Abstract
Session presented on: Wednesday, July 24, 2013: Purpose: To confirm the utility of 'cycle model' of child abuse prevention by an action research using PACAP (Pre-assessment tool for child abuse prevention) and USDT (Ueda's simplified developmental test) developed by us. Methods: All pre-school children and their parents in Island K, Japan, and multiple health-related professionals in direct contact with them participated in the action research. PACAP, a semi-structured questionnaire with 18 items in four areas, was administered to the parents. USDT was administered to those children who were suspected of maltreatment by the results of PACAP. To the non-respondents PACAP was administered by public health nurses on home visits. Results: 1) A total of 447 of 538 cases (83.1%) responded. Among 447, 16 (3.6%) true risk cases, 38 (8.5%) false positive cases and 393 (87.9%) normal cases were confirmed. The better identification of the false positives and reduction of waste of time and energy by it were possible by the newly introduced 'adaptive score' method of PACAP. 2) Out of 16 true risk cases, only four (25.0%) seeked professional support while 12 (75.0%) did not, thus indicating great 'covert needs'. 3) The follow-up of 16 cases after 3-6 months showed that 'the risk score' lowered or remained the same but did not become higher, while 'adaptive score' became higher except for one case. Conclusion: 1) The true risk cases were identified in 3.6% by PACAP and USDT. It is important that newly introduced 'adaptive score' was effective in reducing false positive cases. 2) The positive approach of 'cycle model' of child abuse prevention was effective from both the standpoints of population strategy as well as risk strategy. 3) Assessment and intervention for the primary prevention of child abuse would be possible even in communities of limited professional resources like Island K using PACAP and USDT.
Sigma Membership
Tau Nu
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Primary intervention model, Child abuse prevention, PACAP
Recommended Citation
Ueda, Reiko; Yoshikawa, Chieko; Miyazawa, Junko; Tamashiro, Kiyoko; and Nishihira, Tomoko, "Utility of the "Cycle Model" of Child Abuse Prevention Using PACAP and USDT" (2013). INRC (Congress). 69.
https://www.sigmarepository.org/inrc/2013/presentations_2013/69
Conference Name
24th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Prague, Czech Republic
Conference Year
2013
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Acquisition
Proxy-submission
Utility of the "Cycle Model" of Child Abuse Prevention Using PACAP and USDT
Prague, Czech Republic
Session presented on: Wednesday, July 24, 2013: Purpose: To confirm the utility of 'cycle model' of child abuse prevention by an action research using PACAP (Pre-assessment tool for child abuse prevention) and USDT (Ueda's simplified developmental test) developed by us. Methods: All pre-school children and their parents in Island K, Japan, and multiple health-related professionals in direct contact with them participated in the action research. PACAP, a semi-structured questionnaire with 18 items in four areas, was administered to the parents. USDT was administered to those children who were suspected of maltreatment by the results of PACAP. To the non-respondents PACAP was administered by public health nurses on home visits. Results: 1) A total of 447 of 538 cases (83.1%) responded. Among 447, 16 (3.6%) true risk cases, 38 (8.5%) false positive cases and 393 (87.9%) normal cases were confirmed. The better identification of the false positives and reduction of waste of time and energy by it were possible by the newly introduced 'adaptive score' method of PACAP. 2) Out of 16 true risk cases, only four (25.0%) seeked professional support while 12 (75.0%) did not, thus indicating great 'covert needs'. 3) The follow-up of 16 cases after 3-6 months showed that 'the risk score' lowered or remained the same but did not become higher, while 'adaptive score' became higher except for one case. Conclusion: 1) The true risk cases were identified in 3.6% by PACAP and USDT. It is important that newly introduced 'adaptive score' was effective in reducing false positive cases. 2) The positive approach of 'cycle model' of child abuse prevention was effective from both the standpoints of population strategy as well as risk strategy. 3) Assessment and intervention for the primary prevention of child abuse would be possible even in communities of limited professional resources like Island K using PACAP and USDT.