Meera Viswanathan, Ph.D., from RTI International in Research Triangle Park, North Carolina, and colleagues conducted a systematic review to update evidence on interventions provided in or referable from primary care to prevent child maltreatment. Data from 22 trials with 11,132 participants were included.
The researchers identified limited and inconsistent evidence on the benefits of primary care interventions, including home visitation programs to prevent child maltreatment. Interventions were not significantly associated with reports to Child Protective Services or removal of the child from the home. There was no evidence relating to harms of these interventions. Based on these findings, the USPSTF concludes there is currently insufficient evidence to weigh the benefits and harms of primary care interventions to prevent child maltreatment (I statement).
"Child maltreatment is a serious problem, and no child should suffer from abuse or neglect," Task Force member Alex R. Kemper, M.D., M.P.H., said in a statement. "Unfortunately, we still do not have the evidence we need about what primary care clinicians can do to help prevent child maltreatment before it happens."