TY  - JOUR
PY  - 2023//
TI  - 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
JO  - Child abuse and neglect
A1  - van Leuven, Livia
A1  - Enebrink, Pia
A1  - Ghaderi, Ata
A1  - Sorjonen, Kimmo
A1  - Lalouni, Maria
A1  - Forster, Martin
SP  - e106329
EP  - e106329
VL  - 143
IS  - 
N2  - 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>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2023.106329
ID  - ref1
ER  -