Child Abuse Prevention Program Grant Proposal

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Abstract
Child abuse is still a significant problem in United States. There are 2.9 million child abuse reports to Child Protective Services in 2005 and 825,000 indicated cases. Child abuse has profound impact on the child’s current and future development. The consequences include health and physical effects, intellectual and cognitive impact, and emotional, psychological and behavioral consequences. To improve parenting practice of first time parents is an important way to address this problem. The rate of child abuse is highest for children between birth and 3 years of age. A new Cognitive Behavioral Parent Training Program for Child Abuse Prevention targeted at first time mothers is formed by absorbing elements from existed parent training programs and adding components of child abuse prevention specifically targeting to first time mothers and infants, This proposal seeks to evaluate the effectiveness of the Cognitive Behavioral Parent Training Program on maternal psychosocial health and child abuse prevention with a three years’ follow up. Randomized control trail will be used to evaluate the effectiveness of this program for reducing child abuse of newborns.

Specific aims
The first aim of the study is to evaluate the effectiveness of the Cognitive Behavioral Parent Training Program for Child Abuse Prevention on maternal psychosocial health. We hypothesize that after attending the training program, maternal psychosocial health such as parenting stress and self-esteem will be improved. The second aim of the study is to evaluate the effectiveness of the Cognitive Behavioral Parent Training Program for Child Abuse Prevention on child abuse prevention. We hypothesize that mothers attends the training program will be less likely to abuse their children compared to those in the control group. The second aim of the study is to evaluate the effectiveness of the Cognitive Behavioral Parent Training Program for Child Abuse Prevention in a relatively long run. We hypothesize that mothers attends the training program will still be less likely to abuse their children compared to those in the control group at follow-up.

Background and significance
Child abuse is still a significant problem in United States. There are 2.9 million child abuse reports to Child Protective Services in 2005 and 825,000 indicated cases (Olds, 2007). A lot of studies have been done to explore effective prevention methods about child maltreatment, including primary prevention, secondary prevention and tertiary prevention. Primary prevention refers to activities designed to impact the whole population and makes child abuse less likely to occur in the first place. Secondary prevention refers to activities designed to reduce risks of abuse for high-risk population at earlier possible stage. Tertiary prevention refers to activities designed for abusers and victims to rehabilitate them and prevent further prevalence of maltreatment in the population. Over the past few decades many primary and secondary child maltreatment prevention strategies have been used. Success of these programs is varied. Typical programs are home visiting programs, parent training programs, abusive head trauma programs, sexual abuse prevention, etc. A lot of studies have been done to evaluate the effectiveness of home visiting programs and the results show that nurse hose visiting program is most effective secondary prevention program identified to date. However, further evaluation with more rigorous methodology and outcome measures is needed for parent training programs (Krugman, 2007).

Generally speaking, training programs for parents of young children have the potential to improve children’s life-course trajectories, to reduce development problems and to reduce the burden of government and society (Olds, 2007). These programs intend to improve parents’ psychosocial health and thus improve children’s development. Parenting programs could be classified to five categories...
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