels on CSA recurrence.
 Aim 3 is to conceptualize prevention models for recurrent CSA. Qualitative interviews with multidisciplinary
workers from the Philadelphia child welfare system, non-offending caregivers, and survivors will elicit
interpretation of Aim 1 and 2 findings to enrich our theoretical model and conceptualize novel recurrent CSA
prevention.
 Using a cutting-edge, mixed-method design, this project will illuminate the etiology of recurrent CSA and
present significant new avenues for CSA prevention embedded within child welfare systems. This grant is an
essential first step in a R34 NIH planning grant to develop novel, targeted CSA prevention, a new research
agenda for the PI that can advance life course health and development for survivors of CSA.

## Key facts

- **NIH application ID:** 11044513
- **Project number:** 1R01HD114586-01A1
- **Recipient organization:** TEMPLE UNIV OF THE COMMONWEALTH
- **Principal Investigator:** Julia Kobulsky
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $524,780
- **Award type:** 1
- **Project period:** 2024-09-17 → 2028-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/11044513

## Citation

> US National Institutes of Health, RePORTER application 11044513, Never Again: Advancing the Prevention of Recurrent Child Sexual Abuse (1R01HD114586-01A1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/11044513. Licensed CC0.

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