Child and Family-focused Interventions for Child Maltreatment and Domestic Abuse: Development of Core Outcome Sets

Overview

Journal BMJ Open

Specialty General Medicine

Date 2022 Sep 19

PMID 36123087

Authors

Claire Powell

Gene Feder

Ruth Gilbert

Laura Paulauskaite

Eszter Szilassy

Jenny Woodman

Emma Howarth

Affiliations

Soon will be listed here.

Abstract

Background: The current evidence for child maltreatment (CM) and domestic violence and abuse (DVA) interventions is limited by the diversity of outcomes evaluated and the variety of measures used. The result is studies that are difficult to compare and lack focus on outcomes reflecting service user or provider priorities.

Objective: To develop core outcome sets (COSs) for evaluations of child and family-focused interventions for: (1) CM and (2) DVA.

Design: We conducted a two-stage consensus process. Stage 1: a long list of candidate outcomes across CM and DVA was developed through rapid systematic reviews of intervention studies, qualitative and grey literature; stakeholder workshops; survivor interviews. Stage 2: three-panel, three-round e-Delphi surveys for CM and DVA with consensus meetings to agree with the final COSs.

Participants: 287 stakeholders participated in at least one stage of the process (ie, either CM or DVA COS development): workshops (n=76), two e-Delphi surveys (n=170) and consensus meetings (n=43). Stakeholders included CM and DVA survivors, practitioners, commissioners, policymakers and researchers.

Results: Stage 1 identified 335 outcomes categorised into 9 areas and 39 domains. Following stage 2, the final five outcomes included in the CM-COS were: child emotional health and well-being; child's trusted relationships; feelings of safety; child abuse and neglect; service harms. The final five outcomes in the DVA-COS were: child emotional health and well-being; caregiver emotional health and well-being; family relationships; freedom to go about daily life; feelings of safety.

Conclusions: We developed two COSs for CM and DVA with two common outcomes (child emotional health and well-being; feelings of safety). The COSs reflect shared priorities among service users, providers and researchers. Use of these COSs across trials and service evaluations for children and families affected by CM and DVA will make outcome selection more consistent and help harmonise research and practice.

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References

Kirkham J, Davis K, Altman D, Blazeby J, Clarke M, Tunis S . Core Outcome Set-STAndards for Development: The COS-STAD recommendations. PLoS Med. 2017; 14(11):e1002447. PMC: 5689835. DOI: 10.1371/journal.pmed.1002447. View

Howarth E, Powell C, Woodman J, Walker E, Chesters H, Szilassy E . Protocol for developing core outcome sets for evaluation of psychosocial interventions for children and families with experience or at risk of child maltreatment or domestic abuse. BMJ Open. 2021; 11(8):e044431. PMC: 8383853. DOI: 10.1136/bmjopen-2020-044431. View

Belsky J . Etiology of child maltreatment: a developmental-ecological analysis. Psychol Bull. 1993; 114(3):413-34. DOI: 10.1037/0033-2909.114.3.413. View

Rivas C, Ramsay J, Sadowski L, Davidson L, Dunne D, Eldridge S . Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse. Cochrane Database Syst Rev. 2015; (12):CD005043. PMC: 9392211. DOI: 10.1002/14651858.CD005043.pub3. View

Campbell A, Thompson S . The emotional maltreatment of children in domestically violent homes: Identifying gaps in education and addressing common misconceptions. The risk of harm to children in domestically violent homes mandates a well-coordinated response. Child Abuse Negl. 2015; 48:39-49. DOI: 10.1016/j.chiabu.2015.08.009. View

Jahanfar S, Howard L, Medley N . Interventions for preventing or reducing domestic violence against pregnant women. Cochrane Database Syst Rev. 2014; (11):CD009414. PMC: 7104547. DOI: 10.1002/14651858.CD009414.pub3. View

Macdonald G, Livingstone N, Hanratty J, McCartan C, Cotmore R, Cary M . The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis. Health Technol Assess. 2016; 20(69):1-508. PMC: 5056338. DOI: 10.3310/hta20690. View

Prinsen C, Vohra S, Rose M, Boers M, Tugwell P, Clarke M . How to select outcome measurement instruments for outcomes included in a "Core Outcome Set" - a practical guideline. Trials. 2016; 17(1):449. PMC: 5020549. DOI: 10.1186/s13063-016-1555-2. View

Hameed M, ODoherty L, Gilchrist G, Tirado-Munoz J, Taft A, Chondros P . Psychological therapies for women who experience intimate partner violence. Cochrane Database Syst Rev. 2020; 7:CD013017. PMC: 7390063. DOI: 10.1002/14651858.CD013017.pub2. View

10.

Latzman N, Casanueva C, Brinton J, Forman-Hoffman V . The promotion of well-being among children exposed to intimate partner violence: A systematic review of interventions. Campbell Syst Rev. 2023; 15(3):e1049. PMC: 8356495. DOI: 10.1002/cl2.1049. View

11.

Daro D, Edleson J, Pinderhughes H . Finding common ground in the study of child maltreatment, youth violence, and adult domestic violence. J Interpers Violence. 2004; 19(3):282-98. DOI: 10.1177/0886260503261151. View

12.

Heise L . Violence against women: an integrated, ecological framework. Violence Against Women. 2002; 4(3):262-90. DOI: 10.1177/1077801298004003002. View

13.

Kirkham J, Gorst S, Altman D, Blazeby J, Clarke M, Devane D . Core Outcome Set-STAndards for Reporting: The COS-STAR Statement. PLoS Med. 2016; 13(10):e1002148. PMC: 5068732. DOI: 10.1371/journal.pmed.1002148. View

14.

Gilbert R, Kemp A, Thoburn J, Sidebotham P, Radford L, Glaser D . Recognising and responding to child maltreatment. Lancet. 2008; 373(9658):167-80. DOI: 10.1016/S0140-6736(08)61707-9. View

15.

Lessard G, Alvarez-Lizotte P . The exposure of children to intimate partner violence: Potential bridges between two fields in research and psychosocial intervention. Research and interventions often focus on a specific form of violence without considering other forms of.... Child Abuse Negl. 2015; 48:29-38. DOI: 10.1016/j.chiabu.2015.05.004. View

16.

Jongsma K, van Seventer J, Verwoerd A, van Rensen A . Recommendations from a James Lind Alliance priority setting partnership - a qualitative interview study. Res Involv Engagem. 2020; 6(1):68. PMC: 7678261. DOI: 10.1186/s40900-020-00240-3. View