Teacher’s Intention to Report Child Abuse and Neglect in Romania: A Mixed-method Study
DOI:
https://doi.org/10.24193/subbpsyped.2024.1.11Keywords:
child abuse and neglect, intention to report CAN, teachers, theory of planned behavior, knowledgeAbstract
Child abuse and neglect (CAN) have long-lasting effects on a child’s physical, social, and psychological development. Teachers have a unique position to identify, protect, and intervene in these cases, but they often fail to help children in need. This study aims to describe and investigate the factors associated with CAN reporting behavior of school teachers and counselors from Romania using the Theory of Planned Behavior (TPB) as a framework. Methods. We conducted a mixed-method study using a modified version of the Child Abuse Intention to Report Scale (CARIS-R). 1025 teachers (91,7% female) participated in the survey. Quantitative and qualitative data analyses were performed to explore the predictors of intention to report CAN and the reasons to report CAN. Results. More than half of the teachers (51.9%) suspected at least one CAN case, but only 28.1% reported their concerns. Attitudes towards child discipline and professional responsibility, direct subjective norms, and perceived behavioral control were significant predictors of intention to report CAN. Eight categories of reasons might influence a teacher’s decision to report CAN, including the type of abuse, the teacher’s characteristics, or the perceived social support. Conclusions. This study’s findings contribute to our understanding of the individual factors that can influence teachers’ intention to report CAN in Romania. Teachers from Romania should have the opportunity to participate in evidence-based training, which fosters their confidence in making CAN reports.References
Acquadro Maran, D. Z. (2018). Physical Practice and Wellness Courses Reduce Distress and Improve Wellbeing in Police Officers. International journal of environmental research and public health, 15, (4), 578. https://doi.org/10.3390/ijerph15040578.
Ahn, S. V. (2023). Changes in health behaviors following a hypertensiondiagnosis:The Korean genoma and epidemiology study (2003-2018). Journal of Hypertension, 41, (3) Abstract DOI:10.1097/01.hjh.0000941248.05294.09.
Akbarpour, S. K. (2018). Healthy lifestyle behaviors and control of hypertensionamong adult hypertensive patients. Scientific reports, 8, (1), 8508. https://doi.org/10.1038/s41598-018-26823-5.
Allender S, S. P.-F. (2008). European cardiovascular disease statistics: 2008 edition. London: British Heart Foundation
Barros, A. A. (2014). Health behaviors of people with hypertension: health belief model. Rev Rene, 15, (3). https://doi.org/10.15253/2175-6783.2014000300018.
Brys, Z. T. (2022). The epidemiology of smoking and e-cigarette use in the Hungarian adult population in 2018. Orvosi Hetilap; 163, (1), 31-38. https://doi.org/10.1556/650.2022.32319.
Chauhan, V. S. (2022). Prevalence and Risk Factors of Hypertension among Police Personnel of District Gwalior- A Cross Sectional Study. . Indian journal of community medicine : official publication of Indian Association of Preventive & amp; Social Medicine, 47, (3), 379–385. https://doi.org/10.4103/ijcm.ijcm_1154_21.
Criswell, T. J. (2010). Effect of self-efficacy and social support on adherence toantihypertensive drugs. Pharmacotherapy, 30, (5), 432–441. https://doi.org/10.1592/phco.30.5.432.
Elnaem, M. H. (2022). Disparities in Prevalence and Barriers to Hypertension Control: A Systematic Review. International journal of environmental research and public health, 19, (21), 14571. https://doi.org/10.3390/ijerph192114571.
Eshah., N. M.-S. (2021). The Decisional Balance Toward Health Behaviors Among Patients With Hypertension. Clinical Nursing Research. 30, (7):977-984. doi:10.1177/1054773820967548.
Feig, E. H. (2022). Can positive psychological interventions improve health behaviors? A systematic review of the literature. Preventive medicine, 163, 107214. https://doi.org/10.1016/j.ypmed.2022.107214.
Gee, M. E.-S. (2012). Prevalence of, and barriers to, preventive lifestyle behaviors in hypertension (from a national survey of Canadians with hypertension). The American journal of cardiology, 109, (4), 570–575. https://doi.org/10.1016/j.amjcard.2011.09.051.
Guy De Backer,. Ambrosioni, E., Borch-Johnsen, K., Brotons, C., Cifkova, R., Dallongeville, J., Ebrahim, S., Faergeman, O., Graham, I., Mancia, G., Manger Cats, V., Orth-Gomér, K., Perk, J., Pyörälä, K., Rodicio, J. L., Sans, S., Sansoy, V., Sechtem, U., Silber, S., Thomsen, T., … Third Joint Task Force of European and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (2003). European guidelines on cardiovascular disease prevention in clinical practice. Third Joint Task Force of European and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. European heart journal, 24(17), 1601–1610. https://doi.org/10.1016/s0195-668x(03)00347-6
Huang, X. X. (2023). The effects of motivational interviewing on hypertension management: A systematic review and meta-analysis. Patient education and counseling, 112, 107760 https://doi.org/10.1016/j.pec.2023.107760.
Ijzelenberg, W. H. (2012). The effect of a comprehensive lifestyle intervention on cardiovascular risk factors in pharmacologically treated patients with stable cardiovascular disease compared to usual care: a randomised controlled trial. BMC cardiovascular disorders, 12, (71). https://doi.org/10.1186/1471-2261-12-71.
Kales, S. N. (2009). Blood pressure in firefighters, police officers, and other emergency responders. American journal of hypertension, 22, (1), 11–20. https://doi.org/10.1038/ajh.2008.296.
Kopp, M. S. (1992). The psyche of Hungarians {Magyar lelkiállapot}. Budapest: Végeken Alapítvány.
Kukucska D, W. J. (2023). A Systematic Review of Positive Psychology Interventions (PPIs) to Improve the Health Behaviours, Psychological Wellbeing and/or Physical Health of Police Staff. Journal of Police and Criminal Psychology, 38, (3), 728-742. https://doi.org/10.1007/s11896-023-09579-1.
Magnavita, N. C. (2018). Work-related stress as a cardiovascular risk factor in police officers: a systematic review of evidence. International archives of occupational and environmental health, 91, (4), 377–389. https://doi.org/10.1007/s00420-018-1290-y.
Maraj, I. M. (2013). Hypertension management in the high cardiovascular risk population. International journal of hypertension, 2013, 382802. https://doi.org/10.1155/2013/382802.
McMichael, A. J. (1976). Standardized mortality ratios and the “healthy worker effect” Scratching beneath the surface. Journal of occupational medicine. : official publication of the Industrial Medical Association, 18, (3), 165–168. https://doi.org/10.1097/00043764-197603000-00009.
Morrison, V. L. (2015). Predictors of self-reported adherence to antihypertensive medicines: a multinational, cross-sectional survey. Value in health: the journal of the International Society for Pharmacoeconomics and Outcomes Research, 18, (2), 206–216. https://doi.org/10.1016/j.jval.2014.12.013.
Neutel, C. & amp;. (2008). Changes in lifestyle after hypertension diagnosis in Canada. The Canadian journal of cardiology, 24, (3), 199–204. https://doi.org/10.1016/s0828-282x(08)70584-1.
Oo, H. S. (2018). Factors Related to Health Behaviors in Persons with Hypertension, Myanmar. Makara Journak of Health Research 22, (3) 107-114. https://doi.org/10.7454/msk.v22i3.10018.
Pitsavos, C. M. (2006). Prevalence of self-reported hypertension and its relation to dietary habits, in adults; a nutrition & health survey in Greece. BMC public health, 6, (206) https://doi.org/10.1186/1471-2458-6-206.
Saha, A. S. (2010). Evaluation of cardio-vascular risk factor in police officers. International Journal of Pharma and Bio Sciences, 1, (4), 263-271.
Scheltens, T. B. (2010). Awareness of hypertension: will it bring about a healthy lifestyle? Journal of human hypertension, 24, (9), 561–567. https://doi.org/10.1038/jhh.2010.26.
Snell, W. E. (1991). The Health Orientation Scale: A measure of psychological tendencies associated with health. Journal of Personality 5(2), 169-183. DOI:10.1002/per.2410050208.
SPRINT. (2017). A Randomized Trial of Intensive versus Standard Blood-Pressure Control. The New England journal of medicine, 377, (25), 2506. https://doi.org/10.1056/NEJMx170008.
Steptoe, A. &. (2009). Health behaviour patterns in relation to hypertension: the English Longitudinal Study of Ageing. Journal of hypertension, 27, (2), 224–230. https://doi.org/10.1097/HJH.0b013e3283193e6e.
Susánszky É., S. (2013). A Hungarostudy 2013 felmérés módszertana. In: Kopp, M. The psyche of Hungarian {Magyar Lelkiállapot} 2013 (13-21). Budapest, Semmelweis Kiadó.
Tan, F. C.-M. (2021). The association between self-efficacy and self-care in essential hypertension: a systematic review. BMC family practice, 22, (44)1-12. https://doi.org/10.1186/s12875-021-01391-2.
Townsend, N. W. (2016). Cardiovascular disease in Europe: epidemiological update 2016. European heart journal, 37, (42), 3232–3245. https://doi.org/10.1093/eurheartj/ehw334.
Dionato, F. A. (2021). Factors associated with not adopting healthy behavior among hypertensive individuals: a population-based study in Brazil. Journal of human hypertension, 35:(8), 718–725. https://doi.org/10.1038/s41371-020-0382-9.
Wicaksana, A. L. (2022). Health-promoting behaviors among hypertensive adult patients with and without comorbidities in Indonesia: a cross-sectional study. Frontiers of Nursing, 9, (3), 255-261 https://doi.org/10.2478/fon-2022-0031.
Wienert, J. K. (2017). Motivational and Volitional Correlates of Physical Activity in Participants Reporting No, Past, and Current Hypertension: Findings from a Cross-Sectional Observation Study. International journal of behavioral medicine, 24, (6), 908–914. https://doi.org/10.1007/s12529-017-9649-0.
Zimmerman, H. F. (2012). Cardiovascular disease and risk factors in law enforcement personnel: a comprehensive review. Cardiology in review, 20, (4), 159–166. https://doi.org/10.1097/CRD.0b013e318248d631.
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