Educational interventions to prevent paediatric abusive head trauma in babies younger than one year old: A systematic review and meta-analyses

Scott, Lauren J; Wilson, Rebecca F.; Davies, Philippa; Lyttle, Mark D; Mytton, Julie; Dawson, Sarah; Ijaz, Sharea; Redaniel, Maria Theresa; Williams, Joanna G.; Savović, Jelena

doi:10.1016/j.chiabu.2022.105935

Cited by 3 publications

(8 citation statements)

References 39 publications

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“…The costs of establishing various prevention programmes are negligible compared to the financial and social consequences of a single child following AHT, which can have a tremendous financial impact on the health system. 18 Despite a clear majority of female participants, the present study could reveal gender-specific results. In addition, a strength was the inclusion of participants without their own children.…”

Section: Discussionmentioning

confidence: 56%

“…18 In summary, up to now, there is no clear evidence that AHT can be reduced by educational programmes. 18,23 However, how the diagnosis of AHT was established in the prevention studies remains questionable. If AHT was concluded on the basis of certain medical findings and not on the basis of a witnessed or admitted event, there may be a risk of false-positive diagnosis.…”

Section: Discussionmentioning

confidence: 97%

“…1 However, several studies have shown that fathers and male caregivers are often identified as the most common offenders in cases of AHT. 1,18,19,22 Furthermore, male participants rather believed that shaking trauma cannot lead to death compared to women. Given that these groups are at a higher risk of perpetrating AHT, prevention efforts should be specifically directed towards them.…”

Section: Discussionmentioning

confidence: 99%

“…Excessive infant crying or ‘infant colic’ is defined as uncontrollable crying for longer than 3 h a day on more than 3 days a week, over a period of more than a week in a healthy infant up to 4 months of age 16 . The education of parents on how to handle the infant crying showed varying degrees of success 1,17,18 …”

Section: Introductionmentioning

confidence: 99%

“…16 The education of parents on how to handle the infant crying showed varying degrees of success. 1,17,18 The aim of the present study was to assess the knowledge of AHT, crying infants and correct behavioural measures in a general population and to attribute possible demographic differences such as age, gender, family status or origin or level of education in order to raise and strengthen awareness of abusive head trauma.…”

mentioning

confidence: 99%

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Abusive head trauma and crying infant–Public awareness of newborn and infant trauma

Arneitz,

Schmitz,

Szilagyi

et al. 2024

Acta Paediatrica

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AimCrying seems to be a common trigger for abusive head trauma (AHT), which is the leading cause of fatalities from physical abuse in infants. Our objective was to evaluate knowledge of AHT, crying infants and correct behavioural measures in a general population.MethodsAn online questionnaire (LimeSurvey) was created to assess the risk of shaking. The online survey contained a total of 41 questions, including a demonstration of a previously recorded video in which an infant doll is shaken.ResultsA total of 319 people, 245 of them (76.8%) with own children, participated in the study. Almost all respondents (98.4%) were aware of serious injuries due to shaking, even to the point of death (98.1%). Most participants (97.5%) had heard the term ‘shaking trauma’ prior but did not receive any professional information, neither before nor after birth (85.2% or 86%), or during follow‐up examinations (88.5%). The majority of the participants (95%) considered that useful coping strategies in infant crying were inappropriate.ConclusionThe consequences of shaking an infant were common knowledge in a normal population, whereas there was a knowledge gap regarding the management of excessive crying infants. Prevention programmes should mainly focus on male caregivers during postnatal care.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Abusive head trauma and crying infant–Public awareness of newborn and infant trauma

Arneitz,

Schmitz,

Szilagyi

et al. 2024

Acta Paediatrica

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The effectiveness of interventions to prevent and reduce child maltreatment in high-income countries: An umbrella review

Gautschi,

Lätsch

2024

Child Abuse & Neglect

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The Pediatrician’s Role in Preventing Child Maltreatment: Clinical Report

Stirling,

Gavril,

Brennan

et al. 2024

Pediatrics

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Pediatricians have always seen the value of preventing health harms; this should be no less true for child maltreatment than for disease or unintentional injuries. Research continues to demonstrate that maltreatment can be prevented, underscoring the vital roles of both the family and society in healthy childhood development and the importance of strong, stable, nurturing relationships in preventing maltreatment and building the child’s resilience to adversity. This clinical report elaborates the pediatrician’s multitiered role in supporting relational health from infancy through adolescence, from universal interventions assessing for maltreatment risks and protective factors to targeted interventions addressing identified needs and building on strengths. When maltreatment has already occurred, interventions can prevent further victimization and mitigate long-term sequelae. Advice is provided on engaging community resources, including those that provide food, shelter, or financial support for families in need.

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Educational interventions to prevent paediatric abusive head trauma in babies younger than one year old: A systematic review and meta-analyses

Cited by 3 publications

References 39 publications

Abusive head trauma and crying infant–Public awareness of newborn and infant trauma

Abusive head trauma and crying infant–Public awareness of newborn and infant trauma

The effectiveness of interventions to prevent and reduce child maltreatment in high-income countries: An umbrella review

The Pediatrician’s Role in Preventing Child Maltreatment: Clinical Report

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