A systematic approach to implementing and evaluating clinical guidelines: The results of fifteen years of Preventive Child Health Care guidelines in the Netherlands

Fleuren, M.A.H.; Dommelen, Paula van; Dunnink, Trudy

doi:10.1016/j.socscimed.2015.05.001

Cited by 22 publications

(35 citation statements)

References 29 publications

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“…Characteristics of the innovation strategy 19 General introduction 1 preventive child healthcare [38,66]. As active spreading of innovations to the target audience does not guarantee their implementation by professionals, the desired effects of introducing guidelines may not appear.…”

Section: Characteristics Of the Innovation Continuationmentioning

confidence: 99%

“…This clinical guideline on early detection and responses to suspected CAN was published and implemented nationwide in 2010 [38,49]. The CAN guideline was developed by the scientific institute TNO, in cooperation with CHC professionals with an evidence-based approach to guideline development [46,117].…”

Section: Research Contextmentioning

confidence: 99%

“…The CAN guideline was developed by the scientific institute TNO, in cooperation with CHC professionals with an evidence-based approach to guideline development [46,117]. Details about the development, implementation and evaluation of Dutch guidelines in preventive CHC are described elsewhere [38]. The developers of the CAN guideline have explicitly indicated key activities which they believed are critical [38].…”

Section: Research Contextmentioning

confidence: 99%

“…26, 34, 35, 36]. In general, guidelines have become a familiar part of the daily practice of clinicians [37,38], but also increasingly emerge in other fields of care and welfare services [e.g. 39].…”

mentioning

confidence: 99%

“…These guidelines all followed a rigorous approach to guideline development. This approach combined scientific evidence with expert opinion [38,46]. Most guidelines in preventive child healthcare are not mandatory; they are however not optional.…”

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confidence: 99%

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Fragile, please handle with care : understanding and supporting professionals' response to suspicions of child abuse and neglect

Konijnendijk¹

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Understanding and supporting professionals' response to suspicions of child abuse and neglect FRAGILE, PLEASE HANDLE WITH CARE UNDERSTANDING AND SUPPORTING PROFESSIONALS' RESPONSE TO SUSPICIONS OF CHILD ABUSE AND NEGLECTReferences 181 Summary 193Samenvatting 201 Dankwoord (Acknowledgements) 209 Curriculum Vitae 217Publications and other contributions 221 CHAPTER 1General introduction Child maltreatment traumatises millions of children across the globe [4]. A meta-analysis that included articles published between 1980 and 2008 on the prevalence of child abuse and neglect reported the following overall estimated rates for self-report studies that mainly assessed lifetime prevalence rates: 12.7% for sexual abuse, 22.6% for physical abuse, 36.3% for emotional abuse, 16.3% for physical neglect and 18.4% for emotional neglect. For studies using informants that mainly assessed one-year prevalence rates, the estimated prevalence rates were 0,4% for sexual abuse, and 0,3% for both physical and emotional abuse [4]. Child abuse and neglect in the NetherlandsChild abuse and neglect remains a major societal problem in high-income countries, as a considerable number of children continue to be maltreated and exploited [5]. In the Netherlands, the following definition of child abuse and neglect is currently in use, officially documented in the Kindermishandeling, Veilig Thuis since 2015) on child abuse and neglect reports, and self-reports of students in secondary school. In 2016, the nation-wide prevalence study was limited to self-reports of secondary school students. In 2010, the overall estimated one-year prevalence was 3.4% based on the results of the informants study and the official registration of Veilig Thuis [7]. This prevalence rate is 0.4% higher than found in 2005 [8]. In 2003, the yearly report of the Dutch Advice and Reporting Centre [9] showed the organisation was consulted 47,000 times, and investigated 20,000 suspected cases (0.6% of all Dutch children in 2013 [10]). One-year prevalence rates based on self-report study alone remained stable between 2005 and 2010, 9.9% of students between eleven and seventeen years old reported to have experienced child abuse and neglect [7,8]. The self-report study among secondary school students (in one of the first four years of secondary schools) performed in 2016 (6.5%) showed a decline of the one-year prevalence rate compared to 2005 and 2010 [11].In 2010, the most prevalent types of child maltreatment were physical, emotional and educational neglect, i.e. not attending to children's academic needs. Furthermore, the study concluded that almost a quarter of victims underwent sexual and/or physical abuse in 2010. Compared to 2005, emotional neglect (including being a witness of domestic violence) and educational neglect were reported more often, while sexual abuse and physical neglect were reported less often [7]. Causes and consequencesIn the last two decades, research has increased public knowledge about risk factors and protective factors of child abuse and neglect. It b...

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Section: Characteristics Of the Innovation Continuationmentioning

confidence: 99%

Section: Research Contextmentioning

confidence: 99%