Child Health Nurs Res.  2022 Jan;28(1):41-50. 10.4094/chnr.2022.28.1.41.

The effectiveness of home visiting programs for the prevention of child maltreatment recurrence at home: a systematic review and meta-analysis

Affiliations
  • 1Registered Nurse, Jeju National University Hospital, Jeju ‧ Graduate Student, College of Nursing, Jeju National University, Jeju, Korea
  • 2Assistant Professor, College of Nursing · Health and Nursing Research Institute, Jeju National University, Jeju, Korea

Abstract

Purpose
This systematic review aimed to investigate the effectiveness of home visiting programs targeting parents who have maltreated their children on the prevention of child maltreatment recurrence.
Methods
Major databases were searched (Ovid-Medline, PubMed, Cochrane Library, CINAHL, and RISS). The frequency of maltreatment was measured for the meta-analysis, which was conducted using Review Manager 5.2 software. The effect size was measured using odds ratios (ORs).
Results
Six studies were included in the analysis, none of which were conducted in South Korea. The meta-analysis demonstrated that the risk of child maltreatment recurrence significantly decreased after a home visiting program was implemented (OR=0.45, 95% confidence interval [CI]=0.29-0.68). Nurses were the most common intervention providers.
Conclusion
Home visiting programs should be provided for families in which maltreatment has already occurred to prevent the recurrence of maltreatment and foster a home environment in which children can live safely. Since the rate of child maltreatment in Korea is increasing, further research is needed to develop and implement home visiting programs in which nurses play a major role in preventing the recurrence of child maltreatment.

Keyword

Child abuse; Parents; Home visits; Systematic review; Meta-Analysis
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