关键词: child protection non-accidental injury public health

Mesh : Adult Child Humans Consensus Delphi Technique Europe Surveys and Questionnaires Child Abuse / prevention & control

来  源:   DOI:10.1136/bmjopen-2023-076517   PDF(Pubmed)

Abstract:
Child maltreatment (CM) is a complex global public health issue with potentially devastating effects on individuals\' physical and mental health and well-being throughout the life course. A lack of uniform definitions hinders attempts to identify, measure, respond to, and prevent CM. The aim of this electronic Delphi (e-Delphi) study is to build consensus on definitions and types of CM for use in surveillance and multi-sectoral research in the 34 countries in the Euro-CAN (Multi-Sectoral Responses to Child Abuse and Neglect in Europe) project (COST Action CA19106).
The e-Delphi study will consist of a maximum of three rounds conducted using an online data collection platform. A multi-disciplinary expert panel consisting of researchers, child protection professionals (health and social care), police, legal professionals and adult survivors of CM will be purposefully recruited. We will approach approximately 100 experts, with between 50 and 60 of these anticipated to take part. Participants will rate their agreement with a range of statements relating to operational definitions and types of CM, and free-text comments on each of the statements to give further detail about their responses and areas of uncertainty. Consensus has been defined a priori as ≥70% of the panel agreeing or disagreeing with the statement after the final round. The responses to the open-ended questions will be analysed using a \'codebook\' approach to thematic analysis, and used to refine the statements between rounds where no consensus is reached.
Ethical approval has been granted from the Cardiff University School of Medicine ethics committee (reference number SMREC22/96). Results will be submitted for publication in a peer-reviewed journal and presented at workshops (including for the participants) and international academic conferences. The Euro-CAN network will also be used to disseminate the results, with results briefings and presentations to key public health and other relevant organisations in the field.
摘要:
背景:儿童虐待(CM)是一个复杂的全球公共卫生问题,在整个生命过程中对个人的身心健康和福祉具有潜在的破坏性影响。缺乏统一的定义阻碍了人们试图确定,measure,回应,防止CM。这项电子德尔菲(e-Delphi)研究的目的是就欧洲-CAN(欧洲儿童虐待和忽视的多部门反应)项目(COSTActionCA19106)中34个国家的监测和多部门研究中使用的CM的定义和类型达成共识。
方法:e-Delphi研究将包括使用在线数据收集平台进行的最多三轮。由研究人员组成的多学科专家小组,儿童保护专业人员(卫生和社会护理),警察,将有目的地招募CM的法律专业人士和成年幸存者。我们将接近大约100名专家,预计将有50至60人参加。参与者将对与操作定义和CM类型有关的一系列陈述的协议进行评级,以及对每个陈述的自由文本评论,以进一步详细说明其回应和不确定领域。共识已被先验定义为在最后一轮投票后,≥70%的小组同意或不同意该声明。对开放式问题的回答将使用“码本”方法进行主题分析,并用于在未达成共识的回合之间完善陈述。
背景:已获得卡迪夫大学医学院伦理委员会的伦理批准(参考号SMREC22/96)。结果将在同行评审的期刊上提交发表,并在研讨会(包括参与者)和国际学术会议上发表。Euro-CAN网络还将用于传播结果,向该领域的主要公共卫生和其他相关组织提供结果简报和介绍。
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