Author : Meera Viswanathan
Publisher :
ISBN 13 :
Total Pages : 332 pages
Book Rating : 4.:/5 (19 download)
Book Synopsis Primary Care Interventions to Prevent Child Maltreatment by : Meera Viswanathan
Download or read book Primary Care Interventions to Prevent Child Maltreatment written by Meera Viswanathan and published by . This book was released on 2018 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: PURPOSE: To systematically review evidence on the benefits and harms of interventions provided in or referable from primary care to prevent child maltreatment for the U.S. Preventive Services Task Force (USPSTF). DATA SOURCES: MEDLINE(r), the Cochrane Library, EMBASE, and trial registries, through December 18, 2017; reference lists of retrieved articles; outside experts; reviewers; and surveillance of literature through July 17, 2018 STUDY SELECTION: Two investigators independently selected studies using a priori criteria. Eligible trials (1) enrolled children (from birth through age 18 years with no known exposure to maltreatment and no signs or symptoms of current or past maltreatment) or their caregivers; (2) evaluated interventions feasible in a primary care setting or that could result from a referral by a primary care provider; and (3) reported abuse or neglect outcomes, or proxies for abuse or neglect (injury, visits to the emergency department, hospitalization). DATA EXTRACTION: One investigator extracted data and a second checked accuracy. Two reviewers independently rated quality for included studies using predefined criteria. DATA SYNTHESIS: Twenty-two trials provided evidence on benefits. We found no evidence of differences in reports to child protective services within 1 year of intervention completion (pooled odds ratio [OR], 0.94, 95% CI, 0.72 to 1.23; 10.6% vs. 11.9%; 10 studies, 2444 participants) or removal of the child from the home within 1 to 3 years of followup (pooled (OR: 1.09,95% CI, 0.16 to 7.28; 3.51% vs. 3.71%; 4 studies, 609 participants). Owing to heterogeneity of outcome measures, we could not pool other results, but the evidence either demonstrates no benefit or was inconclusive for abuse, neglect, or their sequelae. The evidence suggested no benefit for emergency department visits in the short-term (