Technology-Based Innovations in Child Maltreatment Prevention Programs: Examples from SafeCare®

Cowart-Osborne, Melissa; Jackson, Matthew Christian; Chege, Elizabeth; Baker, Evander; Whitaker, Daniel J.; Self‐Brown, Shannon

doi:10.3390/socsci3030427

Cited by 13 publications

(8 citation statements)

References 37 publications

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“…This implementation followed the four phases described above, but the delivery of SafeCare was adapted to include technology assistance delivered on a tablet via a web-based SafeCare program entitled SafeCare Takes Care. SafeCare Takes Care includes a combination of video, audio narration, and engaging questions and was developed through an alpha and beta testing process with parenting experts and parents similar in education and socioeconomic status to the parents served with the SafeCare program (Cowart-Osborne et al, 2014). The videos are presented in a manner similar to a talk show.…”

Section: Methodsmentioning

confidence: 99%

A Technology-Mediated Approach to the Implementation of an Evidence-Based Child Maltreatment Prevention Program

et al. 2016

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Implementation of evidence-based parenting programs is critical for parents at-risk for child maltreatment perpetration; however, widespread use of effective programs is limited in both child welfare and prevention settings. This exploratory study sought to examine whether a technology-mediated approach to SafeCare delivery can feasibly assist newly trained providers in achieving successful implementation outcomes. Thirty-one providers working in child welfare or high-risk prevention settings were randomized to either SafeCare Implementation with Technology-Assistance (SC-TA) or SafeCare Implementation as Usual (SC-IU). SC-TA providers used a web-based program during session that provided video-based psychoeducation and modeling directly to parents and overall session guidance to providers. Implementation outcome data were collected from providers for six months. Data strongly supported the feasibility of SC-TA. Further, data indicated that SC-TA providers spent significantly less time on several activities in preparation, during, and in follow-up to SafeCare sessions compared to SC-IU providers. No differences were found between the groups with regard to SafeCare fidelity and certification status. Findings suggest that technology can augment implementation by reducing the time and training burden associated with implementing new evidence-based practices for at-risk families.

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Section: Methodsmentioning

confidence: 99%

A Technology-Mediated Approach to the Implementation of an Evidence-Based Child Maltreatment Prevention Program

et al. 2016

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“…The curriculum, delivered in approximately 18 weekly sessions, is designed for parents or caregivers of children under 5 years old. Several reviews of SafeCare have been published previously (see Cowart-Osborne et al, 2014 ; Guastaferro & Lutzker, 2017 , 2019 ; Guastaferro et al, 2012 ; Rostad et al, 2016 ). What follows is a brief review, and glimpse “behind the curtain” to showcase the development of the SafeCare model as it is known as today.…”

Section: Prevention Programming and Policy Effortsmentioning

confidence: 99%

The Prevention of Child Maltreatment: Using SafeCare® to Highlight Successes and Needs for Improvement in Prevention Efforts

Guastaferro

Lutzker

2021

Int. Journal on Child Malt.

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Child maltreatment is a public health problem of considerable magnitude. Though substantial progress has been made in the prevention of child maltreatment, one incident of maltreatment is one too many. Intervention and/or prevention efforts must always be dynamic. In this commentary, we highlight recent prevention and policy efforts in the United States, using SafeCare, an evidence-based parent support program with a focus on the prevention of neglect, as an example. We describe broad-scale implementation efforts and offer a vision for what the field must do to realize public heath impact, highlighting recent advances of parent support models in policy, advocacy, and programs. Strategies that might improve current efforts are suggested to ensure the field not become static.

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“…The use of mobile phones to improve health has been shown (Campbell et al, 2014); in the United States, mHealth has improved maternal–child outcomes through increased engagement with home visitation programs (Carta, Lefever, Bigelow, Borkowski, & Warren, 2013; U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services, & Maternal & Infant Health Initiative, 2015), reduced maternal depression and stress (Baker, Connelly, Hazen, Landsverk, & Horwitz, 2012; Carta et al, 2013), improved communication with Text4baby (Kaleka, Olsen, & Sweet, 2012), and decreased child abuse and neglect (Cowart-Osborne et al, 2014) with hard-to-reach populations. The practical applications and context-specific flexibility of the devices indicate that mobile phones are primed to play a significant role in providing CHWs support in decision making and improving health outcomes when used for teleconsultations with more highly skilled members of the health care team.…”

Section: Background/literature Reviewmentioning

confidence: 99%

Community Health Workers and Use of mHealth: Improving Identification of Pregnancy Complications and Access to Care in the Dominican Republic

Bonnell

Griggs

Ávila

et al. 2017

Health Promotion Practice

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This article presents the feasibility and acceptability of using mobile health technology by community health workers (CHWs) in San Juan Province, Dominican Republic, to improve identification of pregnancy complications and access to care for pregnant women. Although most women in the Dominican Republic receive four antenatal care visits, poor women and adolescents in remote areas are more likely to have only one initial prenatal visit to verify the pregnancy. This community-based research began when community leaders raised concern about the numbers of their mothers who died in childbirth annually; San Juan's maternal mortality rate is 144/100,000 compared to the Caribbean rate of 85/100,000. Eight CHWs in three communities were taught to provide third-trimester antenatal assessment, upload the data on a mobile phone application, send the data to the local physician who monitored data for "red flags," and call directly if a mother had an urgent problem. Fifty-two pregnant women enrolled, 38 were followed to delivery, 95 antenatal care postintake were provided, 2 urgent complications required CHW home management of mothers, and there were 0 deaths. Stakeholders endorsed acceptability of intervention. Preliminary data suggest CHWs using mobile health technology is feasible, linking underserved and formal health care systems with provision of primary care in mothers' homes.

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Technology-Based Innovations in Child Maltreatment Prevention Programs: Examples from SafeCare®

Cited by 13 publications

References 37 publications

A Technology-Mediated Approach to the Implementation of an Evidence-Based Child Maltreatment Prevention Program

A Technology-Mediated Approach to the Implementation of an Evidence-Based Child Maltreatment Prevention Program

The Prevention of Child Maltreatment: Using SafeCare® to Highlight Successes and Needs for Improvement in Prevention Efforts

Community Health Workers and Use of mHealth: Improving Identification of Pregnancy Complications and Access to Care in the Dominican Republic

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