A gloomy picture: a meta-analysis of randomized controlled trials reveals disappointing effectiveness of programs aiming at preventing child maltreatment.
A gloomy picture: a meta-analysis of randomized controlled trials reveals disappointing effectiveness of programs aiming at preventing child maltreatment.
复制标题
DOI：
10.1186/s12889-015-2387-9
复制
发表时间：
2015-10-18
影响因子：
4.5
通讯作者：
van IJzendoorn MH
中科院分区：
文献类型：
--
作者：
Euser S;Alink LR;Stoltenborgh M;Bakermans-Kranenburg MJ;van IJzendoorn MH
缺乏关于父母方案预防或减少虐待儿童的有效性的一致研究结果。在本荟萃分析中，我们综合了来自随机对照试验（RCT）的27个独立样本的结果，这些随机对照试验（RCT）涉及20种不同干预方案的有效性，这些干预方案旨在（i）预防一般人群或有风险但不存在虐待行为的家庭中儿童虐待的发生，或（ii）减少虐待家庭中儿童虐待的发生率。一个显着的综合效应虐待（d = 0.13; N = 4883）消失后，修剪和填充的方法，考虑到出版物的偏见，对较小的研究没有显着的结果。然而，主持人分析表明，最近的研究，样本较小的研究，提供父母培训而不仅仅是支持的计划，针对虐待而不是风险家庭的计划，以及中等长度（6-12个月）或中等数量（16-30）的计划，发现了较大的效应量。需要更多的随机对照试验来进一步阐明哪些因素与项目有效性相关。由于目前的方案似乎只是减少而不是防止虐待儿童，因此预防性干预领域的努力还应侧重于为有虐待儿童风险的家庭制定和测试预防方案。本文的在线版本（doi：10.1186/s12889-015-2387-9）包含补充材料，可供授权用户使用。
Consistent findings about the effectiveness of parent programs to prevent or reduce child maltreatment are lacking. In the present meta-analysis we synthesized findings from 27 independent samples from randomized controlled trials (RCTs) on the effectiveness of 20 different intervention programs aimed at (i) preventing the occurrence of child maltreatment in the general population or with at-risk but non-maltreating families, or (ii) reducing the incidence of child maltreatment in maltreating families. A significant combined effect on maltreatment (d = 0.13; N = 4883) disappeared after the trim-and-fill approach that takes into account publication bias against smaller studies without significant outcomes. However, moderator analyses showed that larger effect sizes were found for more recent studies, studies with smaller samples, programs that provide parent training instead of only support, programs that target maltreating instead of at-risk families, and programs with a moderate length (6–12 months) or a moderate number of sessions (16–30). More RCTs are needed to further unravel which factors are associated with program effectiveness. Because currently existing programs appeared to only reduce and not prevent child maltreatment, efforts in the field of preventive intervention should also focus on the development and testing of preventive programs for families at risk for child maltreatment. The online version of this article (doi:10.1186/s12889-015-2387-9) contains supplementary material, which is available to authorized users.