Screening children for family violence: A review of the evidence for the US Preventive Services Task Force

Peggy Nygren, Heidi Nelson, Jonathan Klein

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

BACKGROUND: We wanted to evaluate the benefits and harms of screening children in primary health care settings for abuse and neglect resulting from family violence by examining the evidence on the performance of screening instruments and the effectiveness of interventions. METHODS: We searched for relevant studies in MEDLINE, PsycINFO, CINAHL, ERIC, Cochrane Controlled Trials Register, and reference lists. English language abstracts with original data about family violence against children focusing on screening and interventions initiated or based in health care settings were included. We extracted selected information about study design, patient populations and settings, methods of assessment or intervention, and outcome measures, and applied a set of criteria to evaluate study quality. RESULTS: All instruments designed to screen for child abuse and neglect were directed to parents, particularly pregnant women. These instruments had fairly high sensitivity but low specificity when administered in high-risk study populations and have not been widely tested in other populations. Randomized controlled trials of frequent nurse home visitation programs beginning during pregnancy that address behavioral and psychological factors indicated improved abuse measures and outcomes. No studies were identified about interventions in older children or harms associated with screening and intervention. CONCLUSIONS: No trials of the effectiveness of screening in a health care setting have been published. Clinician referrals to nurse home visitation during pregnancy and in early childhood may reduce abuse in selected populations. There are no studies about harms of screening and interventions.

Original languageEnglish (US)
Pages (from-to)161-169
Number of pages9
JournalAnnals of Family Medicine
Volume2
Issue number2
DOIs
StatePublished - Mar 2004

Fingerprint

Domestic Violence
Advisory Committees
Community Health Nurses
Child Abuse
Population
Outcome Assessment (Health Care)
Delivery of Health Care
Pregnancy
MEDLINE
Pregnant Women
Primary Health Care
Language
Referral and Consultation
Randomized Controlled Trials
Parents
Psychology
Sensitivity and Specificity

Keywords

  • Child abuse
  • Child neglect
  • Domestic violence/prevention and control
  • Evidence-based medicine
  • Review, academic

ASJC Scopus subject areas

  • Family Practice

Cite this

Screening children for family violence : A review of the evidence for the US Preventive Services Task Force. / Nygren, Peggy; Nelson, Heidi; Klein, Jonathan.

In: Annals of Family Medicine, Vol. 2, No. 2, 03.2004, p. 161-169.

Research output: Contribution to journalArticle

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