A prospective study of secondary prevention of child maltreatment

Brayden, Robert M.; Altemeier, William A.; Dietrich, Mary S.; Tucker, Dorothy D.; Christensen, Myra J.; McLaughlin, Fiona; Sherrod, Kathryn B.

doi:10.1016/s0022-3476(05)83528-0

Cited by 56 publications

(75 citation statements)

References 18 publications

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“…Six studies met eligibility criteria. Additional details of these studies are provided in Table 1, [44][45][46][47][48][49][50] and as supplemental data in Appendix 3, 44-68 which can be found online at http://www.annfammed.org/cgi/content/full/2/2/ 161/DC3.No studies meeting eligibility criteria directly addressed the effectiveness of screening in reducing harm and premature death and disability. A limited number of studies described the performance of screening methods, such as self-administered questionnaires, clinical staff-directed interviews, and clinical observation.…”

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confidence: 99%

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Screening Children for Family Violence: A Review of the Evidence for the US Preventive Services Task Force

Nygren

Nelson²,

Klein

2004

The Annals of Family Medicine

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BACKGROUND We wanted to evaluate the benefi ts and harms of screening children in primary health care settings for abuse and neglect resulting from family violence by examining the evidence on the performance of screening instruments and the effectiveness of interventions. METHODSWe searched for relevant studies in MEDLINE, PsycINFO, CINAHL, ERIC, Cochrane Controlled Trials Register, and reference lists. English language abstracts with original data about family violence against children focusing on screening and interventions initiated or based in health care settings were included. We extracted selected information about study design, patient populations and settings, methods of assessment or intervention, and outcome measures, and applied a set of criteria to evaluate study quality. RESULTSAll instruments designed to screen for child abuse and neglect were directed to parents, particularly pregnant women. These instruments had fairly high sensitivity but low specifi city when administered in high-risk study populations and have not been widely tested in other populations. Randomized controlled trials of frequent nurse home visitation programs beginning during pregnancy that address behavioral and psychological factors indicated improved abuse measures and outcomes. No studies were identifi ed about interventions in older children or harms associated with screening and intervention.CONCLUSIONS No trials of the effectiveness of screening in a health care setting have been published. Clinician referrals to nurse home visitation during pregnancy and in early childhood may reduce abuse in selected populations. There are no studies about harms of screening and interventions. INTRODUCTIONC hild abuse and neglect has been defi ned as "any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation, or an act or failure to act which presents an imminent risk of serious harm."1 Approximately 1 million children are identifi ed as abused in the United States each year. 2 In 1999, reported abuse rates were 1,180 per 100,000 children with the highest rates for children age 3 years and younger. 3 An estimated 1,100 children died of abuse and neglect that year, approximately 1.62 deaths per 100,000 children. 3 Reported abuse likely captures only a fraction of all cases. 4 A large survey of adults indicated that 11% experienced psychological abuse, 11% physical abuse, and 22% sexual abuse during childhood. 5Frequently cited factors associated with child abuse and neglect include low income, 6-9 low maternal education, parental psychiatric disturbance, 10 and presence of a stepfather, 6 among others. 6,11 As the number of risk factors increases, the proportion of children maltreated also increases. 6Many health problems are associated with abuse and neglect. These problems include acute trauma, including death, unwanted pregnancy, and long-term physical and mental problems, such as depression, posttraumatic stress disorder, ...

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confidence: 99%

“…48 The Parenting Profi le Assessment (PPA) is a 21-item nurse interview designed for the primary care setting.…”

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confidence: 99%

Screening Children for Family Violence: A Review of the Evidence for the US Preventive Services Task Force

Nygren

Nelson²,

Klein

2004

The Annals of Family Medicine

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“…We found a curvilinear association with program duration and number of program sessions. Programs with a moderate duration (6-12 months) or a moderate number of sessions (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) yielded significantly higher effect sizes compared to shorter or longer programs and programs with fewer or more sessions. This indicates that for at-risk or maltreating parents who are targeted in these interventions somewhat more comprehensive programs with longer duration may be needed in order to effectively change parenting behavior.…”

Section: Discussionmentioning

confidence: 99%

“…First of all, differences between intervention studies in effect sizes could be partly explained by the focus of the intervention program. Programs that solely provide support, such as promoting healthy behaviors during pregnancy and early parenthood [29], establishing social support networks [56], or screening for developmental delay [57] were not effective. In contrast, we found significant effects for intervention programs offering parent training, regardless whether additional support is provided or not.…”

Section: Discussionmentioning

confidence: 99%

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Effects of Home-Based Intervention Program to Prevent Child Abuse for Parents: A Meta Analysis

Park¹,

Kim²

2017

Child Health Nurs Res

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The Effect of Monetary Incentives and Peer Support Groups on Repeat Adolescent Pregnancies A Randomized Trial of the Dollar-a-Day Program

Stevens‐Simon

Dolgan²,

Kelly³

et al. 1997

JAMA

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A monetary incentive draws adolescent mothers to sites where they can discuss the costs and benefits of contraception and conception with knowledgeable adults and supportive peers. These discussions do not prevent repeat pregnancies. Further studies are needed to determine if an intervention that produces substantive changes in the daily living environment will eliminate the sexual practices that are responsible for the high rate of repeat pregnancy in this population.

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A prospective study of secondary prevention of child maltreatment

Cited by 56 publications

References 18 publications

Screening Children for Family Violence: A Review of the Evidence for the US Preventive Services Task Force

Screening Children for Family Violence: A Review of the Evidence for the US Preventive Services Task Force

Effects of Home-Based Intervention Program to Prevent Child Abuse for Parents: A Meta Analysis

The Effect of Monetary Incentives and Peer Support Groups on Repeat Adolescent Pregnancies A Randomized Trial of the Dollar-a-Day Program

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