Abstract
Education is necessary to improve child physical abuse detection and management. A few studies have described national child abuse training programs, but none has measured changes in knowledge among participants. A collaboration of child abuse experts from the USA, an academic pediatric department, and a non-governmental organization in child protection aimed at (a) training hospital physicians in a train-the-trainer course for the detection and management of child physical abuse and (b) conducting workshops and measuring attendance and gain of knowledge of participants. A train-the-trainer and a national curriculum were created. A 78-item and a 20-item knowledge questionnaire were used pre and post the train-the-trainer course and all workshops, respectively. Nineteen physicians from all pediatric departments of the seven medical schools in Greece attended the course. Eight workshops in seven cities took place with a total attendance of 1220 health care professionals. Gain of knowledge was demonstrated for participants in the train-the-trainer course (p = 0.0015) and local workshops (p < 0.001).
Conclusion: We successfully engaged physicians from all medical schools in Greece and conducted a train-the-trainer module and eight workshops in major cities that improved the participants’ knowledge in child physical abuse. This approach may help address physician deficiencies in emerging areas of child abuse clinical practice.
What is Known: • Education is necessary to improve child physical abuse detection and management. • Although national training programs have been described, none has measured participants’ changes in knowledge. | |
What is New: • A collaboration of child abuse experts, all medical schools in Greece, and a non-governmental organization resulted in a national educational campaign in child physical abuse and gains in knowledge for participants. • This approach may help address deficiencies in emerging areas of clinical practice. |
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Abbreviations
- NKUA:
-
National and Kapodistrian University of Athens
References
Christian CW, The Committee on Child Abuse and Neglect (2015) The evaluation of suspected child physical abuse. Pediatrics 135:e1337
Flaherty EG, Sege RD, Griffith J, Price LL, Wasserman R, Slora E, Dhepyasuwan N, Harris D et al (2008) From suspicion of physical child abuse to reporting: primary care clinician decision-making. Pediatrics 122(3):611–619
Lazenbatt A, Freeman R (2006) Recognizing and reporting child physical abuse: a survey of primary healthcare professionals. J Adv Nurs 56(3):227–236
Ligier F, Giguère CE, Séguin M, Lesage A (2019) Survey evidence of the decline in child abuse in younger Canadian cohorts. Eur J Pediatr 178(9):1423–1432
Berthold O, Witt A, Clemens V, Brähler E, Plener PL, Fegert JM (2019) Do we get the message through? Difficulties in the prevention of abusive head trauma. Eur J Pediatr 178(2):139–146
Agathonos-Georgopoulou H (1997) Child maltreatment in Greece: a review of research. Child Abuse Rev 6:257–271
Trogan I, Dessypris N, Moustaki M, Petridou E (2001) How common is abuse in Greece? Studying cases with femoral fractures. Arch Dis Child 85(4):289–292
Nikolaidis G, Petroulaki K, Zarokosta F, Tsirigoti A, Hazizaj A et al (2018) Lifetime and past-year prevalence of children’s exposure to violence in 9 Balkan countries: the BECAN study. Child Adolesc Psychiatry Ment Health 12(1)
1056 The National SOS Helpline for Children. Available at: https://www.hamogelo.gr/gr/el/paidia-thimata-vias:sos-1056/. Accessed 16 Sept 2019
Flaherty EG, Stirling J Jr (2010) The committee on child abuse and neglect. . The pediatrician’s role in child maltreatment prevention. Pediatrics 126:833
Christian CW (2008) Professional education in child abuse and neglect. Pediatrics 122:S13–S17
Carter YH, Bannon MJ, Limbert C, Docherty A, Barlow J (2006) Improving child protection: a systematic review of training and procedural interventions. Arch Dis Child 91:740–743
Aggarwal K, Dalwai S, Galagali P, Mishra D, Prasad C, Thadhani A for the CRPP of IAP (2010) Recommendations on recognition and response to child abuse and neglect in the Indian setting. Indian Pediatr 47:493–504
Shabde N (2006) Child protection training for paediatricians. Arch Dis Child 91:639–641
Agirtan CA, Akar T, Akbas S, Akdur R, Aydin C, Aytar G, Ayyildiz S, Baskan S et al (2009) Establishment of interdisciplinary child protection teams in Turkey 2002-2006: identifying the strongest link can make a difference! Child Abuse Negl 33(4):247–255
Sartorius N, Janca A (1996 Mar) Psychiatric assessment instruments developed by the World Health Organization. Soc Psychiatry Psychiatr Epidemiol 31(2):55–69
Dagenais C, Dutil J (2011) Action in Childcare Settings training programme development of an evidence-based training programme for the prevention of child maltreatment. Glob Health Promot 18(1):66–68
EPIC-SCAN. Educating physicians in the community: suspected child abuse and neglect. Available at: www.pascan.org. Accessed 3 Jan 2018
Lewis NV, Larkins C, Stanley N, Szilassy E, Turner W, Drinkwater J, Feder GS (2017) Training on domestic violence and child safeguarding in general practice: a mixed method evaluation of a pilot intervention. BMC Fam Pract 18:33
Lawrence LL, Brannen SJ (2000) The impact of physician training on child maltreatment reporting: a multi-specialty study. Mil Med 165(8):607–611
Oral R, Koc F, Jogerst K, Bayman L, Austin A, Sullivan S, Bayman EO (2014) Staff training makes a difference: improvements in neonatal illicit drug testing and intervention at a tertiary hospital. Matern Fetal Neonatal Med 27(10):1049–1054
Shefet D, Dascal-Weichhendler H, Rubin O, Pessach N, Itzik D, Benita S, Ziv A (2007) Domestic violence: a national simulation-based educational program to improve physicians' knowledge, skills and detection rates. Med Teach 29(5):e133–e138
Açik Y, Deveci SE, Oral R (2004) Level of knowledge and attitude of primary care physicians in Eastern Anatolian cities in relation to child abuse and neglect. Prev Med 39(4):791–797
Demirçin S, Tütüncüler A, Aslan F, Velipaşaoğlu Güney S, Atılgan M, Gülkesen H (2017) The knowledge level and opinions of physicians about the medical and legal procedures related to physical child abuse. Balkan Med J 34:140–146
Romeo L, Gibelli D, Giannotta F, Zocchi MT, Rossi RC, Kustermann A, Cattaneo C (2016) Can family pediatricians in Italy identify child abuse? A survey. Minerva Pediatr 68(3):230–236
Anderst J, Dowd MD (2010) Comparative needs in child abuse education and resources: perceptions from three medical specialties. Med Educ Online 15:5193
Turner W, Broad J, Drinkwater J, Firth A, Hester M, Stanley N, Feder G (2017) Interventions to improve the response of professionals to children exposed to domestic violence and abuse: a systematic review. Child Abuse Rev 26(1):19–39. https://doi.org/10.1002/car.2385
Markenson D, Foltin G, Tunik M, Cooper A, Matza-Haughton H, Olson L, Treiber M, Center for Pediatric Emergency Medicine; National Registry of emergency medical technicians; national EMSC data resource center (2002) Knowledge and attitude assessment and education of prehospital personnel in child abuse and neglect: report of a National Blue Ribbon Panel. Prehosp Emerg Care 6(3):261–272
Acknowledgments
We would like to thank Ms. Emy Ntotsika for her invaluable organizing skills. Without the vision and support of ELIZA—the Society for Prevention of Cruelty to Children, this educational campaign would not have been possible. We also would like to thank Emeritus Professor Charles F. Johnson, MD, for his generosity to share the physician knowledge tool that he had developed with all future generations of practitioners to use in the betterment of child protection work. We acknowledge the participation of the group of trainers (in alphabetical order): Sapfo Alfantaki, Achilleas Attilakos, Flora Bacopoulou, Maria Christaki, Katerina Haidopoulou, Maria Kyriazi, Sophia Leventeli, Alexander Makis, Elpidoforos Mantadakis, Elizabeth Michailidou, Chryssoula Perdikogianni, Panagiota Pervanidou, Nikolaos Skenteris, Maria Stamou, Antonis Theodorakopoulos, Stavros Thomaidis, Despoina Tramma, Ekaterini Tzintziova, and Maria Zaharioudaki.
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A. S.: conception and design; data acquisition, analysis, and interpretation; drafting, critical revision, and approval of article; accountability agreement. Af. S.: conception and design; data acquisition, critical revision, and approval of article; accountability agreement. A. P.: data acquisition, analysis, and interpretation; drafting, critical revision, and approval of article; accountability agreement. B. P.: data acquisition; drafting, critical revision, and approval of article; accountability agreement. E.K.: data acquisition; critical revision, and approval of article; accountability agreement. P. K.: data acquisition and analysis; critical revision and approval of article; accountability agreement. M. T.: conception and design; data acquisition; critical revision and approval of article; accountability agreement. R. O.: conception and design; data acquisition and interpretation; critical revision and approval of article; accountability agreement. J. M. L.: conception and design; data acquisition, analysis, and interpretation; drafting, critical revision, and approval of article; accountability agreement.
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Communicated by Gregorio Paolo Milani
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Soldatou, A., Stathi, A., Panos, A. et al. A national educational campaign to raise awareness of child physical abuse among health care professionals. Eur J Pediatr 179, 1395–1402 (2020). https://doi.org/10.1007/s00431-020-03625-4
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DOI: https://doi.org/10.1007/s00431-020-03625-4