A Novel, Intensive Home‐Visiting Intervention for Runaway, Sexually Exploited Girls

Edinburgh, Laurel; Saewyc, Elizabeth

doi:10.1111/j.1744-6155.2008.00174.x

Cited by 42 publications

(38 citation statements)

References 27 publications

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“…Five studies 280,601,604,605,610 were excluded because they did not include a relevant evaluation of the intervention of interest. The remaining six studies 583,588,590,594,595,602 were excluded because there was either no specific focus on child outcomes (n = 3 583,590,602 ) or no specific focus on maltreatment (n = 3 588,594,595 ). …”

Section: Excluded Studiesmentioning

confidence: 99%

“…A total of 16 papers 116,504,587,588,[617][618][619][620][621][622][623][624][625][626][627][628] were excluded from the review of economic evidence and these are reported in Table 10. Six papers [619][620][621]623,626,628 were excluded because they did not involve an intervention and four papers 587,618,624,625 because the intervention in question did not meet criteria for inclusion, focusing on prevention rather than treatment.…”

Section: Excluded Economic Studiesmentioning

confidence: 99%

“…Six papers [619][620][621]623,626,628 were excluded because they did not involve an intervention and four papers 587,618,624,625 because the intervention in question did not meet criteria for inclusion, focusing on prevention rather than treatment. Two records 622,627 did not have a specific focus on maltreatment, three records 116,504,588 did not meet criteria for a full economic evaluation and one record 617 was a conference abstract.…”

Section: Excluded Economic Studiesmentioning

confidence: 99%

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The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Macdonald

Livingstone

Hanratty

et al. 2016

Health Technol Assess

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BackgroundChild maltreatment is a substantial social problem that affects large numbers of children and young people in the UK, resulting in a range of significant short- and long-term psychosocial problems.ObjectivesTo synthesise evidence of the effectiveness, cost-effectiveness and acceptability of interventions addressing the adverse consequences of child maltreatment.Study designFor effectiveness, we included any controlled study. Other study designs were considered for economic decision modelling. For acceptability, we included any study that asked participants for their views.ParticipantsChildren and young people up to 24 years 11 months, who had experienced maltreatment before the age of 17 years 11 months.InterventionsAny psychosocial intervention provided in any setting aiming to address the consequences of maltreatment.Main outcome measuresPsychological distress [particularly post-traumatic stress disorder (PTSD), depression and anxiety, and self-harm], behaviour, social functioning, quality of life and acceptability.MethodsYoung Persons and Professional Advisory Groups guided the project, which was conducted in accordance with Cochrane Collaboration and NHS Centre for Reviews and Dissemination guidance. Departures from the published protocol were recorded and explained. Meta-analyses and cost-effectiveness analyses of available data were undertaken where possible.ResultsWe identified 198 effectiveness studies (including 62 randomised trials); six economic evaluations (five using trial data and one decision-analytic model); and 73 studies investigating treatment acceptability. Pooled data on cognitive–behavioural therapy (CBT) for sexual abuse suggested post-treatment reductions in PTSD [standardised mean difference (SMD) –0.44 (95% CI –4.43 to –1.53)], depression [mean difference –2.83 (95% CI –4.53 to –1.13)] and anxiety [SMD –0.23 (95% CI –0.03 to –0.42)]. No differences were observed for post-treatment sexualised behaviour, externalising behaviour, behaviour management skills of parents, or parental support to the child. Findings from attachment-focused interventions suggested improvements in secure attachment [odds ratio 0.14 (95% CI 0.03 to 0.70)] and reductions in disorganised behaviour [SMD 0.23 (95% CI 0.13 to 0.42)], but no differences in avoidant attachment or externalising behaviour. Few studies addressed the role of caregivers, or the impact of the therapist–child relationship. Economic evaluations suffered methodological limitations and provided conflicting results. As a result, decision-analytic modelling was not possible, but cost-effectiveness analysis using effectiveness data from meta-analyses was undertaken for the most promising intervention: CBT for sexual abuse. Analyses of the cost-effectiveness of CBT were limited by the lack of cost data beyond the cost of CBT itself.ConclusionsIt is not possible to draw firm conclusions about which interventions are effective for children with different maltreatment profiles, which are of no benefit or are harmful, and which factors encourage people to seek therapy, accept the offer of therapy and actively engage with therapy. Little is known about the cost-effectiveness of alternative interventions.LimitationsStudies were largely conducted outside the UK. The heterogeneity of outcomes and measures seriously impacted on the ability to conduct meta-analyses.Future workStudies are needed that assess the effectiveness of interventions within a UK context, which address the wider effects of maltreatment, as well as specific clinical outcomes.Study registrationThis study is registered as PROSPERO CRD42013003889.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Section: Excluded Studiesmentioning

confidence: 99%

Section: Excluded Economic Studiesmentioning

confidence: 99%

Section: Excluded Economic Studiesmentioning

confidence: 99%

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The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Macdonald

Livingstone

Hanratty

et al. 2016

Health Technol Assess

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“…Descriptive video diaries were collected from Hmong adolescent girls who had run away and also disclosed extra-familial sexual abuse, among girls referred to a nurse-led intervention program for sexually assaulted young runaways (Edinburgh & Saewyc, 2009). This study occurred in a hospital-based Child Advocacy Center (CAC) in a Mid-western U.S. city with a large Hmong population; the CAC assesses teens who may have been sexually assaulted.…”

Section: Methods Designmentioning

confidence: 99%

“…Youth who run away for one to three days but still return home might be considered at lower risk than long-term runaways, but for those who run repeatedly, the amount of time they are away from home can add up over the course of a year, and can increase health risks such as early sexual onset (Thrane & Chen, 2010). Auerswald and Eyre (2002) have described the life cycles of homeless youth, but this research has not focused specifically on the patterns of leaving and returning home for shortterm runaways, which appears to be a common pattern among Hmong teens in particular (Edinburgh & Saewyc, 2009). Without understanding the motivations for repeated shortterm runaway episodes, clinicians might miss an important opportunity to intervene before adolescents experience the significant negative health outcomes of street-entrenched youth (Saewyc & Edinburgh, 2010;Yoder, Whitbeck & Hoyt, 2004).…”

Section: Background Running Away and Sexual Assault Among Hmong Adolementioning

confidence: 99%

It's Called “Going Out to Play”: A Video Diary Study of Hmong Girls’ Perspectives on Running Away

Edinburgh

García

Saewyc

2013

Health Care for Women International

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Interventions for promoting reintegration and reducing harmful behaviour and lifestyles in street-connected children and young people

Coren

Hossain

Pardo

et al. 2013

Cochrane Database of Systematic Reviews

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A Novel, Intensive Home‐Visiting Intervention for Runaway, Sexually Exploited Girls

Cited by 42 publications

References 27 publications

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

It's Called “Going Out to Play”: A Video Diary Study of Hmong Girls’ Perspectives on Running Away

Interventions for promoting reintegration and reducing harmful behaviour and lifestyles in street-connected children and young people

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