Educating early childhood care and education providers to improve knowledge and attitudes about reporting child maltreatment: A randomized controlled trial.
Date
2017
Journal Title
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Volume Title
Publisher
PLoS One
Abstract
Early childhood care and education providers (CCPs) work with over 7 million young children.
These children are vulnerable to physical, sexual and emotional abuse, and neglect.
However, CCPs make less than 1% of all reports of suspected child abuse and neglect that
are made to child protective services. CCPs are therefore an untapped resource in the public
health response to child maltreatment. However, their knowledge and attitudes about
duties to report child maltreatment are poorly understood. Moreover, no rigorous research
has tested whether their knowledge and attitudes about reporting child maltreatment can be
improved. These gaps in knowledge are important because knowledge of the duty and positive
attitudes towards it produce more effective reporting, and little evidence exists about
how to enhance cognitive and affective attributes. Using the CONSORT approach, we
report a single-blind test-retest randomized controlled trial evaluating iLook Out for Child
Abuse, a customized online educational intervention for CCPs to increase knowledge and
attitudes towards the reporting duty. 762 participants were randomized with results analyzed
for 741 participants (372 in the intervention group; 369 in the control). Knowledge of the reporting
duty increased in the intervention group from 13.54 to 16.19 out of 21 (2.65 increase,
95% CI: (2.37, 2.93); large effect size 0.95, p < 0.001); the control group remained stable,
moving from 13.54 to 13.59 (0.05 increase, 95% CI: (-0.12, 0.22); negligible effect size 0.03,
p = 0.684). Attitudes were enhanced on all 13 items for the intervention group, remaining
stable in the control, with significant differences between groups on all items (p < 0.05).
Gains were largely sustained at four month follow-up. Findings support education for CCPs
and other professions. Future research should also explore effects of education on reporting
behavior.
Description
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Article
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Keywords
educators, knowledge, attitude, International Resources, Australia
Citation
Mathews, B., Yang, C., Lehman, E. B., Mincemoyer, C., Verdiglione, N., & Levi, B. H. (2017). Educating early childhood care and education providers to improve knowledge and attitudes about reporting child maltreatment: A randomized controlled trial. PLOS ONE, 12(5), e0177777.