Tiwari Ashwini, Recinos Manderley, Garner Jamani, Self-Brown Shannon, Momin Rushan, Durbha Sadhana, Emery Vanessa, O'Hara Kathryn, Perry Elizabeth, Stewart Regan, Wekerle Christine
Institute of Public and Preventive Health, Augusta University, Augusta, GA, United States.
Department of Health Policy and Behavioral Sciences, School of Public Health, Georgia State University, Atlanta, GA, United States.
Front Digit Health. 2023 Jul 6;5:1224582. doi: 10.3389/fdgth.2023.1224582. eCollection 2023.
Technology has been used in evidence-based child maltreatment (CM) programs for over a decade. Although advancements have been made, the extent of the application of technology in these programs, and its influence on parental and child outcomes, remains unclear within the context of changes that emerged because of the COVID-19 pandemic. This scoping review provides a contextualized overview and summary of the use of technology in evidence-based parenting and child programs serving families impacted by child maltreatment and the effects of technology-enhanced programs on target outcomes.
Using Arksey and O'Malley's methodological framework, we searched seven databases to identify peer-reviewed and grey literature published in English from 2000 to 2023 on evidence-based programs, according to the California Evidence-Based Clearinghouse (CEBC), that included technological supports for two populations: at-risk parents for child maltreatment prevention, and children and youth 0-18 years exposed to child maltreatment. All study designs were included.
Eight evidence-based parenting programs and one evidence-based child trauma program were identified as using technology across a total of 25 peer-reviewed articles and 2 peer-reviewed abstracts meeting inclusion criteria ( = 19 on parent-level programs; = 8 on child-level programs). Four studies were published in the context of COVID-19. Two main uses of technology emerged: (1) remote programmatic delivery (i.e., delivering all or part of the program virtually using technology) and (2) programmatic enhancement (i.e., augmenting program content with technology). Improvements across parenting and child mental health and behavioral outcomes were generally observed.
Technology use in evidence-based child maltreatment programs is not new; however, the small sample since the start of the COVID-19 pandemic in this review that met inclusion criteria highlight the dearth of research published on the topic. Findings also suggest the need for the inclusion of implementation outcomes related to adoption and engagement, which could inform equitable dissemination and implementation of these programs. Additional considerations for research and practice are discussed.
十多年来，技术已被应用于循证儿童虐待（CM）项目。尽管已取得进展，但在因新冠疫情而出现的变化背景下，技术在这些项目中的应用程度及其对父母和儿童结局的影响仍不明确。本范围综述提供了关于技术在为受儿童虐待影响的家庭提供服务的循证育儿和儿童项目中的应用情况的背景概述和总结，以及技术增强型项目对目标结局的影响。
我们使用阿克西和奥马利的方法框架，搜索了七个数据库，以识别2000年至2023年期间以英文发表的同行评审文献和灰色文献，这些文献是关于加利福尼亚循证信息中心（CEBC）认定的循证项目，其中包括针对两类人群的技术支持：预防儿童虐待的高危父母，以及遭受儿童虐待的0至18岁儿童和青少年。纳入了所有研究设计。
共确定了八个循证育儿项目和一个循证儿童创伤项目使用了技术，这些项目分布在总共25篇同行评审文章和2篇符合纳入标准的同行评审摘要中（19篇关于父母层面的项目；8篇关于儿童层面的项目）。四项研究是在新冠疫情背景下发表的。出现了技术的两种主要用途：（1）远程项目交付（即使用技术以虚拟方式交付全部或部分项目）和（2）项目增强（即使用技术增强项目内容）。总体上观察到了父母和儿童心理健康及行为结局的改善。
在循证儿童虐待项目中使用技术并非新鲜事；然而，本综述中自新冠疫情开始以来符合纳入标准的样本量较小，凸显了关于该主题已发表研究的匮乏。研究结果还表明需要纳入与采用和参与相关的实施结局，这可为这些项目的公平传播和实施提供参考。还讨论了研究和实践的其他考虑因素。
