Acceptability of the Predicting Abusive Head Trauma (PredAHT) clinical prediction tool: A qualitative study with child protection professionals

Child Abuse & Neglect
Laura E CowleyAlison M Kemp

Abstract

The validated Predicting Abusive Head Trauma (PredAHT) tool estimates the probability of abusive head trauma (AHT) based on combinations of six clinical features: head/neck bruising; apnea; seizures; rib/long-bone fractures; retinal hemorrhages. We aimed to determine the acceptability of PredAHT to child protection professionals. We conducted qualitative semi-structured interviews with 56 participants: clinicians (25), child protection social workers (10), legal practitioners (9, including 4 judges), police officers (8), and pathologists (4), purposively sampled across southwest United Kingdom. Interviews were recorded, transcribed and imported into NVivo for thematic analysis (38% double-coded). We explored participants' evaluations of PredAHT, their opinions about the optimal way to present the calculated probabilities, and their interpretation of probabilities in the context of suspected AHT. Clinicians, child protection social workers and police thought PredAHT would be beneficial as an objective adjunct to their professional judgment, to give them greater confidence in their decisions. Lawyers and pathologists appreciated its value for prompting multidisciplinary investigations, but were uncertain of its usefulness in cour...Continue Reading

References

Feb 24, 1999·JAMA : the Journal of the American Medical Association·C JennyT C Hay
Mar 27, 1999·Annals of Emergency Medicine·I G Stiell, G A Wells
Dec 23, 2003·Emergency Nurse : the Journal of the RCN Accident and Emergency Nursing Association·Victoria Joughin
Jul 5, 2005·Pediatrics·Benjamin H Levi, Georgia Brown
Feb 8, 2006·Annals of Internal Medicine·Brendan M Reilly, Arthur T Evans
Sep 18, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Allison TongJonathan Craig
Jan 1, 2010·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Jamie C BrehautIan G Stiell
Apr 2, 2014·Pediatric Radiology·Arabinda K ChoudharyMark S Dias
Nov 19, 2014·Pediatrics·Kent P HymelUNKNOWN Pediatric Brain Injury Research Network (PediBIRN) Investigators
Apr 29, 2015·Pediatrics·Cindy W Christian, UNKNOWN Committee on Child Abuse and Neglect, American Academy of Pediatrics
Jul 29, 2015·Pediatrics·Laura Elizabeth CowleyAlison Mary Kemp
Apr 14, 2016·Emergency Medicine Journal : EMJ·Emma Louise JohnsonSabine Maguire
Jun 25, 2016·Pediatrics·Rachel Pardes BergerPatrick M Kochanek
Oct 22, 2016·Child Abuse & Neglect·Megan M LetsonRachel P Berger
Mar 1, 2017·AJR. American Journal of Roentgenology·Jason N Wright

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Citations

Jan 15, 2020·Emergency Medicine Journal : EMJ·Ffion Davies
Jan 15, 2020·Emergency Medicine Journal : EMJ·Helena PfeifferFranz E Babl
Apr 8, 2020·Emergency Medicine Journal : EMJ·Laura Elizabeth CowleyAlison Mary Kemp

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