Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Nobels väg 9, 171 65 Solna, Sweden.
Department of Clinical Neuroscience, Division of Neuro, Karolinska Institutet, Nobels väg 9, 171 65 Solna, Sweden, Sweden.
Child Abuse Negl. 2022 Jan;123:105434. doi: 10.1016/j.chiabu.2021.105434. Epub 2021 Dec 8.
Child abuse is a world-wide problem causing long-term suffering for children and large costs to society. Parent-training programs have been shown to reduce harsh parenting but more research on parenting programs specifically addressing child abuse is needed.
This study aimed at assessing the feasibility, implementation, and preliminary effectiveness of Safer Kids (SK); a structured parent-training program delivered immediately after parents are reported for child abuse.
Caregivers were eligible if they had been reported for child abuse to the Swedish social services and their child was 3-12 years old.
Families were allocated to SK or intervention as usual (IAU) through a quasi-experimental design. Multilevel analyses and a Cox Proportional Hazard Model were used to assess between-group differences in risk factors for abuse and further child welfare reports.
In total, 67 families participated. SK was successfully implemented as an early-start intervention and most families completed the intervention. All agencies continued working with SK two years after the study, indicating sustainability of implementation. SK was more effective than IAU in reducing further child welfare reports up to 18 months from baseline. However, analyses of parent and child rated risk factors of re-abuse (abuse potential, wellbeing, and parent-child relationships) indicate none to small differences between conditions.
SK can be successfully implemented within the social services and may be effective in reducing occurrence of further child welfare reports. The effects of SK need to be further evaluated in a randomized controlled trial.
儿童虐待是一个全球性问题，给儿童带来长期痛苦，给社会造成巨大经济损失。父母培训计划已被证明可以减少严厉的育儿方式，但需要更多专门针对儿童虐待的育儿计划的研究。
本研究旨在评估 Safer Kids（SK）在实施后的可行性、实施情况和初步效果；Safer Kids 是一种在父母因虐待儿童而被报告给瑞典社会服务机构后立即提供的结构化父母培训计划。
如果父母因虐待儿童而被报告给瑞典社会服务机构，且其孩子年龄在 3-12 岁，则有资格参加研究。
通过准实验设计，将家庭分配到 SK 或常规干预（IAU）组。使用多级分析和 Cox 比例风险模型来评估两组在虐待风险因素和进一步的儿童福利报告方面的差异。
共有 67 个家庭参与了研究。SK 作为早期干预成功实施，大多数家庭完成了干预。所有机构在研究结束两年后仍继续使用 SK，表明实施可持续性。与 IAU 相比，SK 可在基线后 18 个月内更有效地减少进一步的儿童福利报告。然而，对父母和儿童评定的再虐待风险因素（虐待潜力、幸福感和亲子关系）的分析表明，两组之间的差异很小或没有。
SK 可以在社会服务机构内成功实施，可能有效减少进一步的儿童福利报告。需要在随机对照试验中进一步评估 SK 的效果。
