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首页> 外文期刊>Child and Adolescent Psychiatry and Mental Health >Methodological challenges in following up patients of a hospital child protection team: is there a recruitment bias?
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Methodological challenges in following up patients of a hospital child protection team: is there a recruitment bias?

机译：对医院儿童保护小组患者进行随访的方法学挑战：是否存在招聘偏见？

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Background The aims of this study are to describe the methodological challenges in recruiting a follow-up sample of children referred to an interdisciplinary hospital child protection team (CPT) and to compare participating versus non-participating groups on several demographic variables and maltreatment characteristics. Methods Of the 319 in- and outpatients referred to the CPT at University Children's Hospital Zurich from 2005–2006 a sample of 180 children was drawn to contact for a follow-up. The children and their parents were asked to participate in a face-to-face interview at the hospital; in 42 cases the children and parents consented to do so. Alternatively, the parents could take part in a telephone interview (n = 39). Non-participation resulted because no contact or adequate communication in German, French, or English could be established (n = 49) or because the parents or children refused to participate (n = 50). Results Participants and non-participants did not differ significantly in mean child age at follow-up, gender, family status, place of residence, certainty and type of maltreatment, and type of perpetrator. However, the child's nationality had a significant impact: Percentages of foreign nationals were higher in the fully participating group (45%; n = 19) and the non-contactable group (53%; n = 26) and significantly lower in the refusal (26%; n = 10) and the telephone interview group (18%; n = 9). Although a high percentage of families had moved in the few years since the CPT intervention (32%; n = 57), the percentage of moves was not significantly higher in non-participants compared to participants. Conclusions Further research is needed to support these results in different national backgrounds and to test for biases in variables not included – especially socioeconomic status. This includes gathering more detailed information on non-participants, while respecting ethical boundaries. Overall, the fact that only child's nationality was unevenly distributed between participants and non-participants is encouraging.
机译：背景技术本研究的目的是描述招募跨学科医院儿童保护小组（CPT）的儿童随访样本中的方法学挑战，并比较参与人群与非参与人群在几个人口统计学变量和虐待特征上的差异。方法2005-2006年苏黎世大学儿童医院的319名接受CPT诊治的门诊和门诊患者中，抽取180名儿童作为样本进行随访。这些孩子及其父母被要求参加医院的面对面访谈;在42起案件中，儿童和父母同意这样做。或者，父母可以参加电话面试（n = 39）。不参与的原因是无法建立德语，法语或英语的联系方式或适当的交流方式（n = 49），或者父母或孩子拒绝参加（n = 50）。结果参与者和非参与者在随访时的平均儿童年龄，性别，家庭状况，居住地，确定性和虐待类型以及犯罪者类型方面均无显着差异。但是，儿童的国籍产生了重大影响：完全参与组（45％; n = 19）和非接触组（53％; n = 26）中的外国公民所占比例较高，而拒绝参与的比例则显着较低（ 26％; n = 10）和电话访问小组（18％; n = 9）。尽管自CPT干预以来的几年中，有很高比例的家庭搬家（32％; n = 57），但与参与者相比，非参与者的搬家百分比并没有明显提高。结论需要进一步的研究以支持不同国家背景下的这些结果，并检验未包括在内的变量的偏差，尤其是社会经济地位。这包括收集有关非参与者的更详细的信息，同时尊重道德界限。总体而言，令人鼓舞的是，参与者和非参与者之间只有孩子的国籍分布不均。

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