MCHbest. NPM 7: Injury Hospitilization
Strategy. Clinic-Based Interventions to Prevent Child Maltreatment
Approach. Conduct parent education during prenatal care and/or well-child visits to reduce child maltreatment.
Overview. Studies show that home visiting programs have a positive effect on improving parenting competence and reducing child maltreatment. 1-3
Evidence. Moderate. Parent education during prenatal care or well-child visits appears to be effective in promoting positive parenting and preventing child maltreatment. Programs based on this strategy are likely to work. This strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Caregivers: individuals receiving prenatal care or attending well-child visits.
Outcome. Lower rates of child maltreatment (e.g., fewer child protective services reports, less harsh punishment reported by parents). For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. Access descriptions of ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM. You may also want to look at evidence that supports educational programs in other NPM topic areas that can be translated to this specific topic area.
Sample ESMs.Using the approach “Conduct parent education during prenatal care and/or well-child care to reduce child maltreatment,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework:
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Dubowitz H, Fiegelman S, Lane WG, Kim J. Pediatric primary care to help prevent child maltreatment: The Safe Environment for Every Kid (SEEK) Model. Pediatrics 2009; 123: 858–864.
2 Dubowitz H, Lane WG, Semiatin JN, Magder LS. The SEEK Model of pediatric primary care: Can child maltreatment be prevented in a low-risk population? Academic Pediatrics 2012; 12: 259–268.
3 Oveisi S, Ardabili HE, Dadds MR, Majdzadeh R, Mohammadkhani P, Rad JA, et al. Primary prevention of parent– child conflict and abuse in Iranian mothers: A randomized-controlled trial. Child Abuse and Neglect 2010; 34: 206–13.