Behavioral Interventions and Counseling to Prevent Child Abuse and Neglect: A Systematic Review to Update the U.S. Preventive Services Task Force Recommendation
Behavioral Interventions and Counseling to Prevent Child Abuse and Neglect: A Systematic Review to Update the U.S. Preventive Services Task Force Recommendation
复制标题
防止虐待和忽视儿童的行为干预和咨询：更新美国预防服务工作组建议的系统审查
DOI：
--
复制
发表时间：
2013
影响因子：
39.2
通讯作者：
H. Nelson
中科院分区：
文献类型：
--
作者：
S. Selph;C. Bougatsos;I. Blazina;H. Nelson
背景
2004年，美国预防服务工作组确定，没有足够的证据推荐行为干预和咨询，以防止虐待和忽视儿童。
目的
回顾新的证据，行为干预和咨询的有效性，在卫生保健环境中减少儿童虐待和忽视和相关的健康结果，以及干预措施的不良影响。
数据源
MEDLINE和PsycINFO（2002年1月至2012年6月）、科克伦对照试验中心注册库和科克伦系统评价数据库（至2012年第二季度）、Scopus和参考文献列表。
资料选择
行为干预和咨询有效性的英语试验以及任何关于不良影响的设计研究。
数据提取
研究人员提取了有关研究人群、设计和结局的数据，并使用既定标准对研究质量进行了评级。
资料综合
11项关于干预措施的质量较好的随机试验，没有关于不良反应的研究符合纳入标准。一项针对5岁或5岁以下儿童家庭的儿科诊所虐待和忽视风险评估和干预试验表明，在筛查儿童中，身体攻击、儿童保护服务（CPS）报告、不依从医疗护理和免疫接种延迟减少。10项幼儿家访试验报告减少了CPS报告，急诊室就诊，住院和自我报告的虐待，并提高了对免疫接种和良好儿童护理的依从性，尽管结果不一致。
限制
试验受到异质性、低依从性、高失访率和缺乏标准化测量的限制。
结论
儿科诊所的风险评估和行为干预减少了幼儿的虐待和忽视结果。早期儿童家访也减少了虐待和忽视，但结果不一致。需要进一步研究防止虐待和忽视儿童的干预措施。
主要资金来源
医疗保健研究和质量机构。
BACKGROUND
In 2004, the U.S. Preventive Services Task Force determined that evidence was insufficient to recommend behavioral interventions and counseling to prevent child abuse and neglect.
PURPOSE
To review new evidence on the effectiveness of behavioral interventions and counseling in health care settings for reducing child abuse and neglect and related health outcomes, as well as adverse effects of interventions.
DATA SOURCES
MEDLINE and PsycINFO (January 2002 to June 2012), Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews (through the second quarter of 2012), Scopus, and reference lists.
STUDY SELECTION
English-language trials of the effectiveness of behavioral interventions and counseling and studies of any design about adverse effects.
DATA EXTRACTION
Investigators extracted data about study populations, designs, and outcomes and rated study quality using established criteria.
DATA SYNTHESIS
Eleven fair-quality randomized trials of interventions and no studies of adverse effects met inclusion criteria. A trial of risk assessment and interventions for abuse and neglect in pediatric clinics for families with children aged 5 years or younger indicated reduced physical assault, Child Protective Services (CPS) reports, nonadherence to medical care, and immunization delay among screened children. Ten trials of early childhood home visitation reported reduced CPS reports, emergency department visits, hospitalizations, and self-reports of abuse and improved adherence to immunizations and well-child care, although results were inconsistent.
LIMITATION
Trials were limited by heterogeneity, low adherence, high loss to follow-up, and lack of standardized measures.
CONCLUSION
Risk assessment and behavioral interventions in pediatric clinics reduced abuse and neglect outcomes for young children. Early childhood home visitation also reduced abuse and neglect, but results were inconsistent. Additional research on interventions to prevent child abuse and neglect is needed.
PRIMARY FUNDING SOURCE
Agency for Healthcare Research and Quality.
登录
查看更多内容
影响因子：
2.3
作者：
Battle, CL;Shea, MT;Morey, LC
通讯作者：
Morey, LC
影响因子：
5.5
作者：
Rabin, Rebecca F.;Jennings, Jacky M.;Campbell, Jacquelyn C.;Bair-Merritt, Megan H.
通讯作者：
Bair-Merritt, Megan H.
护士进行产前和婴儿期家访对妊娠结局、儿童期伤害和重复生育的影响。
DOI：
--
发表时间：
1997
期刊：
JAMA
影响因子：
--
作者：
Kitzman,H;Olds,DL;HendersonJr,CR;Hanks,C;Cole,R;Tatelbaum,R;McConnochie,KM;Sidora,K;Luckey,DW;Shaver,D;Engelhardt,K;James,D;Barnard,K
通讯作者：
Barnard,K
产前和婴儿期护士家访是否会对父母的护理质量和 25 至 50 个月大的儿童健康产生持久影响？
影响因子：
8
作者：
Olds,DL;HendersonJr,CR;Kitzman,H
通讯作者：
Kitzman,H
影响因子：
4.8
作者：
Whitaker,RobertC;Phillips,ShannonM;Orzol,SeanM;Burdette,HillaryL
通讯作者：
Burdette,HillaryL