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Randomized Controlled Trial
. 2017 May 19;12(5):e0177777.
doi: 10.1371/journal.pone.0177777. eCollection 2017.

Educating early childhood care and education providers to improve knowledge and attitudes about reporting child maltreatment: A randomized controlled trial

Ben Mathews  1 , Chengwu Yang  2 , Erik B Lehman  3 , Claudia Mincemoyer  4 , Nicole Verdiglione  5 , Benjamin H Levi  6
Affiliations
Randomized Controlled Trial

Educating early childhood care and education providers to improve knowledge and attitudes about reporting child maltreatment: A randomized controlled trial

Ben Mathews et al. PLoS One. .

Abstract

Early childhood care and education providers (CCPs) work with over 7 million young children. These children are vulnerable to physical, sexual and emotional abuse, and neglect. However, CCPs make less than 1% of all reports of suspected child abuse and neglect that are made to child protective services. CCPs are therefore an untapped resource in the public health response to child maltreatment. However, their knowledge and attitudes about duties to report child maltreatment are poorly understood. Moreover, no rigorous research has tested whether their knowledge and attitudes about reporting child maltreatment can be improved. These gaps in knowledge are important because knowledge of the duty and positive attitudes towards it produce more effective reporting, and little evidence exists about how to enhance cognitive and affective attributes. Using the CONSORT approach, we report a single-blind test-retest randomized controlled trial evaluating iLook Out for Child Abuse, a customized online educational intervention for CCPs to increase knowledge and attitudes towards the reporting duty. 762 participants were randomized with results analyzed for 741 participants (372 in the intervention group; 369 in the control). Knowledge of the reporting duty increased in the intervention group from 13.54 to 16.19 out of 21 (2.65 increase, 95% CI: (2.37, 2.93); large effect size 0.95, p < 0.001); the control group remained stable, moving from 13.54 to 13.59 (0.05 increase, 95% CI: (-0.12, 0.22); negligible effect size 0.03, p = 0.684). Attitudes were enhanced on all 13 items for the intervention group, remaining stable in the control, with significant differences between groups on all items (p < 0.05). Gains were largely sustained at four month follow-up. Findings support education for CCPs and other professions. Future research should also explore effects of education on reporting behavior.

Trial registration: US National Institutes of Health NCT02225301.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Participant flow diagram.
See this image and copyright information in PMC

References

    1. United States Department of Health and Human Services. Child maltreatment 2013. Washington, D.C.: Administration for Children and Families; 2015. Available from http://www.acf.hhs.gov/
    1. Finkelhor D, Turner HA, Shattuck A, Hamby SL. Prevalence of childhood exposure to violence, crime, and abuse: Results from the national survey of children’s exposure to violence. JAMA Pediatr. 2015;169(8): 746–54. doi: 10.1001/jamapediatrics.2015.0676 - DOI - PubMed
    1. Sedlak AJ, Mettenburg J, Basena M, Petta I, McPherson K, Greene A et al. Fourth national incidence study of child abuse and neglect (NIS–4): Report to congress, executive summary. Washington, DC: U.S. Department of Health and Human Services, Administration for Children and Families; 2010. Available from http://www.acf.hhs.gov/opre/resource/fourth-national-incidence-study-of-...
    1. Gilbert R, Widom C, Browne K, Fergusson D, Webb E, Janson S. Burden and consequences of child maltreatment in high-income countries. Lancet. 2009;373(9657): 68–87. doi: 10.1016/S0140-6736(08)61706-7 - DOI - PubMed
    1. Finkelhor D, Ormrod R, Turner H. Polyvictimization: A neglected component in child victimization. Child Abuse Negl. 2007;31(1): 7–26. doi: 10.1016/j.chiabu.2006.06.008 - DOI - PubMed

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