RESUMEN
Juvenile awareness programs, such as Scared Straight, remain in use despite the finding that these programs provoke rather than prevent delinquency. The aim of this study was to examine what program components are associated with program effectiveness, which is important for improving these programs. A three-level meta-analysis was conducted. A literature search yielded 13 independent studies (N = 1,536) from which 88 effect sizes could be extracted. A nonsignificant overall effect was found (d = 0.10), indicating that juvenile awareness programs have no effect on offending behavior and other outcomes that are related to delinquency. No significant moderator effects were found for program components. The moderator analyses revealed that juvenile awareness programs are effective in reducing antisocial attitudes (d = 0.46), which has not been meta-analytically studied before. Furthermore, larger effects were found as follow-up length increased. These results show a more nuanced view on the effectiveness of juvenile awareness programs is necessary.
Asunto(s)
Delincuencia Juvenil , Trastorno de Personalidad Antisocial , Conducta Criminal , Miedo , Humanos , Evaluación de Programas y Proyectos de SaludRESUMEN
There is a lack of knowledge about specific components that make interventions effective in preventing or reducing child maltreatment. The aim of the present meta-analysis was to increase this knowledge by summarizing findings on effects of interventions for child maltreatment and by examining potential moderators of this effect, such as intervention components and study characteristics. Identifying effective components is essential for developing or improving child maltreatment interventions. A literature search yielded 121 independent studies (N = 39,044) examining the effects of interventions for preventing or reducing child maltreatment. From these studies, 352 effect sizes were extracted. The overall effect size was significant and small in magnitude for both preventive interventions (d = 0.26, p < .001) and curative interventions (d = 0.36, p < .001). Cognitive behavioral therapy, home visitation, parent training, family-based/multisystemic, substance abuse, and combined interventions were effective in preventing and/or reducing child maltreatment. For preventive interventions, larger effect sizes were found for short-term interventions (0-6 months), interventions focusing on increasing self-confidence of parents, and interventions delivered by professionals only. Further, effect sizes of preventive interventions increased as follow-up duration increased, which may indicate a sleeper effect of preventive interventions. For curative interventions, larger effect sizes were found for interventions focusing on improving parenting skills and interventions providing social and/or emotional support. Interventions can be effective in preventing or reducing child maltreatment. Theoretical and practical implications are discussed.
Asunto(s)
Maltrato a los Niños , Servicios de Atención de Salud a Domicilio/estadística & datos numéricos , Evaluación de Procesos y Resultados en Atención de Salud/estadística & datos numéricos , Responsabilidad Parental , Psicoterapia/estadística & datos numéricos , Adolescente , Adulto , Niño , Maltrato a los Niños/prevención & control , Maltrato a los Niños/rehabilitación , Maltrato a los Niños/estadística & datos numéricos , Preescolar , HumanosRESUMEN
Risk assessment is crucial in preventing child maltreatment since it can identify high-risk cases in need of child protection intervention. Despite widespread use of risk assessment instruments in child welfare, it is unknown how well these instruments predict maltreatment and what instrument characteristics are associated with higher levels of predictive validity. Therefore, a multilevel meta-analysis was conducted to examine the predictive accuracy of (characteristics of) risk assessment instruments. A literature search yielded 30 independent studies (N=87,329) examining the predictive validity of 27 different risk assessment instruments. From these studies, 67 effect sizes could be extracted. Overall, a medium significant effect was found (AUC=0.681), indicating a moderate predictive accuracy. Moderator analyses revealed that onset of maltreatment can be better predicted than recurrence of maltreatment, which is a promising finding for early detection and prevention of child maltreatment. In addition, actuarial instruments were found to outperform clinical instruments. To bring risk and needs assessment in child welfare to a higher level, actuarial instruments should be further developed and strengthened by distinguishing risk assessment from needs assessment and by integrating risk assessment with case management.