RNRCTInternational journal of community based nursing and midwifery2018

The Effect of Education on the Attitude and Child Abuse Behaviors of Mothers with 3-6 Year Old Children: A Randomized Controlled Trial Study.

Shahla Khosravan, Moosa Sajjadi, Jalil Moshari and 1 others

PMID 30035139

WHAT IT FOUND

Mothers given child-development parenting education plus home visits reported less slapping and pinching than controls.

Parenting attitude scores were higher in the trained group after the programme, but some neglect behaviours increased, so the effect was not uniform.

Key findings

01After the programme of parenting education plus home visits, the intervention group had a higher mean parenting attitude score than the control group (104.25±6.77 versus 96.37±9.31; P=0.001).

02The intervention group reported less slapping and pinching after the programme of parenting education plus home visits than the control group (slapping 3 (9.30%) versus 17 (53.10%); pinching 4 (12.40%) versus 11 (34.40%)).

03After the programme of parenting education plus home visits, disregard was significantly more prevalent in the intervention group than in controls (23 (71.90%) versus 7 (21.90%)).

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study used convenience sampling and was done in two rural health houses in Iran, so it may not apply to other settings. Only 32 mothers were analysed in each group. The programme combined parenting education and home visits, so the contribution of either component cannot be separated. Outcomes were self-reported by mothers, and only the data analyzer was blind to group allocation. Baseline abusive behaviours were not equal between groups; slapping was more prevalent in the intervention group before the programme. The intervention and control groups were assigned by health house rather than individual randomisation. Participants were rural Iranian mothers of firstborn children, housewives with at least primary school education, and children had no physical defects or disabilities.

The easy way to misread this

Do not conclude that this programme prevents all forms of child abuse. The trial was small, used self-report, and some psychological behaviours were significantly more prevalent in the intervention group after the programme.

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