Knowledge, Attitude and Practice of Dentists at Military Hospitals Regarding Child Abuse and Neglect.

December 23, 2019 updated by: begad hamdy ahmed own, Cairo University

Assessment of Knowledge, Attitude and Practice (KAP) of Dentists at Military Hospitals Regarding Child Abuse and Neglect: A Cross-sectional Study

Gaining information about the knowledge, attitude and practice of dentists regarding child abuse and neglect will help identifying the points of weakness, improving their knowledge and assessing the need for additional training in relation to child protection. Thus, highlighting the importance of reporting cases of suspected child abuse which in turn may improve the status of abused children and save them from horrible situations.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

Children are considered to be more vulnerable than other society members because of their young age and lack of adequate skills. The annual report of United Nations Children's Fund (UNICEF) stated that a number of children have lost their lives as a result of maltreatment and violence.

Child abuse is a meaningful problem that exists among different cultural and socio-economic groups. Child abuse includes several conditions that threaten and harms lives of children. It is considered to be one of the largest causes of pediatric mortality.

The World Health Organization (WHO) defines CAN as 'Every kind of physical, sexual, emotional abuse, neglect or negligent treatment, commercial or other exploitation resulting in actual or potential harm to the child's health, survival, development, or dignity in the context of a relationship of responsibility, trust or power'.

The American Academy of Pediatric Dentistry (AAPD) defined dental neglect, as 'willful failure of a parent or guardian to seek and follow through with whatever treatment is necessary to ensure a level of oral health essential for adequate chewing function and freedom from pain and infection'.

The Child Abuse Committee of the Council on Clinical Affairs developed that definition and it was approved in 1983.

In West and Central Africa, children are susceptible to various hazards since birth including human trafficking, child labor, child marriage, conflict and other emergencies.

Frequently, abusive injuries comprise the face and oral cavity thus, dental providers may be the first to encounter these injuries. Many surveys revealed that 50 -77% of child abuse cases involving head and neck regions, consequently placing oral health care workers in an important position to detect, diagnose, document, and report to convenient authorities.

As approximately 50% of injuries due to child abuse occur in head and neck region, medical and dental professionals are in a good position for early detection and diagnosis of physical child abuse. Almost 15% of child abuse related injuries are confined to the head region Therefore, dentists have a significant role in improving the status of abused children and saving them from their dire situation.

Research has shown that guardians or parents who abuse their children regularly change their child's physicians, but very rarely change their dentists, thus dentists are considered to be in the most ideal position for detection of physical abuse in children. The American Dental Association reported the first documented evidence of dentists failing to report child maltreatment in 1967, declaring that none of 416 reported cases of child abuse was reported by a dentist in New York State.

In Egypt, few studies have discussed the problem of child abuse. Cases in most of these studies were collected from emergency, clinical departments, social welfare, criminal records or autopsies. Child abuse among Egyptian primary-school children was studied in 1994 and 1999. No data were collected regarding the prevalence of abuse among older preparatory-school and secondary school children.

Also few data are available about the knowledge, attitudes and practices of primary health care professionals toward prevention and treatment of childhood unintentional injuries.

Study Type

Observational

Enrollment (Anticipated)

1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

21 years to 70 years (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Dentists working in military hospitals.

Description

Inclusion Criteria:

  • Army officer dentists at military hospitals.
  • Civilian dentists at military hospitals.

Exclusion Criteria:

  • Under graduate students and interns.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
knowledge, attitude and practice of dentists at military hospitals regarding child abuse and neglect.
Time Frame: 1 year
Obtaining information about the knowledge, attitude and practice of dentists regarding child abuse and neglect by a printed questionnaire with binary and multiple choice questions as measuring units.
1 year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Cairo University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ANTICIPATED)

January 1, 2020

Primary Completion (ANTICIPATED)

June 1, 2020

Study Completion (ANTICIPATED)

September 1, 2020

Study Registration Dates

First Submitted

December 20, 2019

First Submitted That Met QC Criteria

December 23, 2019

First Posted (ACTUAL)

December 24, 2019

Study Record Updates

Last Update Posted (ACTUAL)

December 24, 2019

Last Update Submitted That Met QC Criteria

December 23, 2019

Last Verified

December 1, 2019

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • Dentists and child abuse

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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