Jared W Parrish, Melissa Bradley, Rachel Gallegos, Barbara Coopes, Teresa Covington
{"title":"Child Fatalities Resulting From Caregiver Behavior: A Public Health Approach to Child Maltreatment Classification.","authors":"Jared W Parrish, Melissa Bradley, Rachel Gallegos, Barbara Coopes, Teresa Covington","doi":"10.1177/10775595241300983","DOIUrl":null,"url":null,"abstract":"<p><p>Limited research describes approaches for applying a public health lens to fatal child maltreatment classification. Specialized terminology and tools could help improve consistency in classifying deaths resulting from caregiver behavior. A six-criterion classification tool was developed via expert panel review of over 100 child deaths by the Alaska Division of Public Health's Child Death Review (CDR) program. Next, accuracy and acceptability were assessed by inviting staff from other CDRs using a national listserv to classify 21 brief case scenarios with the tool. Among the 47 respondents, sensitivity was 0.87, specificity 0.77, and accuracy 0.84. Variability by tool criterion ranged from 97% to 74% accurate. Most respondents (66%) reported the tool as being helpful for classifying deaths and moderate reliability was found. Study participants found it difficult to consistently apply specific criteria which resulted in a modification of the tool to improve the potential for universal adoption.</p>","PeriodicalId":48052,"journal":{"name":"Child Maltreatment","volume":" ","pages":"10775595241300983"},"PeriodicalIF":4.5000,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Maltreatment","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1177/10775595241300983","RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
引用次数: 0
Abstract
Limited research describes approaches for applying a public health lens to fatal child maltreatment classification. Specialized terminology and tools could help improve consistency in classifying deaths resulting from caregiver behavior. A six-criterion classification tool was developed via expert panel review of over 100 child deaths by the Alaska Division of Public Health's Child Death Review (CDR) program. Next, accuracy and acceptability were assessed by inviting staff from other CDRs using a national listserv to classify 21 brief case scenarios with the tool. Among the 47 respondents, sensitivity was 0.87, specificity 0.77, and accuracy 0.84. Variability by tool criterion ranged from 97% to 74% accurate. Most respondents (66%) reported the tool as being helpful for classifying deaths and moderate reliability was found. Study participants found it difficult to consistently apply specific criteria which resulted in a modification of the tool to improve the potential for universal adoption.
期刊介绍：
Child Maltreatment is the official journal of the American Professional Society on the Abuse of Children (APSAC), the nation"s largest interdisciplinary child maltreatment professional organization. Child Maltreatment"s object is to foster professional excellence in the field of child abuse and neglect by reporting current and at-issue scientific information and technical innovations in a form immediately useful to practitioners and researchers from mental health, child protection, law, law enforcement, medicine, nursing, and allied disciplines. Child Maltreatment emphasizes perspectives with a rigorous scientific base that are relevant to policy, practice, and research.
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