RecruitingNot ApplicableNCT06098521

Project CONSENT: Cognitive Behavioral Therapy to Prevent Sexual Recidivism

Project CONSENT: a Randomized Controlled Trial to Evaluate Cognitive Behavioral Therapy for the Prevention of Sexual Recidivism


Sponsor

Karolinska Institutet

Enrollment

228 participants

Start Date

Nov 14, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this randomized controlled trial is to investigate the effects of cognitive behavioral therapy (CBT) on sexual recidivism risk in a Swedish sample of incarcerated men convicted of sexual offenses. The main question it aims to answer is: Does the CBT program CONSENT reduce the risk of recidivism in sexual offenses among males convicted of sexual offending? The CONSENT program, specifically targeting risk factors for sexual recidivism, will be compared with a waiting list. The evaluation will focus on potential change in dynamic risk factors for sexual recidivism. The study is part of the project Preventing Sexual Abuse: CBT Programs for Convicted Men and Women in a Correctional Setting.


Eligibility

Sex: MALEMin Age: 18 Years

Inclusion Criteria9

  • The study population is a subgroup of the study population in another study within the same project. Eligibility criteria for that study:
  • Men aged 18 and above sentenced to imprisonment within the Swedish Prison and Probation Service.
  • and offense falls under Chapter 6 of the Swedish Penal Code concerning sexual offenses or relates to child pornography offenses.
  • and risk of recidivism for sexual offenses is assessed as "average" or higher according to the Risk Matrix 2000.
  • and provided signed informed consent.
  • and the risk of relapse in sexual offenses is assessed as average risk of relapse in sexual offenses with Risk Matrix 2000
  • and a total score (all items included) on The Sex Offender Treatment Intervention and Progress Scale (SOTIPS) of ≤20
  • and ≥9 months to halftime of sentence, when it becomes possible to apply for reintegration measures (including 12±2 weeks in the program and 4 weeks without the program, 16±2 weeks on the waitlist/follow-up, and time for assessment and inclusion) or ≥9 months left until conditional release and special conditions that state that reintegration measures are not allowed.
  • and written informed consent.

Exclusion Criteria6

  • Individuals with apparent influence at the time of assessment due to severe psychiatric conditions such as pronounced psychotic symptoms or dementia.
  • or difficulties conducting interviews and self-assessments/surveys due to language barriers in understanding the Swedish language.
  • or difficulties in fully understanding the conditions for consenting to participate.
  • Additional eligibility criteria for the current trial:
  • or severe or ongoing unstable psychiatric conditions or other conditions that hinder participation (high suicide risk, significant psychotic symptoms, diagnosed intellectual disability, or other serious cognitive illness such as dementia)
  • or ongoing participation in another psychological program. If potential research subjects have other programs in their sentence plan, participation in the study will be prioritized if it is deemed appropriate in individual cases.

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Interventions

BEHAVIORALCONSENT

The CONSENT program is a risk-, need- and responsivity (RNR) based CBT program primarily focused on reducing risk of sexual reoffending, that consists of 18-26 one-to-one sessions in correctional settings.


Locations(2)

Karolinska Institutet

Stockholm, Stockholm County, Sweden

Swedish Prison and Probation Service

Norrköping, Sweden

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NCT06098521