ArticleCureus2025
The Reliability and Validity of the Greek Version of the Scale for the Identification of Symptoms and Risks of Child Abuse and Neglect (SISRCAN) for Midwives.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background Child abuse and neglect (CAN) are global issues with profound implications for child health and safety. Midwives play a critical role in early detection and prevention. However, there is limited evidence concerning Greek midwives' knowledge of CAN. This study aimed to translate, culturally adapt, and validate the Greek version of the Scale for the Identification of Symptoms and Risks of Child Abuse and Neglect (SISRCAN) and to assess midwives' knowledge of CAN. Methods The SISRCAN questionnaire, originally developed in Turkey, was translated and validated in accordance with World Health Organization (WHO) guidelines. A pilot study (n=70) and a nationwide survey (n=493) were conducted among registered Greek midwives. Internal consistency, test-retest reliability, and construct validity were assessed using Cronbach's alpha, intraclass correlation coefficients (ICC), and Pearson's correlation. Descriptive statistics were used to analyze participants' demographics and SISRCAN scores. Results The Greek version of SISRCAN demonstrated high internal consistency (α=0.889-0.929) and strong test-retest reliability (ICC=0.947; p<0.001). The mean total SISRCAN score was 239.23 (standard deviation {SD}=23.60), indicating moderate knowledge. Most participants (93.7%) had not received formal training on CAN, and 72% rated their relevant training inadequate. The lowest scores were found in the subscale assessing the knowledge of child characteristics associated with increased CAN risk, while the subscale "symptoms of neglect on the child" received the highest mean score among all subscales. Conclusions The validated Greek SISRCAN is a reliable instrument for assessing midwives' knowledge of CAN. Results highlight substantial gaps in formal education and training on child abuse and neglect among Greek midwives. Integrating structured CAN education into midwifery curricula and ongoing professional development is essential for improving early recognition and intervention.
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