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Measuring child maltreatment in community-based trials

Moody, Gwenllian 2019. Measuring child maltreatment in community-based trials. PhD Thesis, Cardiff University.
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Abstract

Background Nationally and internationally, there has been a growing recognition of the importance of identifying, documenting and reporting suspected and confirmed child maltreatment. Formally collected data on the extent of child maltreatment in social services and criminal justice records are likely to be an underestimate of actual cases. Aims The aims of this study are firstly to introduce the problem of child maltreatment. Secondly, to explore mothers, care-experienced young people and professional attitudes regarding the collection and linkage of maltreatment data for research. Thirdly, to investigate how markers and risk factors of maltreatment relate to outcomes that may indicate maltreatment, and to illustrate this using case studies. Methods The study involves formally reviewing the background to each research question by structured literature review. The study takes a mixed-methods approach. Secondary regression analysis of data explored potential risk factors and markers of outcomes that may indicate maltreatment. Exploratory focus group interviews with mothers, care-experienced young people and professional stakeholders were conducted. Findings When exploring mothers, care-experienced young people and professionals’ attitudes towards collecting and linking maltreatment data for research three major themes were identified:consent, trust and understanding. Mothers with outcomes that may indicate maltreatment in their child were more likely to have higher parental stress, be more deprived, and show their child negativity. They were also more likely to have a child attending A&E with a nerve, contusion, head or ano-genital injury, with a congenital abnormality, and themselves had a higher number of antenatal check-ups. When collecting data on child maltreatment researchers should not utilise a dataset containing a subset of participants as the main population. They should not utilise a dataset less complete than another, and be mindful that self-report may be less reliable than routinely collected data. Case studies were useful in gaining a deeper understanding of the pattern of variables that could be related to outcome.

Item Type: Thesis (PhD)
Date Type: Completion
Status: Unpublished
Schools: Medicine
Date of First Compliant Deposit: 7 April 2020
Last Modified: 07 Apr 2020 10:07
URI: https://orca.cardiff.ac.uk/id/eprint/130856

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