Child Abuse Clinical Trial
Official title:
Developing Multi-Component Evidence Based Practice in Child Abuse Service Systems
This study will determine the effectiveness of a complex parent training program, based on the SafeCare model, in reducing the occurrence of child maltreatment.
Child maltreatment is the general term used to characterize all forms of child abuse,
including neglect and physical, sexual, and emotional abuse. These forms of maltreatment can
lead to a large number of child developmental, emotional, and behavioral difficulties. As
adults, children who are maltreated are more prone to unhealthy behaviors and conditions,
such as drug and alcohol abuse, smoking, eating disorders, and depression. A previous study
found that Project SafeCare, a treatment program that provides parent training to families
with children who were at risk for or victims of maltreatment, resulted in fewer child
welfare reports. Participants in Project SafeCare reported improvements in child healthcare,
home safety, and parent-child relations. However, the study suggested that the SafeCare
program may not be equally effective in decreasing the occurrence of all forms of child
maltreatment, particularly child physical abuse. This study will determine the effectiveness
of a complex evidence-based practice program, extending upon the SafeCare program, in
reducing the occurrence of physical abuse and other forms of child maltreatment.
Participants in this study will receive services from Oklahoma Comprehensive Home-Based
Services (CHBS), a program provided to families with issues of child abuse and neglect. Upon
entry into the CHBS program, participants will undergo a computerized interview, lasting
between 1 and 2 hours. The interview will include questions about family strengths and
weaknesses, personal beliefs, substance abuse history, and opinion on CHBS. This
computerized interview will be repeated at the end of treatment, approximately 6 to 12
months later. During the first few weeks of CHBS, an agent will make five visits to the
homes of participants to observe pretreatment family life. Treatment services will
concentrate on improving healthcare skills, parent-child interactions, and safety in homes
and will specifically address ways to reduce physical abuse and other identified family
issues. Study participation will continue for 12 months after completion of CHBS. Study
researchers will obtain child welfare reports from the Department of Human Services (DHS)
for up to 10 years after completion of CHBS.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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