iLook Out for Child Abuse: An Innovative Learning Module for Childcare Providers

摘要--iLook for Child：为儿童保育者提供的创新学习模式 -- 虐待儿童在美国的流行(每年确认680,000人)对儿童和 他们成为的成年人。后遗症包括肢体残疾、神经损伤、精神健康 问题、不适应行为和持续不断的虐待循环。幼儿(0-5岁) 特别容易受到伤害。他们占虐待死亡的75%，而且比例更大。 除性虐待外，所有类别虐待的受害者人数均高于年龄较大的儿童。然而，尽管有800万英镑 美国儿童在托儿所，儿童保育提供者(CCP)报告的儿童保育提供者不到所有儿童的0.5%(~2500 经证实的虐待儿童案件。研究表明，CCP没有做好充分的准备来识别风险 儿童，而且没有循证干预措施证明对改善CCP有效 举报涉嫌虐待儿童的案件。尽管如此，提高中共举报率的努力必须小心不要 提倡不恰当的报道，这种报道只会浪费稀缺的资源，并给家庭带来不必要的压力。 这项为期5年的研究将评估一项创新的教育干预措施的效果，我为虐待儿童寻找机会 (ILookOut)，以提高准确的儿童虐待报告率。以体验式学习为基础 概念模型，iLookOut是一种多媒体在线干预，让学习者在情感上和 通过交互式、基于视频的故事情节提供教育、挑战学习者 决策要点，并提供批判性反馈。ILookOut使用游戏化策略来推广体验式 通过模拟、解决问题和实践机会学习，以应用新信息和 理解。它还将包括促进保留和整合新的 知识，以及帮助CCP保持警觉和参与。 先前的研究表明，iLookOut显著提高了CCP对以下问题的知识和态度 举报涉嫌虐待儿童的儿童，受到儿童保护计划的好评。评估其对实际报告的影响 行为，拟议的研究将随机选择缅因州的3个地理上不同的地区( 被选中是因为其出色的儿童福利信息系统，集中报告结构，以及 协作热情)接受iLookOut、标准培训或控制(无干预)。 主要目标是增加被证实虐待儿童或与社会有关的CCP报告的数量 建议提供服务(例如，治疗服务、营养援助)，因为这些都是报告的类型 很可能会让孩子们真正受益。次要目标是降低报告的比例 提供这种好处，特别是减少国家与吸纳和调查 非盈利报告。如果如假设的那样，iLookOut 1)增加了有益报告的发生率，以及2) 降低非盈利报告的比例成本，我们将拥有第一个基于证据的工具 帮助社区保护计划准确识别和报告遭受虐待的幼儿。

ABSTRACT –– iLook Out for Child Abuse: An Innovative Learning Module for Childcare Providers   The epidemic of child abuse in the U.S. (>680,000 confirmed annually) causes massive harm to children and the adults they become. Sequellae include physical disabilities and neurological damage, mental health problems, maladaptive behaviors, and perpetuating cycles of abuse. Young children (aged 0–5 years) are particularly vulnerable to victimization. They account for >75% of deaths from abuse and a greater proportion of victims than older children for all categories of maltreatment except sexual abuse. Yet despite >8 million American children being in childcare, childcare providers (CCPs) report fewer than 0.5% (~2,500) of all substantiated cases of child abuse. Research shows that CCPs are not adequately prepared to identify at-risk children, and there are no evidence-based interventions with demonstrated efficacy for improving CCP reporting of suspected child abuse. That said, efforts to raise CCP reporting rates must be careful not to promote inappropriate reporting that merely wastes scarce resources and causes families undue stress. This 5-year study will evaluate the efficacy of an innovative educational intervention, iLook Out for Child Abuse (iLookOut) for increasing rates of accurate child abuse reporting. Grounded in an Experiential Learning conceptual model, iLookOut is a multi-media, online intervention that engages learners emotionally and intellectually through an interactive, video-based storyline that provides education, challenges learners with decision-points, and gives critical feedback. iLookOut uses gamification strategies to promote experiential learning through simulation, problem-solving, and practice opportunities to apply new information and understanding. It also will include follow-up activities that promote retention and integration of new knowledge, as well as help CCPs to remain aware and engaged. Prior studies have demonstrated that iLookOut significantly improves CCP knowledge and attitudes about reporting suspected child abuse, and is very well received by CCPs. To evaluate its impact on actual reporting behavior, the proposed research will randomize 3 geographically distinct regions in the state of Maine (which was chosen because of its excellent child welfare information system, centralized reporting structure, and enthusiasm to collaborate) to receive iLookOut, Standard training, or Control (no intervention). The primary goal is to increase the number of CCP reports for which either child abuse is confirmed or social services (e.g., therapeutic services, nutritional assistance) are recommended –as these are the kinds of reports that are likely to actually benefit a child. The secondary goal is to decrease the proportion of reports that don't offer such benefit, and in particular to decrease costs to the state associated with intake and investigation of non-beneficial reports. If, as hypothesized, iLookOut 1) increases the incidence of beneficial reports, and 2) decreases the proportionate costs of non-beneficial reports, we will have the first evidence-based tool for helping CCPs accurately identify and report young children who are victims of abuse.