Skip to main content
Erschienen in: European Journal of Pediatrics 2/2019

23.10.2018 | Original Article

Do we get the message through? Difficulties in the prevention of abusive head trauma

verfasst von: Oliver Berthold, Andreas Witt, Vera Clemens, Elmar Brähler, Paul L. Plener, Jörg M. Fegert

Erschienen in: European Journal of Pediatrics | Ausgabe 2/2019

Einloggen, um Zugang zu erhalten

Abstract

Many programs aim to prevent abusive head trauma throughout the USA, Europe, and in many other regions of the world. Most of these programs inform mothers shortly after delivery about the dangers of abusive head trauma. Effectiveness of these programs usually is measured by the increase of knowledge on abusive head trauma. Recent research showed, however that for effective primary prevention, a much broader approach might be necessary. But so far, there is no data that reports the knowledge on key messages on abusive head trauma in the general public as a baseline. We conducted a representative population-based survey on abusive head trauma knowledge in Germany. Whereas the dangers are generally well known, a majority might be ambivalent towards the recommendation to leave a crying infant alone for a few minutes when the caregiver becomes too stressed or frustrated. Furthermore, a majority prefers being informed on abusive head trauma before birth.
Conclusion: Future preventive programs should focus on educating adolescents (potential baby sitters) and young adults when they do not yet have children of their own.
What is known:
• Most programs for primary prevention of abusive head trauma (AHT) focus on mothers shortly after delivery
• There are no analyses so far of the quality of education programs in the general public, as educating mothers might not be sufficient to reduce incidence rates
What is new:
• Our study is the first population-based survey to measure the knowledge on AHT in a representative population sample and to provide the data base for targeted prevention programs.
• The introduction of broader prevention programs might be necessary.
Literatur
1.
Zurück zum Zitat (2017) Bündnis gegen Schütteltrauma. Nationales Zentrum für Frühe Hilfen (2017) Bündnis gegen Schütteltrauma. Nationales Zentrum für Frühe Hilfen
2.
Zurück zum Zitat Adamsbaum C, Grabar S, Mejean N, Rey-Salmon C (2010) Abusive head trauma: judicial admissions highlight violent and repetitive shaking. Pediatrics 126:546–555CrossRefPubMed Adamsbaum C, Grabar S, Mejean N, Rey-Salmon C (2010) Abusive head trauma: judicial admissions highlight violent and repetitive shaking. Pediatrics 126:546–555CrossRefPubMed
3.
Zurück zum Zitat Altman RL, Canter J, Patrick PA, Daley N, Butt NK, Brand DA (2011) Parent education by maternity nurses and prevention of abusive head trauma. Pediatrics 128:e1164–e1172CrossRefPubMed Altman RL, Canter J, Patrick PA, Daley N, Butt NK, Brand DA (2011) Parent education by maternity nurses and prevention of abusive head trauma. Pediatrics 128:e1164–e1172CrossRefPubMed
4.
Zurück zum Zitat Barr RG, Trent RB, Cross J (2006) Age-related incidence curve of hospitalized shaken baby syndrome cases: convergent evidence for crying as a trigger to shaking. Child Abuse Negl 30:7–16CrossRefPubMed Barr RG, Trent RB, Cross J (2006) Age-related incidence curve of hospitalized shaken baby syndrome cases: convergent evidence for crying as a trigger to shaking. Child Abuse Negl 30:7–16CrossRefPubMed
5.
Zurück zum Zitat Barr RG, Barr M, Fujiwara T, Conway J, Catherine N, Brant R (2009) Do educational materials change knowledge and behaviour about crying and shaken baby syndrome? A randomized controlled trial. CMAJ 180:727–733CrossRefPubMedPubMedCentral Barr RG, Barr M, Fujiwara T, Conway J, Catherine N, Brant R (2009) Do educational materials change knowledge and behaviour about crying and shaken baby syndrome? A randomized controlled trial. CMAJ 180:727–733CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Barr RG, Barr M, Rajabali F, Humphreys C, Pike I, Brant R, Hlady J, Colbourne M, Fujiwara T, Singhal A (2018) Eight-year outcome of implementation of abusive head trauma prevention. Child Abuse Negl 84:106–114CrossRefPubMed Barr RG, Barr M, Rajabali F, Humphreys C, Pike I, Brant R, Hlady J, Colbourne M, Fujiwara T, Singhal A (2018) Eight-year outcome of implementation of abusive head trauma prevention. Child Abuse Negl 84:106–114CrossRefPubMed
7.
Zurück zum Zitat Bundesministerium für Familie S, Frauen und Jugend (2017) Nationales Zentrum Frühe Hilfen gründet “Bündnis gegen Schütteltrauma”. Bundesministerium für Familie, Senioren, Frauen und Jugend, Köln Bundesministerium für Familie S, Frauen und Jugend (2017) Nationales Zentrum Frühe Hilfen gründet “Bündnis gegen Schütteltrauma”. Bundesministerium für Familie, Senioren, Frauen und Jugend, Köln
8.
Zurück zum Zitat Deyo G, Skybo T, Carroll A (2008) Secondary analysis of the “love Me...Never shake me” SBS education program. Child Abuse Negl 32:1017–1025CrossRefPubMed Deyo G, Skybo T, Carroll A (2008) Secondary analysis of the “love Me...Never shake me” SBS education program. Child Abuse Negl 32:1017–1025CrossRefPubMed
9.
Zurück zum Zitat Dias MS, Smith K, DeGuehery K, Mazur P, Li V, Shaffer ML (2005) Preventing abusive head trauma among infants and young children: a hospital-based, parent education program. Pediatrics 115:e470–e477CrossRefPubMed Dias MS, Smith K, DeGuehery K, Mazur P, Li V, Shaffer ML (2005) Preventing abusive head trauma among infants and young children: a hospital-based, parent education program. Pediatrics 115:e470–e477CrossRefPubMed
10.
Zurück zum Zitat Dias MS, Rottmund CM, Cappos KM, Reed ME, Wang M, Stetter C, Shaffer ML, Hollenbeak CS, Paul IM, Christian CW, Berger RP, Klevens J (2017) Association of a Postnatal Parent Education Program for abusive head trauma with subsequent pediatric abusive head trauma hospitalization rates. JAMA Pediatr 171:223–229CrossRefPubMedPubMedCentral Dias MS, Rottmund CM, Cappos KM, Reed ME, Wang M, Stetter C, Shaffer ML, Hollenbeak CS, Paul IM, Christian CW, Berger RP, Klevens J (2017) Association of a Postnatal Parent Education Program for abusive head trauma with subsequent pediatric abusive head trauma hospitalization rates. JAMA Pediatr 171:223–229CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Esernio-Jenssen D, Tai J, Kodsi S (2011) Abusive head trauma in children: a comparison of male and female perpetrators. Pediatrics 127:649–657CrossRefPubMed Esernio-Jenssen D, Tai J, Kodsi S (2011) Abusive head trauma in children: a comparison of male and female perpetrators. Pediatrics 127:649–657CrossRefPubMed
12.
Zurück zum Zitat Fujiwara T, Yamada F, Okuyama M, Kamimaki I, Shikoro N, Barr RG (2012) Effectiveness of educational materials designed to change knowledge and behavior about crying and shaken baby syndrome: a replication of a randomized controlled trial in Japan. Child Abuse Negl 36:613–620CrossRefPubMed Fujiwara T, Yamada F, Okuyama M, Kamimaki I, Shikoro N, Barr RG (2012) Effectiveness of educational materials designed to change knowledge and behavior about crying and shaken baby syndrome: a replication of a randomized controlled trial in Japan. Child Abuse Negl 36:613–620CrossRefPubMed
13.
Zurück zum Zitat Kinderchirurgie DGf (2013) Unfälle und Misshandlung häufigste Todesursache von Kleinkindern Kinderchirurgen fordern mehr Schutz im häuslichen Umfeld. Deutsche Gesellschaft für Kinderchirurgie, Berlin Kinderchirurgie DGf (2013) Unfälle und Misshandlung häufigste Todesursache von Kleinkindern Kinderchirurgen fordern mehr Schutz im häuslichen Umfeld. Deutsche Gesellschaft für Kinderchirurgie, Berlin
14.
Zurück zum Zitat Lee C, Barr RG, Catherine N, Wicks A (2007) Age-related incidence of publicly reported shaken baby syndrome cases: is crying a trigger for shaking? J Dev Behav Pediatr 28:288–293CrossRefPubMed Lee C, Barr RG, Catherine N, Wicks A (2007) Age-related incidence of publicly reported shaken baby syndrome cases: is crying a trigger for shaking? J Dev Behav Pediatr 28:288–293CrossRefPubMed
15.
Zurück zum Zitat Leventhal JM, Asnes AG, Bechtel K (2017) Prevention of pediatric abusive head trauma: time to rethink interventions and reframe messages. JAMA Pediatr 171:218–220CrossRefPubMed Leventhal JM, Asnes AG, Bechtel K (2017) Prevention of pediatric abusive head trauma: time to rethink interventions and reframe messages. JAMA Pediatr 171:218–220CrossRefPubMed
16.
Zurück zum Zitat Lind K, Toure H, Brugel D, Meyer P, Laurent-Vannier A, Chevignard M (2016) Extended follow-up of neurological, cognitive, behavioral and academic outcomes after severe abusive head trauma. Child Abuse Negl 51:358–367CrossRefPubMed Lind K, Toure H, Brugel D, Meyer P, Laurent-Vannier A, Chevignard M (2016) Extended follow-up of neurological, cognitive, behavioral and academic outcomes after severe abusive head trauma. Child Abuse Negl 51:358–367CrossRefPubMed
17.
Zurück zum Zitat Mann AK, Rai B, Sharif F, Vavasseur C (2015) Assessment of parental awareness of the shaken baby syndrome in Ireland. Eur J Pediatr 174:1339–1345CrossRefPubMed Mann AK, Rai B, Sharif F, Vavasseur C (2015) Assessment of parental awareness of the shaken baby syndrome in Ireland. Eur J Pediatr 174:1339–1345CrossRefPubMed
18.
Zurück zum Zitat Miller Ferguson N, Sarnaik A, Miles D, Shafi N, Peters MJ, Truemper E, Vavilala MS, Bell MJ, Wisniewski SR, Luther JF, Hartman AL, Kochanek PM, Trial IADAPTBIA (2017) Abusive head trauma and mortality-an analysis from an international comparative effectiveness study of children with severe traumatic brain injury. Crit Care Med 45:1398–1407CrossRefPubMed Miller Ferguson N, Sarnaik A, Miles D, Shafi N, Peters MJ, Truemper E, Vavilala MS, Bell MJ, Wisniewski SR, Luther JF, Hartman AL, Kochanek PM, Trial IADAPTBIA (2017) Abusive head trauma and mortality-an analysis from an international comparative effectiveness study of children with severe traumatic brain injury. Crit Care Med 45:1398–1407CrossRefPubMed
19.
Zurück zum Zitat Miller TR, Steinbeigle R, Lawrence BA, Peterson C, Florence C, Barr M, Barr RG (2017) Lifetime cost of abusive head trauma at ages 0-4, USA. In: Prev Sci Miller TR, Steinbeigle R, Lawrence BA, Peterson C, Florence C, Barr M, Barr RG (2017) Lifetime cost of abusive head trauma at ages 0-4, USA. In: Prev Sci
20.
Zurück zum Zitat Office FS (2013) Fortschreibung des Bevölkerungsstandes. In: Federal statistical office. Wiesbaden, Germany Office FS (2013) Fortschreibung des Bevölkerungsstandes. In: Federal statistical office. Wiesbaden, Germany
21.
Zurück zum Zitat Schnitzer PG, Ewigman BG (2005) Child deaths resulting from inflicted injuries: household risk factors and perpetrator characteristics. Pediatrics 116:e687–e693CrossRefPubMedPubMedCentral Schnitzer PG, Ewigman BG (2005) Child deaths resulting from inflicted injuries: household risk factors and perpetrator characteristics. Pediatrics 116:e687–e693CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Sethi D, Europe WHOROf (2013) European report on preventing child maltreatment. World Health Organization, Regional Office for Europe, Copenhagen, Denmark Sethi D, Europe WHOROf (2013) European report on preventing child maltreatment. World Health Organization, Regional Office for Europe, Copenhagen, Denmark
23.
Zurück zum Zitat Shein SL, Bell MJ, Kochanek PM, Tyler-Kabara EC, Wisniewski SR, Feldman K, Makoroff K, Scribano PV, Berger RP (2012) Risk factors for mortality in children with abusive head trauma. J Pediatr 161:716–722.e711CrossRefPubMedPubMedCentral Shein SL, Bell MJ, Kochanek PM, Tyler-Kabara EC, Wisniewski SR, Feldman K, Makoroff K, Scribano PV, Berger RP (2012) Risk factors for mortality in children with abusive head trauma. J Pediatr 161:716–722.e711CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Simonnet H, Laurent-Vannier A, Yuan W, Hully M, Valimahomed S, Bourennane M, Chevignard M (2014) Parents’ behavior in response to infant crying: abusive head trauma education. Child Abuse Negl 38:1914–1922CrossRefPubMed Simonnet H, Laurent-Vannier A, Yuan W, Hully M, Valimahomed S, Bourennane M, Chevignard M (2014) Parents’ behavior in response to infant crying: abusive head trauma education. Child Abuse Negl 38:1914–1922CrossRefPubMed
25.
Zurück zum Zitat Starling SP, Holden JR, Jenny C (1995) Abusive head trauma: the relationship of perpetrators to their victims. Pediatrics 95:259–262PubMed Starling SP, Holden JR, Jenny C (1995) Abusive head trauma: the relationship of perpetrators to their victims. Pediatrics 95:259–262PubMed
26.
Zurück zum Zitat Zolotor AJ, Runyan DK, Shanahan M, Durrance CP, Nocera M, Sullivan K, Klevens J, Murphy R, Barr M, Barr RG (2015) Effectiveness of a statewide abusive head trauma prevention program in North Carolina. JAMA Pediatr 169:1126–1131CrossRefPubMedPubMedCentral Zolotor AJ, Runyan DK, Shanahan M, Durrance CP, Nocera M, Sullivan K, Klevens J, Murphy R, Barr M, Barr RG (2015) Effectiveness of a statewide abusive head trauma prevention program in North Carolina. JAMA Pediatr 169:1126–1131CrossRefPubMedPubMedCentral
Metadaten
Titel
Do we get the message through? Difficulties in the prevention of abusive head trauma
verfasst von
Oliver Berthold
Andreas Witt
Vera Clemens
Elmar Brähler
Paul L. Plener
Jörg M. Fegert
Publikationsdatum
23.10.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Pediatrics / Ausgabe 2/2019
Print ISSN: 0340-6199
Elektronische ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-018-3273-0

Weitere Artikel der Ausgabe 2/2019

European Journal of Pediatrics 2/2019 Zur Ausgabe

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.