Talking for Change: Secondary Prevention of Child Sexual Abuse Perpetration

The goal of this patient preference randomized controlled trial is to investigate the efficacy of Talking for Change (TFC), an intervention for the secondary prevention of child sexual abuse and exploitation (CSA) perpetration. Blinded clinical raters will evaluate the primary endpoint-reductions in dynamic risk factors for sexual offending against children-and clients will provide self-reports to evaluate a second primary outcome-reductions in sexual contact with children, accessing online child sexual exploitation material (CSEM), and desire for sexual contact with children. Researchers will compare the following groups: (1) those receiving 20 weeks of the experimental TFC group psychotherapy; (2) those receiving 20 weeks of a control group psychotherapy targeting mental health and stress more broadly; and (3) those receiving no treatment.

NCT Number	NCT07001735
Lead Sponsor	Centre for Addiction and Mental Health Collaborators: Johns Hopkins Bloomberg School of Public Health
Conditions	Pedophilia, Hebephilia, Child Sexual Abuse, Program Evaluation, Prevention Intervention, Paraphilias and Paraphilic Disorders
Enrollment	220 participants
Start Date	2025-04-17
Primary Completion	2026-11-15 (estimated)
Study Completion	2026-12-15 (estimated)
Updated on ClinicalTrials.gov	2025-06-12