Evidence map›Paper›PMID 26476980›Full record

SynthesisBMC public health2015

A gloomy picture: a meta-analysis of randomized controlled trials reveals disappointing effectiveness of programs aiming at preventing child maltreatment.

Saskia Euser, Lenneke Ra Alink, Marije Stoltenborgh, Marian J Bakermans-Kranenburg, Marinus H van IJzendoorn

Registry-linked trialOpen access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04163367 (Can Children be Protected Against Violence and Violations From Parents? A Randomized Controlled Study of Safer Kids), which is not on this map. Cited by 55 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 8 pooled it
11.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04163367 nacompletednot on this mapstarted 2019, after this paper: background citation

Can Children be Protected Against Violence and Violations From Parents? A Randomized Controlled Study of Safer Kids: A Manualized Intervention to Prevent Child Abuse

TypeinterventionalSponsorKarolinska InstitutetRan2019 to 2024Enrolled112ConditionsChild Abuse, Child MaltreatmentArmsSafer Kids, Intervention as usual (IAU)
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 8 syntheses or guidelines pooled it, 184 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. The Effectiveness of Parent Training Programs for Child Maltreatment and Their Components: A Meta-Analysis.International journal of environmental research and public health · 2019
    Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. MERTILChildren (Basel, Switzerland) · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Saskia EuserCentre for Child and Family Studies, Leiden University, P.O. Box 9555, 2300 RB, Leiden, Netherlands. s.euser@fsw.leidenuniv.nl.
Lenneke Ra AlinkCentre for Child and Family Studies, Leiden University, P.O. Box 9555, 2300 RB, Leiden, Netherlands. alinklra@fsw.leidenuniv.nl.
Marije StoltenborghCentre for Child and Family Studies, Leiden University, P.O. Box 9555, 2300 RB, Leiden, Netherlands. stoltenborghmarije@gmail.com.
Marian J Bakermans-KranenburgCentre for Child and Family Studies, Leiden University, P.O. Box 9555, 2300 RB, Leiden, Netherlands. bakermans@fsw.leidenuniv.nl.
Marinus H van IJzendoornCentre for Child and Family Studies, Leiden University, P.O. Box 9555, 2300 RB, Leiden, Netherlands. vanijzen@fsw.leidenuniv.nl.
Leiden University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConsistent findings about the effectiveness of parent programs to prevent or reduce child maltreatment are lacking.

methodsIn the present meta-analysis we synthesized findings from 27 independent samples from randomized controlled trials (RCTs) on the effectiveness of 20 different intervention programs aimed at (i) preventing the occurrence of child maltreatment in the general population or with at-risk but non-maltreating families, or (ii) reducing the incidence of child maltreatment in maltreating families.

resultsA significant combined effect on maltreatment (d = 0.13; N = 4883) disappeared after the trim-and-fill approach that takes into account publication bias against smaller studies without significant outcomes. However, moderator analyses showed that larger effect sizes were found for more recent studies, studies with smaller samples, programs that provide parent training instead of only support, programs that target maltreating instead of at-risk families, and programs with a moderate length (6-12 months) or a moderate number of sessions (16-30).

conclusionsMore RCTs are needed to further unravel which factors are associated with program effectiveness. Because currently existing programs appeared to only reduce and not prevent child maltreatment, efforts in the field of preventive intervention should also focus on the development and testing of preventive programs for families at risk for child maltreatment.

Indexed as

ChildChild AbuseHumansParentsProgram EvaluationRandomized Controlled Trials as TopicTime Factors

Identifiers

PMID26476980
PMCPMC4609474
OpenAlexW1930369687

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.