Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Evaluation of a child abuse prevention program for unmarried mothers in South Korea: a single-case experimental design

  • Il Tae Park (College of Health and Welfare, Woosong University) ;
  • Won-Oak Oh (College of Nursing, Korea University)
  • Received : 2024.04.24
  • Accepted : 2024.06.16
  • Published : 2024.07.31
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Abstract

Purpose: This study aimed to implement a child abuse prevention program and evaluate its effectiveness based on the Nursing Model of Resilience and Coping Skills Training Model for unmarried mothers during pregnancy and puerperium. Methods: This study had a prospective single-case, AB design with four repeated self-questionnaire measures and three observational measures. Seven unmarried mothers were provided with 10 sessions child abuse prevention program through individual visits from 32 to 34 weeks of pregnancy to six weeks after childbirth. The questionnaire was composed related to resilience, maternal stress, maternal attitude, parent-child interaction, child abuse potential. The observation was measured by video recording (total 16 times) the interaction of parent-child during feeding and analyzing it by three experts. Data were analyzed by Wilcoxon signed-rank test and Friedman's test. Results: Maternal attitude and parent-child interaction were statistically significantly improved after intervention compared to before intervention. However, maternal stress decreased after intervention compared to before intervention, but it was not statistically significant. Additionally, resilience and child abuse potential were not statistically significant. This program is partially effective in preventing child abuse by promoting parenting attitudes and parent-child interactions. Conclusion: This study focused on individual resilience and applied systematic intervention as coping skills training to prevent child abuse. This study is meaningful in that interventions were conducted through individual visits to unmarried mothers at high risk of child abuse, and the program was applied, including pregnancy and postpartum periods, to prevent child abuse early.

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References

  1. World Health Organization (WHO). Child maltreatment [Internet]. 2022 [cited 2022 September 19]. Available from: https://www.who.int/news-room/fact-sheets/detail/child-maltreatment
  2. Ministry of Health & Welfare. Child abuse & neglect Korea 2021. Sejong: Ministry of Health and Welfare; 2022 Aug. Report No.: 11-1352000-002541-01.
  3. Widom CS. Longterm consequences of child maltreatment In: Korbin JE, Krugman RD, editors. Handbook of child maltreatment. Springer; 2014. p. 225-247.
  4. Berger LM, Font SA, Slack KS, Waldfogel J. Income and child maltreatment in unmarried families: evidence from the earned income tax credit. Review of Economics of the Household. 2017;15(4):1345-1372. https://doi.org/10.1007/s11150-016-9346-9
  5. Byun SJ, Kim YK, Choi IS, Kim JY, Choi SJ, Kim HJ. Childbirth and child-rearing in unwed mothers' families and policy implications. Sejong: Korea Institute for Health and Social Affairs; 2019 Dec. Report No.: 2019-20.
  6. Tucker MC, Rodriguez CM. Family dysfunction and social isolation as moderators between stress and child physical abuse risk. Journal of Family Violence. 2014;29:175-186. https://doi.org/10.1007/s10896-013-9567-0
  7. Chung MS. Resilience, coping methods, and quality of life in middle-aged women. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2011;20(4):345-354. https://doi.org/10.12934/jkpmhn.2011.20.4.345
  8. Tusaie K, Dyer J. Resilience: a historical review of the construct. Holistic Nursing Practice. 2004;18(1):3-8; quiz 9-10. https://doi.org/10.1097/00004650-200401000-00002
  9. Rutter M. Resilience as a dynamic concept. Development and Psychopathology. 2012;24(2):335-344. https://doi.org/10.1017/S0954579412000028
  10. Meichenbaum D, Cameron R. Stress inoculation training : toward a general paradigm for training coping skills. In: Meichenbaum D, Jaremko ME, editors. Stress reduction and prevention. Springer nature; 1989. p. 115-154.
  11. Hupp SDA, Reitman D, Jewell JD. Cognitive-behavioral theory. In: Hersen M, Gross AM, editors. Handbook of clinical psychology, Vol. 2: children and adolescents. John Wiley & Sons, Inc; 2008. p. 263-287.
  12. Polk LV. Toward a middle-range theory of resilience. Advances in Nursing Science. 1997;19(3):1-13. https://doi.org/10.1097/00012272-199703000-00002
  13. Park IT, Oh WO. Development of domains for improving the resilience of unmarried mothers to prevent child abuse. Journal of EastWest Nursing Research. 2020;26(2):109-117. https://doi.org/10.14370/JEWNR.2020.26.2.109
  14. Easterbrooks MA, Chaudhuri JH, Bartlett JD, Copeman A. Resilience in parenting among young mothers: Family and ecological risks and opportunities. Children and Youth Services Review. 2011;33(1):42-50. https://doi.org/10.1016/j.childyouth.2010.08.010
  15. Center for the study of social policy. Strengthening families [Internet]. 2024 [cited 2024 June 1]. Available from: https://cssp.org/ourwork/project/strengthening-families/
  16. Filene JH, Kaminski JW, Valle LA, Cachat P. Components associated with home visiting program outcomes: a meta-analysis. Pediatrics. 2013;132(Suppl 2):S100-S109. https://doi.org/10.1542/peds.2013-1021H
  17. Olds DL, Kitzman H, Knudtson MD, Anson E, Smith JA, Cole R. Effect of home visiting by nurses on maternal and child mortality: results of a 2-decade follow-up of a randomized clinical trial. JAMA Pediatrics. 2014;168(9):800-806. https://doi.org/10.1001/jamapediatrics.2014.472
  18. Smith C, Carlson BE. Stress, Coping, and Resilience in Children and Youth. Social Service Review. 1997;71(2):231-256. https://doi.org/10.1086/604249
  19. Marriott C, Hamilton-Giachritsis C, Harrop C. Factors promoting resilience following childhood sexual abuse: a structured, narrative review of the literature. Child Abuse Review. 2014;23(1):17-34. https://doi.org/10.1002/car.2258
  20. Lehrer PM, Woolfolk RL. Principles and practice of stress management. 4th ed. Guilford Press; 2021. p. 1-672.
  21. Lawson M, Valentino K, McDonnell CG, Speidel R. Maternal attachment is differentially associated with mother-child reminiscing among maltreating and nonmaltreating families. Journal of Experimental Child Psychology. 2018;169:1-18. https://doi.org/10.1016/j.jecp.2017.12.005
  22. Chiocca EM. American parents' attitudes and beliefs about corporal punishment: an integrative literature review. Journal of Pediatric Health Care. 2017;31(3):372-383. https://doi.org/10.1016/j.pedhc.2017.01.002
  23. Guterman K. Unintended pregnancy as a predictor of child maltreatment. Child Abuse & Neglect. 2015;48:160-169. https://doi.org/10.1016/j.chiabu.2015.05.014
  24. Kim MY, Park DY. Parenting stress, depression and verbal abuse of infant's mothers. Journal of Korean Academy of Child Health Nursing. 2009;15(4):375-382. https://doi.org/10.4094/jkachn.2009.15.4.375
  25. Christensen LB, Johnson RB, Turner LA. Research methods, design, and analysis. 13th ed. Pearson; 2021. p. 1-544.
  26. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP; STROBE Initiative. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. British Medical Journal. 2007;335(7624):806-808. https://doi.org/10.1136/bmj.39335.541782.AD
  27. Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety. 2003;18(2):76-82. https://doi.org/10.1002/da.10113
  28. Chun SY. Relationship between stress levels in mothers of disabled children and child's dependence in activities of daily living [master's thesis]. Seoul: Sookmyung Women's University; 1984. p. 1-53.
  29. Han KJ, Park YS. A study on the effects of the Lamaze prophylaxis. Journal of Nurses Academic Society. 1985;15(2):16-24. https://doi.org/10.4040/jnas.1985.15.2.16
  30. Barnard KE. Nursing child assessment satellite training project: learning resource manual. University of Washington; 1978. p. 1-50.
  31. Milner JS. An interpretive manual for the child abuse potential inventory. Psytec Inc.; 1990. p. 1-66
  32. Ahn HY, Kim SJ, Ko JA. Chlid abuse in high-risk group. Journal of Korean Academy of Nursing. 2002;32(6):775-783. https://doi.org/10.4040/jkan.2002.32.6.775
  33. Field A. Discovering statistics using SPSS. 3rd ed. Sage Publications; 2009. p. 539-583.
  34. Khosravan S, Sajjadi M, Moshari J, Barzegar Shoorab Sofla F. The effect of education on the attitude and child abuse behaviors of mothers with 3-6 year old children: a randomized controlled trial study. International Journal of Community Based Nursing and Midwifery. 2018;6(3):227-238.
  35. Moss E, Dubois-Comtois K, Cyr C, Tarabulsy GM, St-Laurent D, Bernier A. Efficacy of a home-visiting intervention aimed at improving maternal sensitivity, child attachment, and behavioral outcomes for maltreated children: a randomized control trial. Development and Psychopathology. 2011;23(1):195-210. https://doi.org/10.1017/S0954579410000738
  36. Thomas R, Zimmer-Gembeck MJ. Accumulating evidence for parent-child interaction therapy in the prevention of child maltreatment. Child Development. 2011;82(1):177-192. https://doi.org/10.1111/j.1467-8624.2010.01548.x
  37. Baggett K, Davis B, Feil E, Sheeber L, Landry S, Leve C, et al. A randomized controlled trial examination of a remote parenting intervention: engagement and effects on parenting behavior and child abuse potential. Child Maltreatment. 2017;22(4):315-323. https://doi.org/10.1177/1077559517712000
  38. Sacristan-Martin O, Santed MA, Garcia-Campayo J, Duncan LG, Bardacke N, Fernandez-Alonso C, et al. A mindfulness and compassion-based program applied to pregnant women and their partners to decrease depression symptoms during pregnancy and postpartum: study protocol for a randomized controlled trial. Trials. 2019;20(1):654. https://doi.org/10.1186/s13063-019-3739-z