Study Information

Study title 

Perpetrator-focused prevention of sexual child abuse and the use of abuse images 
among affected individuals in India through a chat service.

Information about the Study

Thank you for your interest in participating in our chat study as part of the PATH India project! 
You can use this service to chat with one of our therapists in real-time, anonymously, and for free. 
No personal information such as name, IP address, phone number, or image or audio material is 
collected. We use the online self-help and research platform Troubled Desire to make these 
interactions possible. We are a research team at Charité – Universitätsmedizin Berlin, which also 
includes our therapists in India. Please take a moment to read the following information carefully.

Project Description

We offer an anonymous, confidential, and free chat intervention for people who are at risk of 
viewing sexual material involving children and adolescents or are worried about it (abbreviated 
'CSAM'). The therapeutic intervention follows a resource-oriented approach based on the 
experiences of the prevention network 'Kein Täter werden.' The sessions are conducted via text 
messages. We want to see if this chat intervention can have a positive effect on reducing the use 
of child sexual abuse material (CSAM) and improving the mental well-being of our participants. 
In addition, as researchers, we want to learn more about the factors that increase our participants' 
risk of using abusive images and their behavior when seeking help. The main goal of our study is 
to prevent the spread of CSAM and to develop effective, tailored support services for people with 
sexual interest in children that meet the participants' needs.

Course of the Study

The study includes a chat intervention that is accessible through our self-help and study platform 
"Troubled Desire." Both the therapists and the participants remain anonymous throughout the 
entire process. Logging into the chat platform works exclusively with a randomly generated 
session ID. This consists of letters and numbers and functions as a PIN for logging in. No data that 
could be used for identification is collected, meaning we do not gather names, addresses, places of 
residence, phone numbers, IP addresses, image recordings (e.g., of the face), or voice recordings. 
All communication within the study takes place via the Troubled Desire platform, which can be 
accessed using your own session ID. This is also where appointments are scheduled and chats with 
the therapist are conducted in writing. Troubled Desire is stored on secure servers at Charité –
Universitätsmedizin Berlin. Both parties are strongly advised not to share personal information at 
any time during their collaboration (you can find instructions on how to effectively protect your 
identity on our website). After interested parties give their consent to participate, a short initial 
questionnaire follows to determine if they can take part. After logging in with their personal session 
ID, participants schedule appointments with their therapist. A chat session lasts exactly 50 minutes 
and takes place exclusively through the platform at the previously agreed times. Over a period of 
4 weeks, there are a total of 4 appointments, and if needed, 2 more sessions can be scheduled.
These can be suggested by the therapists. During this time and in the following 4, 8, and 12 weeks, 
study participants will regularly be asked to answer some questions in their personal login area. 
These questions collect demographic information, CSAM behavior, their sexual interests and 
attitudes, their beliefs, experiences and overall mood, as well as questions about the treatment itself. 
All questions are answered anonymously. 
The study is being conducted by Charité – Universitätsmedizin Berlin (CUB) in Germany. All data 
is stored on CUB’s secure servers without any personal identifiers.

Voluntary Participation

Participation in the study is completely voluntary. Before you answer any of our questions, you 
will be presented with a consent form. Since we ask you not to use your name at any point during 
the process, signing is not possible; instead, we ask you to check the box on Troubled Desire to 
indicate your consent. You can withdraw your consent to participate at any time through the chat 
section of Troubled Desire, without having any consequences for the duration of the study. If you 
decide not to participate in the study, you can do so without giving any reason and withdrawing 
any information you’ve provided if you wish. You have the right not to answer questions asked 
during the conversation or to provide only as much information as you’re comfortable with. You 
will be reminded repeatedly to remain anonymous and not to share personal information when 
answering questions, communicating in the message center, or during your chat appointments with 
your therapists.

Benefits and Risks of Participating

Your contribution can help us evaluate and improve the intervention we are developing. You will 
be supported by our therapists to achieve well-being and healthy sexual behavior. In addition, this 
intervention can be used to help others get the support they need in a free, anonymous, and 
judgment-free virtual environment. Your participation can help prevent the sexual exploitation of 
children and curb the spread of CSAM. Participating in the study involves no physical risks. 
However, you may feel uncomfortable with certain topics. 

Reimbursement of Costs

There is no payment for participating in the study.

Measures to Protect the Data

The chat intervention requires access to an electronic device (e.g., computer, tablet, or smartphone) 
that has a web browser application (e.g., Firefox, Safari, Opera, Chrome, Edge, Tor browser, or 
similar) and is connected to the internet at a specific agreed-upon time for both the therapist and 
the participant. All data is end-to-end encrypted. The chat conversations are conducted exclusively 
in text form. The chat transcripts are stored in a secure database on a server at Charité and are used 
for the research purposes mentioned above. The collected data is anonymized, and all potentially 
identifying personal information is removed before further processing. The transcripts and 
translations are stored for ten years on a password-protected drive with additional access 
restrictions. All collected data, including the questionnaires, are stored separately. This ensures 
your anonymity regarding the research results. Data processing is carried out in accordance with 
applicable data protection laws, especially the European General Data Protection Regulation 
(GDPR), the Federal Data Protection Act (BDSG), and the Berlin Data Protection Act (BlnDSG).

Confidentiality

Your data will be treated strictly confidentially. Your data will be collected anonymously and 
stored securely. The results of the study will only be published for scientific purposes. No 
information will be published that allows conclusions about your identity. All people who have 
access to your documents are required to treat them confidentially and comply with the applicable 
data protection regulations.
You can request the deletion of your session ID and chat history at any time. You can decide to 
take part in the research study and have your responses used for the research project until your 
answers have been processed anonymously. After that, a targeted deletion of your responses is no 
longer possible, because they can no longer be linked to any person.
Institute for Sexual Science and Sexual Medicine
Director Prof. Dr. med. Dr. phil. Klaus M. Beier
Charitéplatz 1
10117 Berlin
Phone: +49 30 450 529 302
Email: klaus.beier@charite.de
____________________________________________

 

After the admission assessment and meeting the initial inclusion and exclusion criteria, you will 
be asked if you are located in India. If you answer "Yes," the following information will be 
displayed:

We ask that you only continue if you reside in India so that we can collect the appropriate research 
data.

 

Additional Risks related to Participation

  • Please note that everyone in India is subject to the provisions of the POCSO Act of 2012 
    (Protection of Children from Sexual Offences Act) and its amendments. This law requires that 
    anyone who suspects that an offense under this law might have been committed, or knows that 
    such an offense has been committed, must report the incident to the appropriate authorities. The 
    necessary information includes the victim’s name, the perpetrator’s name, locations, type of 
    behavior, etc. This duty applies to private individuals just as much as it does to researchers or 
    therapists.
    Our study is aimed at people who have used abuse images in the past or who currently have a risk 
    of using them. In our study, we don't collect any identifying information like your name, address, 
    or location.
    Since the use of CSAM falls under POCSO, we are required to document an anonymized reporting 
    attempt. Since we do not know your name, address, IP address, voice, or face, we cannot share any 
    personally identifiable information. So, we cannot make a report that identifies a specific person. 
    At most, a general report without any identifiable information can be made to fulfill our reporting 
    duty.
    What this means for you:
    We don’t know your identity.
    The behavior you report to us can’t be linked to your name or identity.
    The focus of this study offer is to help you reduce or stop harmful behavior.
     
  • Our study is not aimed at people who have committed sexual abuse of children in the past or who 
    currently pose a risk for this behavior. If you report this kind of behavior to us during the chat 
    intervention, we will have to end the intervention and make an anonymized official report. In this 
    case, the following alternative support options are available to you:
     
  • You have the option to continue the online self-help modules on Troubled Desire on your own. 
    Additionally, we can refer you to an international video therapy program on a self-pay basis for 
    people with sexual responsiveness to children.
     
  • Who Organizes and Funds the Research

 This study is an initiative of the Institute for Sexual Science and Sexual Medicine at Charité -
Universitätsmedizin Berlin, Germany, and is funded by the 'Clinical Partnerships' program of the 
German Society for International Cooperation (GIZ)

 

Questions about the Study

You can also get in touch with the research team at the Institute for Sexual Science and Sexual 
Medicine (IfSS), Charité - Universitätsmedizin Berlin, Germany at path-india@charite.de

 

Thank you for considering participating in this study.

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