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A pragmatic application of the RE-AIM implementation framework, this study provides an overview of a multi-county implementation effort of the school-based CSA prevention program, Safe Touches. Implementation efforts across five counties in a Mid-Atlantic state are described at three levels: organizational (school districts), child, and program facilitator. Children\u2019s CSA-related knowledge was measured at four time points: pre-workshop, immediately post-workshop, and then 6 and 12 months post-workshop. Facilitators completed an anonymous survey post-implementation. Over the course of one and a half academic years, Safe Touches was implemented in 718 public school districts, reaching in total 14,235 second-grade students. Students\u2019 significantly increased knowledge from pre- to post-workshop and gains were maintained at 6 and 12 months (ps &lt;.001). A total of 29 disclosures of maltreatment were made by students to facilitators during or after the workshop. Facilitators generally adopted Safe Touches and attested to the feasibility and benefits of its large-scale implementation as well as the negligible negative impacts for children. When implemented systematically, school-based CSA prevention is able to reach a high number of students, effectively increase CSA-related knowledge, and facilitates disclosures. To maximize the potential public health impact, it is suggested that state funds be allocated to support the implementation of such programs as part of standard education costs.<\/jats:p>","DOI":"10.1177\/15248399231201537","type":"journal-article","created":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T07:09:59Z","timestamp":1696921799000},"page":"352-361","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Applying an Implementation Framework to the Dissemination of a School-Based Child Sexual Abuse Prevention Program"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5616-9708","authenticated-orcid":false,"given":"Kate","family":"Guastaferro","sequence":"first","affiliation":[{"name":"New York University, New York City, NY, USA"},{"name":"The Pennsylvania State University, University Park, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey L.","family":"Shipe","sequence":"additional","affiliation":[{"name":"The Pennsylvania State University, University Park, PA, USA"},{"name":"Binghamton University, Binghamton, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian M.","family":"Connell","sequence":"additional","affiliation":[{"name":"The Pennsylvania State University, University Park, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen M.","family":"Zadzora","sequence":"additional","affiliation":[{"name":"The Pennsylvania State University, University Park, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennie G.","family":"Noll","sequence":"additional","affiliation":[{"name":"The Pennsylvania State University, University Park, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"bibr1-15248399231201537","doi-asserted-by":"publisher","DOI":"10.1007\/s12310-008-9000-7"},{"key":"bibr2-15248399231201537","unstructured":"The California Evidence-Based Clearinghouse for Child Welfare. 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