|Title||Action research to prevent child maltreatment at K Island in the most southern area of Japan|
|Keywords||action research, prevention of child maltreatment, pre-assessment tool (PACAP)、USDT (Ueda’s Simplified Developmental Test), allied health professionals, community empowerment|
|Abstract|| Objective: An innovation in child maltreatment prevention was intended by introducing a new positive approach to allied health workers, children, family and community. |
Method: The participants were all the pre-school-age children and their parents/caregivers in K Island, one of the southern islands of Japan with the population of 8,651. 1) As the basis of the population approach two groups (A and B) were organized: Group A consisted of workers at medical/educational/welfare organizations related to child rearing; and Group B included volunteers who were interested in child rearing intervention. After each meeting, the participating workers/volunteers were evaluated for the outcome of their learning and their needs for the next meeting. 2) Concerning to the risk approach, questionnaires were given and retrieved from the participants: the PACAP for the parents/caregivers and the USDT for the risk children.
Results: 1) Attitudes of members of each group changed positively as they attended the meetings. Meetings by heterogeneous members of multiple health professions were useful for the better understanding of children’s needs. The members who participated were awakened to the importance of early identification of and intervention to child neglect. 2) One-hundred-ninety-four out of 382 parents/caregivers for children aged 0-5, who attended nursery schools (50.8%) responded to the PACAP. The “true risk” cases among them were 4 (2.1%) since a new scoring method of the PACAP successfully reduced the false positives. As the next step, the PACAP was administered to the 125 parents/caregivers who had not responded to the initial trial and the 170 who did not attend nursery schools. The combined ratio of respondents became 83%. 3) Intervention for the risk cases was carried out by using the USDT at home visits and interviews.
Conclusions: The new strategy using the PACAP and USDT was useful for population and risk approach to child maltreatment prevention.
|Last name||First name||Organization||Country|
|Ueda||Reiko||Graduate School, Okinawa Prefectural College of Nursing||JP||sat.ueda [ätt] nifty.com|
|Yoshikawa||Chieko||Faculty of Human Health, Meio University||JP|
|Tamashiro||Kiyoko||Okinawa Prefectural College of Nursing||JP|
|Miyazawa||Junko||Faculty of Nursing, Josai International University||JP||j-miyazawa [ätt] umin.ac.jp|