Child AbuseNCT04209361
Knowledge, Attitude and Practice of Dentists at Military Hospitals Regarding Child Abuse and Neglect.
An observational study of Child Abuse and Child Maltreatment, run by Cairo University.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 21 to 70 years
- Conditions the study is for
- Child Abuse, Child Maltreatment
- What is being tested?
- Questionnaire
- How many people
- 1 participants
- Where
- No sites listed yet
- Study dates
- Jan 2020to Sep 2020
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 21 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Dentists working in military hospitals.
Who may be able to join
- Army officer dentists at military hospitals.
- Civilian dentists at military hospitals.
Who cannot join
- Under graduate students and interns.
Trial locations and contacts
No sites are listed yet.
About this study
Official title: 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.
Read the 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.
- Conditions
- Child Abuse, Child Maltreatment
- Being tested
- Questionnaire
- Keywords
- Child abuse, Dentists
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
QuestionnaireOther
Data will be obtained through a printed questionnaire for assessment of knowledge, attitude and practice of dentists at military hospitals regarding child abuse and neglect. The collected data will be saved and tabulated on a computer and finally will be statistically analyzed.
What is being measured
The primary outcome is the main question the study is designed to answer.
knowledge, attitude and practice of dentists at military hospitals regarding child abuse and neglect.
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.
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Dec 2019
- Study startJan 2020 (estimated)
- Primary completionJun 2020 (estimated)
- Study completionSep 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for Child AbuseStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Ecologic or community
- Time perspective
- Cross-sectional
- Enrolment
- 1 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, begad hamdy ahmed own, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04209361
- Sponsor's protocol ID
- Dentists and child abuse
- Status last verified
- Dec 2019
- First submitted
- 20 Dec 2019
- Last updated
- 24 Dec 2019
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Afifi ZE, El-Lawindi MI, Ahmed SA, Basily WW. Adolescent abuse in a community sample in Beni Suef, Egypt: prevalence and risk factors. East Mediterr Health J. 2003 Sep-Nov;9(5-6):1003-18.
PubMed 16450531Badam RK, Sownetha T, Babu DBG, Waghray S, Reddy L, Garlapati K, Chavva S. Virtopsy: Touch-free autopsy. J Forensic Dent Sci. 2017 Jan-Apr;9(1):42. doi: 10.4103/jfo.jfds_7_16.
PubMed 28584475Bunney PE, Zink AN, Holm AA, Billington CJ, Kotz CM. Orexin activation counteracts decreases in nonexercise activity thermogenesis (NEAT) caused by high-fat diet. Physiol Behav. 2017 Jul 1;176:139-148. doi: 10.1016/j.physbeh.2017.03.040. Epub 2017 Mar 28.
PubMed 28363838Definition of Dental Neglect. Pediatr Dent. 2017 Sep 15;39(6):13. No abstract available.
PubMed 29179302Fisher-Owens SA, Lukefahr JL, Tate AR; AMERICAN ACADEMY OF PEDIATRICS, SECTION ON ORAL HEALTH; COMMITTEE ON CHILD ABUSE AND NEGLECT; AMERICAN ACADEMY OF PEDIATRIC DENTISTRY, COUNCIL ON CLINICAL AFFAIRS, COUNCIL ON SCIENTIFIC AFFAIRS; AD HOC WORK GROUP ON CHILD ABUSE AND NEGLECT. Oral and Dental Aspects of Child Abuse and Neglect. Pediatrics. 2017 Aug;140(2):e20171487. doi: 10.1542/peds.2017-1487.
PubMed 28771417Hazar Bodrumlu E, Avsar A, Arslan S. Assessment of knowledge and attitudes of dental students in regard to child abuse in Turkey. Eur J Dent Educ. 2018 Feb;22(1):40-46. doi: 10.1111/eje.12242. Epub 2016 Oct 13.
PubMed 27735105Jahanimoghadam F, Kalantari M, Horri A, Ahmadipour H, Pourmorteza E. A Survey of Knowledge, Attitude and Practice of Iranian Dentists and Pedodontists in Relation to Child Abuse. J Dent (Shiraz). 2017 Dec;18(4):282-288.
PubMed 29201972Kaur H, Chaudhary S, Choudhary N, Manuja N, Chaitra TR, Amit SA. Child abuse: Cross-sectional survey of general dentists. J Oral Biol Craniofac Res. 2016 May-Aug;6(2):118-23. doi: 10.1016/j.jobcr.2015.08.002. Epub 2015 Sep 4.
PubMed 27195209Deshpande A, Macwan C, Poonacha KS, Bargale S, Dhillon S, Porwal P. Knowledge and attitude in regards to physical child abuse amongst medical and dental residents of central Gujarat: a cross-sectional survey. J Indian Soc Pedod Prev Dent. 2015 Jul-Sep;33(3):177-82. doi: 10.4103/0970-4388.160344.
PubMed 26156270
Study at a glance
From the registry record, last updated by the sponsor on 24 Dec 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Assessment of Knowledge, Attitude and Practice (KAP) of Dentists at Military Hospitals Regarding Child Abuse and Neglect: A Cross-sectional Study
- ClinicalTrials.gov ID
- NCT04209361
- Acronym / sponsor ID
- Dentists and child abuse
- Conditions
- Child Abuse, Child Maltreatment
- Keywords
- Child abuse, Dentists
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 1 participants (estimated)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- Jan 2020 (estimated)
- Primary completion
- Jun 2020 (estimated)
- Study completion
- Sep 2020 (estimated)
- First posted
- 24 Dec 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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 design
- Observational model
- Ecologic or community
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 21 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Dentists working in military hospitals.
Key inclusion criteria (2 listed)
- Army officer dentists at military hospitals.
- Civilian dentists at military hospitals.
Key exclusion criteria (1 listed)
- Under graduate students and interns.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| QuestionnaireData will be obtained through a printed questionnaire for assessment of knowledge, attitude and practice of dentists at military hospitals regarding child abuse and neglect. The collected data will be saved and tabulated on a computer and finally will be statistically analyzed. | Other | – |
Primary outcome
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.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Dec 2019.
- Background: PubMed 16450531Afifi ZE, El-Lawindi MI, Ahmed SA, Basily WW. Adolescent abuse in a community sample in Beni Suef, Egypt: prevalence and risk factors. East Mediterr Health J. 2003 Sep-Nov;9(5-6):1003-18.
- Background: PubMed 28584475Badam RK, Sownetha T, Babu DBG, Waghray S, Reddy L, Garlapati K, Chavva S. Virtopsy: Touch-free autopsy. J Forensic Dent Sci. 2017 Jan-Apr;9(1):42. doi: 10.4103/jfo.jfds_7_16.
- Background: PubMed 28363838Bunney PE, Zink AN, Holm AA, Billington CJ, Kotz CM. Orexin activation counteracts decreases in nonexercise activity thermogenesis (NEAT) caused by high-fat diet. Physiol Behav. 2017 Jul 1;176:139-148. doi: 10.1016/j.physbeh.2017.03.040. Epub 2017 Mar 28.
- Background: PubMed 29179302Definition of Dental Neglect. Pediatr Dent. 2017 Sep 15;39(6):13. No abstract available.
- Background: PubMed 28771417Fisher-Owens SA, Lukefahr JL, Tate AR; AMERICAN ACADEMY OF PEDIATRICS, SECTION ON ORAL HEALTH; COMMITTEE ON CHILD ABUSE AND NEGLECT; AMERICAN ACADEMY OF PEDIATRIC DENTISTRY, COUNCIL ON CLINICAL AFFAIRS, COUNCIL ON SCIENTIFIC AFFAIRS; AD HOC WORK GROUP ON CHILD ABUSE AND NEGLECT. Oral and Dental Aspects of Child Abuse and Neglect. Pediatrics. 2017 Aug;140(2):e20171487. doi: 10.1542/peds.2017-1487.
- Background: PubMed 27735105Hazar Bodrumlu E, Avsar A, Arslan S. Assessment of knowledge and attitudes of dental students in regard to child abuse in Turkey. Eur J Dent Educ. 2018 Feb;22(1):40-46. doi: 10.1111/eje.12242. Epub 2016 Oct 13.
- Background: PubMed 29201972Jahanimoghadam F, Kalantari M, Horri A, Ahmadipour H, Pourmorteza E. A Survey of Knowledge, Attitude and Practice of Iranian Dentists and Pedodontists in Relation to Child Abuse. J Dent (Shiraz). 2017 Dec;18(4):282-288.
- Background: PubMed 27195209Kaur H, Chaudhary S, Choudhary N, Manuja N, Chaitra TR, Amit SA. Child abuse: Cross-sectional survey of general dentists. J Oral Biol Craniofac Res. 2016 May-Aug;6(2):118-23. doi: 10.1016/j.jobcr.2015.08.002. Epub 2015 Sep 4.
- Background: PubMed 26156270Deshpande A, Macwan C, Poonacha KS, Bargale S, Dhillon S, Porwal P. Knowledge and attitude in regards to physical child abuse amongst medical and dental residents of central Gujarat: a cross-sectional survey. J Indian Soc Pedod Prev Dent. 2015 Jul-Sep;33(3):177-82. doi: 10.4103/0970-4388.160344.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Questions about this trial
What is this clinical trial studying?
An observational study of Child Abuse and Child Maltreatment, run by Cairo University.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 24 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Begad Hamdy Ahmed, Bachelor (01006097223, Begad.Hamdy@dentistry.cu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
knowledge, attitude and practice of dentists at military hospitals regarding child abuse and neglect. (time frame: 1 year). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04209361, which also lists 9 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Dec 2019.