@article{ref1,
title="A randomized controlled trial of Safer Kids - a program for parents reported for child abuse: short-term effects on further reports of child abuse and related risk factors",
journal="Child abuse and neglect",
year="2023",
author="van Leuven, Livia and Enebrink, Pia and Ghaderi, Ata and Sorjonen, Kimmo and Lalouni, Maria and Forster, Martin",
volume="143",
number="",
pages="e106329-e106329",
abstract="BACKGROUND: Millions of children are victims of child abuse world-wide. Consequences include long-term health impacts and large societal costs. Parent training is promising to prevent abuse, but challenges with motivation and attrition must be overcome to reach parents in need. <br><br>OBJECTIVE: To assess the effectiveness and acceptability of Safer Kids, a cognitive behavioral therapy-based parenting program delivered immediately after a report of child abuse. Safer Kids is used within the Child Welfare Services (CWS) in Sweden but has never been evaluated in an RCT. PARTICIPANTS AND SETTING: In total, 112 families with children 2-12 years referred to the Swedish CWS for physical or emotional child abuse participated. <br><br>METHODS: Families were randomized to Safer Kids or intervention as usual (IAU). Data from parents, children and CWS were analyzed with multilevel and survival analyses. Primary outcomes were parent-rated child abuse potential and re-reports of abuse. Secondary outcomes were child abuse risk factors and treatment satisfaction. <br><br>RESULTS: Data 4 and 7 months from baseline were available for 96 % of the families. All except one family (98 %) who started Safer Kids completed the program. Both groups improved from baseline to follow-ups on most effectiveness outcomes. The changes were not statistically different between groups. Parents and social workers were more satisfied with Safer Kids than IAU. <br><br>CONCLUSIONS: Short manualized parenting programs can be a way to reach parents reported for child abuse with support. Safer Kids is a viable option to the CWS's standard interventions, as it was equally effective and slightly better accepted than IAU.<p /> <p>Language: en</p>",
language="en",
issn="0145-2134",
doi="10.1016/j.chiabu.2023.106329",
url="http://dx.doi.org/10.1016/j.chiabu.2023.106329"
}