The impact of an educational program on recognition, treatment and report of child abuse
Open accessAbstract
BACKGROUND: Pediatricians play a crucial role in the identification and management of child abuse and neglect (CAN) but they often don't have a formal specialized training. METHODS: We analysed retrospectively data about patients, 0 - 18 years of age, victims of CAN between 1 April 2005 and 30 April 2015. The aim of the study was to evaluate the effect of a multidisciplinary educational program, "CAN: prevention strategies, individuation and treatment", on the knowledge, case recognition, treatment and follow-up of physicians of Gemelli University Hospital in Rome, regarding physical, sexual abuse and neglect. This program, in 3 different editions biannually, respectively in May-July 2010, November-January 2012 and February-May 2014, was based on 4 sessions, each one of 2 days. RESULTS: Considering the number of victims of CAN between 2005 and 2015 we observed 66 cases of maltreatment. We divided the study population in 2 groups: group A, before the educational programs, patients evaluated from 1 April 2005 to 30 July 2010; group B, after the educational program from 1 August 2010 to 30 April 2015. We observed 23 children in group A and 43 children in group B with an improvement of 87%. Analyzing our data about sex, nationality, type of perpetrators, we found that: 37/66 (56%) of children were females compared to 29/66 (44%) males; 41/66 (62%) of children came from Italy compared to 25/66 (38%) of foreign children; 52/66 (79%) of the perpetrators of abuse were parents or family members compared to acquaintances 10/66 (15%) and to strangers 4/66 (6%). CONCLUSIONS: Considering the prevalence of CAN, the need to develop clinically competent clinicians and the improving of residency education in child maltreatment is imperative. Improving the clinical skills of pediatricians to identify and evaluate CAN may lead to reduce morbidity and mortality of these children.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Training on child abuse of all types increases identification and reporting by pediatricians, nurses, and teachers.
“Our findings align with studies suggesting that training on child abuse of all types increases identification and reporting by pediatricians, nurses, and teachers (Ferrara et al., 2017; Fraser et al., 2010; Walsh et al., 2012).”
From Child abuse prevention education policies increase reports of child sexual abuse (2022) · cites this paper as Ferrara et al., 2017
The Discussion (page unavailable) says child-abuse-and-neglect training for pediatricians was associated with increased identification, and recommends training that covers neglect and domestic violence as well as physical and sexual abuse. It recommends training physicians to identify and report suspected abuse, but does not show increased reporting or establish this effect for nurses or teachers. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Analysis of missed cases of abusive head trauma
Jenny, C. (1999) · JAMA · doi:10.1001/jama.281.7.621 · Cited by 1,134 · see citing works
Children’s exposure to intimate partner violence: an overview
McTavish, J. R., MacGregor, J. C. D., Wathen, C. N., & MacMillan, H. L. (2016) · International Review of Psychiatry · doi:10.1080/09540261.2016.1205001 · Cited by 229 · see citing works
Wright, R. J., Wright, R. O., & Isaac, N. E. (1997) · PEDIATRICS · doi:10.1542/peds.99.2.186 · Cited by 112 · see citing works
Starling, S. P., Heisler, K. W., Paulson, J. F., & Youmans, E. (2009) · PEDIATRICS · doi:10.1542/peds.2008-2938 · Cited by 107 · see citing works
Bailhache, M., Leroy, V., Pillet, P., & Salmi, L. (2013) · BMC Pediatrics · doi:10.1186/1471-2431-13-202 · Cited by 87 · see citing works
Factitious disorders and Münchausen syndrome
Ferrara, P., Vitelli, O., Bottaro, G., Gatto, A., Liberatore, P., Binetti, P., & Stabile, A. (2013) · Journal of Child Health Care · doi:10.1177/1367493512462262 · Cited by 83 · see citing works
Self-citationProfessional Education in Child Abuse and Neglect
Christian, C. W. (2008) · PEDIATRICS · doi:10.1542/peds.2008-0715f · Cited by 77 · see citing works
Family-oriented and family-centered care in pediatrics.
Pettoello‐Mantovani, M., Campanozzi, A., Maiuri, L., & Giardino, I. (2009) · The Italian Journal of Pediatrics/Italian journal of pediatrics · doi:10.1186/1824-7288-35-12 · Cited by 76 · see citing works
Self-citationPediatric Residency Training in Child Abuse and Neglect in the United States
Narayan, A. P., Socolar, R. R. S., & Claire, K. S. (2006) · PEDIATRICS · doi:10.1542/peds.2006-0160 · Cited by 69 · see citing works
The Economic Burden of Child Maltreatment in High Income Countries
Ferrara, P., Corsello, G., Basile, M. C., Nigri, L., Campanozzi, A., Ehrich, J. H. H., & Pettoello‐Mantovani, M. (2015) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2015.09.044 · Cited by 67 · see citing works
Self-citationFerrara, P., Vena, F., Caporale, O., Volgo, V. D., Liberatore, P., Ianniello, F., Chiaretti, A., & Riccardi, R. (2013) · The Italian Journal of Pediatrics/Italian journal of pediatrics · doi:10.1186/1824-7288-39-71 · Cited by 51 · see citing works
Self-citationMoral Reflections on Neonatal Intensive Care
MEADOW, W. L., & Lantos, J. D. (2009) · PEDIATRICS · doi:10.1542/peds.2008-1648 · Cited by 40 · see citing works
Ferrara, P., Ianniello, F., Cutrona, C., Quintarelli, F., Vena, F., Volgo, V. D., Caporale, O., Malamisura, M., Angelis, M. C. D., Gatto, A., et al. (2014) · The Italian Journal of Pediatrics/Italian journal of pediatrics · doi:10.1186/s13052-014-0069-3 · Cited by 40 · see citing works
Self-citationFoster Care: A Fragile Reality Needing Social Attention, and Economic Investments
Ferrara, P., Corsello, G., Sbordone, A., Nigri, L., Ehrich, J. H. H., & Pettoello‐Mantovani, M. (2016) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2016.02.036 · Cited by 34 · see citing works
Self-citationInfluence of the History on Physicians' Interpretations of Girls' Genital Findings
Paradise, J. E., Winter, M. R., Finkel, M. A., Berenson, A. B., & Beiser, A. (1999) · PEDIATRICS · doi:10.1542/peds.103.5.980 · Cited by 33 · see citing works
Vulvar Pyoderma Gangrenosum in a Child
Garcovich, S., Gatto, A., Ferrara, P., & Garcovich, A. (2009) · Pediatric Dermatology · doi:10.1111/j.1525-1470.2009.01005.x · Cited by 31 · see citing works
Self-citationEducational program on evaluation of alleged sexual abuse victims
Hibbard, R. A., Serwint, J. R., & Connolly, M. (1987) · Child Abuse & Neglect · doi:10.1016/0145-2134(87)90077-9 · Cited by 29 · see citing works
The physical and mental health of children in foster care.
Ferrara, P., Romani, L., Bottaro, G., Ianniello, F., Fabrizio, G. C., Chiaretti, A., & Alvaro, F. (2013) · Europe PMC (PubMed Central) · Cited by 28 · see citing works
Self-citationImproving knowledge of emergency physicians about child physical and sexual abuse
Showers, J., & Laird, M. (1991) · Pediatric Emergency Care · doi:10.1097/00006565-199110000-00003 · Cited by 16 · see citing works
From “classic” child abuse and neglect to the new era of maltreatment
Ferrara, P., & Bernasconi, S. (2017) · The Italian Journal of Pediatrics/Italian journal of pediatrics · doi:10.1186/s13052-017-0336-1 · Cited by 11 · see citing works
Self-citationResident comfort level after receiving child abuse training: A survey of pediatric chief residents
Dara, J. S., Kotlar, E. Y., Leekoff, M. L., Tran, X. G., McColgan, M. D., & Giardino, A. P. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2012.09.017 · Cited by 5 · see citing works
The Role of Pediatricians in Caring for the Well-Being of Children Living in New Types of Families
Ferrara, P., Corsello, G., Sbordone, A., Cutrona, C., Ehrich, J. H. H., & Pettoello‐Mantovani, M. (2016) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2016.06.064 · Cited by 5 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Sexual Practices During Adolescence
Arruda, E. P. T., Brito, L. G. O., Prandini, T. R. R., Lerri, M. R., dos Reis, R. M., Barcelos, T. M. R., & Lara, L. A. D. S. (2020) · Revista Brasileira Ginecologia e Obstetrícia · doi:10.1055/s-0040-1713411 · Cited by 35 · see citing works
Child abuse prevention education policies increase reports of child sexual abuse
Bright, M. A., Roehrkasse, A., Masten, S., Nauman, A., & Finkelhor, D. (2022) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2022.105932 · Cited by 22 · see citing works
Gatto, A., Rivetti, S., Capossela, L., Pata, D., Covino, M., & Chiaretti, A. (2021) · The Italian Journal of Pediatrics/Italian journal of pediatrics · doi:10.1186/s13052-021-00959-z · Cited by 16 · see citing works
Self-citationIde-Okochi, A., Funayama, H., & Asada, Y. (2021) · BMC Pediatrics · doi:10.1186/s12887-021-02711-2 · Cited by 12 · see citing works
Cohen, N., & Katz, C. (2021) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2021.105138 · Cited by 7 · see citing works
Turillazzi, E., Toni, C., Turco, S., & Paolo, M. D. (2020) · Frontiers in Pediatrics · doi:10.3389/fped.2020.00309 · Cited by 4 · see citing works
Pediatricians’ Attitudes Toward Child Sexual Abuse in the Republic of Srpska, Bosnia and Hercegovina
Rolovic, J. S., Bokonjić, D., Mašić, S., & Stevanović, N. (2022) · Journal of Child Sexual Abuse · doi:10.1080/10538712.2022.2112641 · Cited by 3 · see citing works
Colley, D., Seidler, J., Rollbühler, P., Rasch, L., Küppers, L., Gahr, B., Mayatepek, E., & Bock, F. D. (2024) · BMJ Open · doi:10.1136/bmjopen-2024-089623 · Cited by 3 · see citing works
Lyme Disease Misinterpreted as Child Abuse
Pan, T., Nasreddine, A. Y., Trivellas, A., & Hennrikus, W. L. (2021) · Case Reports in Orthopedics · doi:10.1155/2021/6665935 · Cited by 2 · see citing works
Rate of orthopedic resident and medical student recognition of nonaccidental trauma: a pilot study
Pilla, N. I., Nasreddine, A. Y., Christie, K. J., & Hennrikus, W. L. (2022) · Journal of Pediatric Orthopaedics B · doi:10.1097/bpb.0000000000000948 · Cited by 1 · see citing works
Rolovic, J. S., & Stevanović, N. (2020) · Journal of Child Sexual Abuse · doi:10.1080/10538712.2019.1697781 · Cited by 1 · see citing works
Práticas sexuais na adolescência
Arruda, E. P. T. (2019) · doi:10.11606/d.17.2019.tde-30052019-153101
Un contributo alla formazione dei sanitari per la tutela dei minori
Visci, G. (2023) · MALTRATTAMENTO E ABUSO ALL INFANZIA · doi:10.3280/mal2023-002006
Zuccotti, G., Dilillo, D., Agosto, A., Brazzoduro, V., Marinelli, E. B. L., & Calcaterra, V. (2026) · JMIR Research Protocols · doi:10.2196/89128
- Authors
- Ferrara, P., Gatto, A., Manganelli, N. P., Ianniello, F., Amodeo, M. E., Amato, M., Giardino, I., & Chiaretti, A.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- Università Campus Bio-Medico (IT)
- University of Foggia (IT)
- Corresponding author
- Ferrara, Pietro
- ORCID
- Venue
- Italian Journal of Pediatrics
- Published
- 2017-08-14
- Volume
- 43
- Issue
- 1
- Pages
- 72-72
- ISSN
- 1720-8424 (ISSN-L)
- 1824-7288
- PMC
- PMC5557001
- OpenAlex
- W2746165274
- Cited by
- 14
- References
- 22
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 1
- FWCI
- 1.19
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- The Italian Journal of Pediatrics/Italian journal of pediatrics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- PubliCatt (Università Cattolica del Sacro Cuore) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child Abuse and Related Trauma
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- child abuse, pediatrician training, educational programs, case recognition, child abuse reporting, physical abuse, sexual abuse, neglect, offender characteristics, resident education, child abuse treatment
- MeSH terms
- Adolescent, Child, Child Abuse, Child, Preschool, Female, Health Education, Humans, Infant, Italy, Male, Parents, Preventive Health Services, Retrospective Studies, Cohort Studies, Risk Assessment, Mandatory Reporting, Needs Assessment
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
