König Elisa, Maier Anna, Fegert Jörg Michael, Hoffmann Ulrike
Department of Child and Adolescent Psychiatry/Psychotherapy, University Hospital of Ulm, Steinhoevelstr. 5, 89075, Ulm, Germany.
Arch Public Health. 2020 Nov 23;78(1):122. doi: 10.1186/s13690-020-00465-4.
Child maltreatment and consequently child protection are highly relevant and current issues in our society. Medical institutions are widely regarded as places of healing, care and support. But they also hold risk factors to promote child maltreatment. Efforts have to be taken in order to offer help to victims by medical institutions and to reduce risk factors for child maltreatment. Therefore, health professionals in the field of child protection must be trained and sensitized for these two purposes. The Department of Child and Adolescent Psychiatry / Psychotherapy at the University Hospital of Ulm in Germany is developing E-Learning courses directed to health professionals in order to create flexible advanced training courses for dealing with child abuse, and to increase competences in child protection. Due to their specific role in (institutional) child protection, three courses and their evaluation will be presented in this article. The aim of the studies is to examine if those online-courses are increasing knowledge and skills in child protection and how satisfied participants are with course quality.
Randomised Controlled Trials (RCT) were conducted with one wait-list control group and one group participating in the course (= intervention group). The RCTs took place from October 2016 to March 2017 for two courses, and from May 2017 to September 2017 for the other course. Data were analysed with mixed design ANOVA. For evaluation of user satisfaction, descriptive statistics are reported.
For all three courses, knowledge and practical capacities on the topic of the intervention group raised significantly in comparison to the values of the control group. Furthermore, participants of the course for managers felt better prepared to meet their responsibilities in regard to institutional child protection and came up with ideas on how to implement safeguarding standards in their institution. Overall, participants were very satisfied with the structure and the content of the courses.
The article shows that the online-courses are an effective and well-accepted approach to train professionals in topics regarding (institutional) child protection by contributing to the participants´ abilities to create medical facilities into a place of competence and protection.
儿童虐待以及由此产生的儿童保护问题是当今社会高度相关且备受关注的议题。医疗机构被广泛视为治疗、护理和提供支持的场所。但它们也存在一些促使儿童受虐待的风险因素。必须采取措施，以便医疗机构能为受害者提供帮助，并降低儿童虐待的风险因素。因此，儿童保护领域的卫生专业人员必须接受培训并提高对此的敏感度，以实现这两个目标。德国乌尔姆大学医院儿童与青少年精神病学/心理治疗科正在为卫生专业人员开发电子学习课程，以便创建灵活的高级培训课程来应对儿童虐待问题，并提高儿童保护方面的能力。鉴于它们在（机构）儿童保护中的特定作用，本文将介绍三门课程及其评估情况。这些研究的目的是检验这些在线课程是否能增加儿童保护方面的知识和技能，以及参与者对课程质量的满意度如何。
进行了随机对照试验，设立了一个等待名单对照组和一个参与课程的组（即干预组）。其中两门课程的随机对照试验于2016年10月至2017年3月进行，另一门课程的随机对照试验于2017年5月至9月进行。数据采用混合设计方差分析进行分析。对于用户满意度评估，报告描述性统计数据。
与对照组相比，所有三门课程干预组在干预主题方面的知识和实践能力均有显著提高。此外，管理人员课程的参与者感觉在履行机构儿童保护职责方面准备得更充分，并提出了在其机构中实施保障标准的想法。总体而言，参与者对课程的结构和内容非常满意。
本文表明，在线课程是一种有效且广受认可的方法，通过提高参与者将医疗设施转变为能力和保护场所的能力，来培训专业人员掌握（机构）儿童保护相关主题。
