Peking University, Beijing, China.
McMaster University, Hamilton, ON, Canada.
Trauma Violence Abuse. 2024 Dec;25(5):3887-3902. doi: 10.1177/15248380241266183. Epub 2024 Jul 31.
Evidence shows that parenting interventions are an effective method of reducing caregiver-perpetrated child maltreatment. The recent COVID-19 pandemic has changed the provision of parenting interventions worldwide, with many interventions adapting to continue providing services during the crisis. This global systematic review examined how parenting interventions targeting child maltreatment and its risk and protective factors were adapted during the COVID-19 pandemic. We searched for studies published between 2020 and 2022 and identified 31 eligible studies. The data on the rationale, process, feasibility, acceptability, and impacts of adaptations were narratively synthesized in accordance with the Framework for Reporting Adaptations and Modifications to Evidence-Based Interventions. Results showed that most adaptations were proactive and focused on delivery methods, predominantly digitalization. While feasibility and acceptability were generally observed, the impacts of adapted programs were inconclusive. Inadequate reporting, especially regarding rationale, fidelity, facilitator capacity building, stakeholder involvement, and decision-making processes, was noted. The review recommends enhanced planning, documentation, and reporting of program adaptations using established guidelines, as well as process and impact evaluations.
证据表明，育儿干预是减少照顾者实施儿童虐待的有效方法。最近的 COVID-19 大流行改变了全球育儿干预措施的提供方式，许多干预措施已经适应了在危机期间继续提供服务的需要。本全球系统评价研究了在 COVID-19 大流行期间，针对儿童虐待及其风险和保护因素的育儿干预措施是如何进行调整的。我们检索了 2020 年至 2022 年期间发表的研究，并确定了 31 项符合条件的研究。根据证据为基础的干预措施的调整和修改报告框架，对调整的理由、过程、可行性、可接受性和影响等数据进行了叙述性综合。结果表明，大多数调整是主动的，侧重于交付方法，主要是数字化。虽然可行性和可接受性通常得到了观察，但调整后的方案的影响尚无定论。报告不充分，特别是在理由、保真度、促进者能力建设、利益相关者参与和决策过程方面。该评价建议使用既定指南加强对方案调整的规划、记录和报告，并进行过程和影响评估。
