2.50
Hdl Handle:
http://hdl.handle.net/10755/303998
Category:
Full-text
Type:
Presentation
Title:
Utility of the "Cycle Model" of Child Abuse Prevention Using PACAP and USDT
Author(s):
Ueda, Reiko; Yoshikawa, Chieko; Miyazawa, Junko; Tamashiro, Kiyoko; Nishihira, Tomoko
Lead Author STTI Affiliation:
Tau Nu
Author Details:
Reiko Ueda, RN, PHN, MLitt, DMSci, sat.ueda@nifty.com; Chieko Yoshikawa, RN, PHN, BA; Junko Miyazawa, RN, CNM, PHN, DNS; Kiyoko Tamashiro, RN, DNS; Tomoko Nishihira, RN, MSN.;
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.

Keywords:
Primary intervention model; Child abuse prevention; PACAP
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleUtility of the "Cycle Model" of Child Abuse Prevention Using PACAP and USDTen
dc.contributor.authorUeda, Reikoen
dc.contributor.authorYoshikawa, Chiekoen
dc.contributor.authorMiyazawa, Junkoen
dc.contributor.authorTamashiro, Kiyokoen
dc.contributor.authorNishihira, Tomokoen
dc.contributor.departmentTau Nuen
dc.author.detailsReiko Ueda, RN, PHN, MLitt, DMSci, sat.ueda@nifty.com; Chieko Yoshikawa, RN, PHN, BA; Junko Miyazawa, RN, CNM, PHN, DNS; Kiyoko Tamashiro, RN, DNS; Tomoko Nishihira, RN, MSN.;en
dc.identifier.urihttp://hdl.handle.net/10755/303998-
dc.description.abstract<p>Session presented on: Wednesday, July 24, 2013</p><b>Purpose: </b>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. <p><b>Methods: </b>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.' <p><b>Results: </b>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.' <p><b>Conclusion: </b>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.en
dc.subjectPrimary intervention modelen
dc.subjectChild abuse preventionen
dc.subjectPACAPen
dc.date.available2013-10-22T20:27:21Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:27:21Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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