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儿童虐待案例档案编码:寄养青少年纵向项目中的方法、挑战与创新

Case file coding of child maltreatment: Methods, challenges, and innovations in a longitudinal project of youth in foster care.

作者信息

Huffhines Lindsay, Tunno Angela M, Cho Bridget, Hambrick Erin P, Campos Ilse, Lichty Brittany, Jackson Yo

机构信息

Clinical Child Psychology Program, University of Kansas, 1000 Sunnyside Avenue, Lawrence, KS 66045, USA.

Department of Psychiatry, Duke University Medical Center, 2301 Erwin Road, Durham, NC 27710, USA.

出版信息

Child Youth Serv Rev. 2016 Aug;67:254-262. doi: 10.1016/j.childyouth.2016.06.019. Epub 2016 Jun 21.

Abstract

State social service agency case files are a common mechanism for obtaining information about a child's maltreatment history, yet these documents are often challenging for researchers to access, and then to process in a manner consistent with the requirements of social science research designs. Specifically, accessing and navigating case files is an extensive undertaking, and a task that many researchers have had to maneuver with little guidance. Even after the files are in hand and the research questions and relevant variables have been clarified, case file information about a child's maltreatment exposure can be idiosyncratic, vague, inconsistent, and incomplete, making coding such information into useful variables for statistical analyses difficult. The Modified Maltreatment Classification System (MMCS) is a popular tool used to guide the process, and though comprehensive, this coding system cannot cover all idiosyncrasies found in case files. It is not clear from the literature how researchers implement this system while accounting for issues outside of the purview of the MMCS or that arise during MMCS use. Finally, a large yet reliable file coding team is essential to the process, however, the literature lacks training guidelines and methods for establishing reliability between coders. In an effort to move the field toward a common approach, the purpose of the present discussion is to detail the process used by one large-scale study of child maltreatment, the Studying Pathways to Adjustment and Resilience in Kids (SPARK) project, a longitudinal study of resilience in youth in foster care. The article addresses each phase of case file coding, from accessing case files, to identifying how to measure constructs of interest, to dealing with exceptions to the coding system, to coding variables reliably, to training large teams of coders and monitoring for fidelity. Implications for a comprehensive and efficient approach to case file coding are discussed.

摘要

州社会服务机构的案例档案是获取儿童虐待史信息的常见途径,然而,这些文件对研究人员来说往往难以获取,而且要按照社会科学研究设计的要求进行处理也颇具挑战。具体而言,获取和查阅案例档案是一项艰巨的任务,许多研究人员在几乎没有指导的情况下就得完成这项工作。即便拿到了档案,明确了研究问题和相关变量之后,有关儿童受虐待情况的案例档案信息可能仍具有独特性、模糊性、不一致性且不完整,这使得将此类信息编码为用于统计分析的有用变量变得困难。改良虐待分类系统(MMCS)是指导这一过程的常用工具,尽管该编码系统较为全面,但仍无法涵盖案例档案中发现的所有独特情况。从文献中尚不清楚研究人员在考虑MMCS范围之外或MMCS使用过程中出现的问题时是如何实施该系统的。最后,一个规模庞大且可靠的档案编码团队对这个过程至关重要,然而,文献中缺乏培训指南以及建立编码人员之间可靠性的方法。为推动该领域采用通用方法,本讨论的目的是详细介绍一项关于儿童虐待的大规模研究——“儿童适应与恢复力研究路径”(SPARK)项目所采用的过程,这是一项对寄养青年恢复力的纵向研究。本文阐述了案例档案编码的各个阶段,从获取案例档案,到确定如何衡量感兴趣的构念,再到处理编码系统的例外情况,到可靠地编码变量,再到培训大型编码团队并监测其准确性。还讨论了对案例档案编码采用全面且高效方法的意义。

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