Programas de prevención del maltrato infantil, análisis de Triple P y su posible aplicación en Colombia: revisión narrativa
DOI:
https://doi.org/10.17533/udea.iatreia.302Palabras clave:
Educación no Profesional, Evaluación de Programas y Proyectos de Salud, Maltrato a los Niños, Prevención primaria, Prevención Secundaria, Prevención TerciariaResumen
Introducción: la experiencia en el mundo de programas poblacionales de prevención del maltrato infantil es amplia, sin embargo, la eficacia científica aplica para pocos. La Society for Prevention Research y el Centro de Información para el Bienestar Infantil Basado en Evidencia de California lideran la cualificación de estas intervenciones.
Objetivos: analizar la evidencia de los programas colectivos de prevención del maltrato con énfasis en Positive Parenting Program (Triple P) como una opción para implementar en jardines infantiles de Colombia.
Metodología: se revisaron MEDLINE, PubMed, ELSEVIER, LILACS, desde las palabras MeSH “Child abuse”, “Child Maltreatment”, “Parenting Education”, “Prevention”, “Program Evaluation”. La búsqueda arrojó 2413 resultados y se incorporaron 76 artículos en el análisis de los programas preventivos del maltrato, profundizando en Triple-P.
Conclusiones: los programas con mejores evidencias incluyen Incredible Years, Early Start, Nurse Family Partnership, Adults and Childrens Together y Triple P. Este último tiene alta eficacia y aceptación en entornos culturales diversos, se ha demostrado su eficacia mediante ensayos poblacionales con buenos resultados en indicadores distales. Triple P se identifica como una buena opción para disminuir el maltrato infantil desde su aplicación en instituciones educativas de la primera infancia en Colombia.
Descargas
Citas
(1) Anda RF, Felitti VJ, Bremner JD, Walker JD, Whitfield C, Perry BD, et al. The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology. Eur Arch Psychiatry Clin Neurosci [Internet]. 2006 Apr;256(3):174-86. https://doi.org/10.1007/s00406-005-0624-4
(2) Felitti V. The Relation Between Adverse Childhood Experiences and Adult Health: Turning Gold into Lead. Perm J [Internet]. 2002;6(1):44-7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220625/
(3) Stoltenborgh M, van IJzendoorn MH, Euser EM, Bakermans-Kranenburg MJ. A global perspective on child sexual abuse: Meta-analysis of prevalence around the world. Child Maltreat [Internet]. 2011 May;16(2):79-101. https://doi.org/10.1177/1077559511403920
(4) Ministerio de Salud y Protección Social. Encuesta de violencia contra niños, niñas y adolescentes EVCNNA - 2018 [Internet]. Bogotá: Ministerio de Salud y Protección Social; 2019. [Internet]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/GCFI/informe-evcnna-2018-spa.pdf
(5) Oh DL, Jerman P, Silvério-Marques S, Koita K, Purewal-Boparai SK, Burke-Harris N, et al. Systematic review of pediatric health outcomes associated with childhood adversity. BMC Pediatr [Internet]. 2018 Feb 23;18(1). https://doi.org/10.1186/s12887-018-1037-7
(6) Proctor KB, Brestan-Knight E. Evaluating the use of assessment paradigms for preventive interventions: A review of the Triple P - Positive Parenting Program. Child Youth Serv Rev [Internet]. 2016;62:72-82. https://doi.org/10.1016/j.childyouth.2016.01.018
(7) Organización Mundial de la Salud. Prevención del maltrato infantil: Qué hacer, y cómo obtener evidencias. [Internet]. 2009. Disponible en: https://iris.who.int/bitstream/handle/10665/44228/9789243594361_spa.pdf;sequence=1
(8) Prinz RJ, Sanders MR, Shapiro CJ, Whitaker DJ, Lutzker JR. Population-based prevention of child maltreatment: The U.S. triple P system population trial. Preven Scien [Internet]. 2009;10(1):1-12. https://doi.org/10.1007/s11121-009-0123-3
(9) Krug EG, Dahlberg L, Mercy J, Zwi AB, Lozano R, ed. World report on violence and health [Internet]. World Health Organization; 2002. Available from: https://www.who.int/publications/i/item/9241545615
(10) Cross WE. Ecological Factors in Human Development. Child Dev [Internet]. 2017 May 1;88(3):767-9. https://doi.org/10.1111/cdev.12784
(11) Cuartas J. Violencia contra niños, niñas y adolescentes: etiología, consecuencias y estrategias para su prevención. Serie Documentos de trabajo: Escuela de Gobierno Alberto Lleras Camargo [Internet]. 2021;81. Disponible en: https://gobierno.uniandes.edu.co/sites/default/files/books/DT/DT-81.pdf
(12) Lanier P, Dunnigan A, Kohl PL. Impact of Pathways Triple P on Pediatric Health-Related Quality of Life in Maltreated Children. J Dev Behav Pediatr [Internet]. 2018 Dec;39(9):701-708. https://doi.org/10.1097/DBP.0000000000000608
(13) Kaye MP, Faber A, Davenport KE, Perkins DF. Common components of evidence-informed home visitation programs for the prevention of child maltreatment. Child Youth Serv Rev. 2018 Jul 1;90:94-105. https://doi.org/10.1016/j.childyouth.2018.05.009
(14) Posada A, Gómez JF, Ramírez H. Crianza Humanizada: una estrategia para prevenir el maltrato infantil. Acta Pediatr Mex [Internet]. 2008;29(5):295-305. https://www.redalyc.org/pdf/4236/423640313010.pdf
(15) Chen M, Chan KL. Effects of Parenting Programs on Child Maltreatment Prevention: A Meta-Analysis. Trauma Violence Abuse [Internet]. 2016 Jan 1;17(1):88-104. https://doi.org/10.1177/1524838014566718
(16) Vlahovicova K, Melendez-Torres GJ, Leijten P, Knerr W, Gardner F. Parenting Programs for the Prevention of Child Physical Abuse Recurrence: A Systematic Review and Meta-Analysis. Clin Child Fam Psychol Rev [Internet]. 2017;20:351-65. https://doi.org/10.1007/s10567-017-0232-7
(17) Knerr W, Gardner F, Cluver L. Improving Positive Parenting Skills and Reducing Harsh and Abusive Parenting in Low- and Middle-Income Countries: A Systematic Review. Prev Sci [Internet]. 2013;14:352-63. https://doi.org/10.1007/s11121-012-0314-1
(18) Mikton C, Butchart A. Child maltreatment prevention: A systematic review of reviews. Bull World Health Organ [Internet]. 2009;87:353-61. https://doi.org/10.2471/BLT.08.057075
(19) Van der Put CE, Assink M, Gubbels J, Boekhout van Solinge NF. Identifying Effective Components of Child Maltreatment Interventions: A Meta-analysis. Clin Child Fam Psychol Rev [Internet]. 2018;21:171-202. https://doi.org/10.1007/s10567-017-0250-5
(20) Gubbels J, van der Put CE, Assink M. The effectiveness of parent training programs for child maltreatment and their components: A meta-analysis. Int J Environ Res Public Health [Internet]. 2019;16(13):2404. https://doi.org/10.3390/ijerph16132404
(21) Altafim ERP, Linhares MBM. Universal violence and child maltreatment prevention programs for parents: A systematic review. Psych Inter [Internet]. 2016 Jan 1;25(1):27-38. https://doi.org/10.1016/j.psi.2015.10.003
(22) Backhaus S, Leijten P, Jochim J, Melendez-Torres GJ, Gardner F. Effects over time of parenting interventions to reduce physical and emotional violence against children: a systematic review and meta-analysis. EClinicalMedicine [Internet]. 2023 Jun 1;60. https://doi.org/10.1016/j.eclinm.2023.102003
(23) Euser S, Alink LR, Stoltenborgh M, Bakermans-Kranenburg MJ, Van IJzendoorn MH. A gloomy picture: A meta-analysis of randomized controlled trials reveals disappointing effectiveness of programs aiming at preventing child maltreatment. BMC Public Health [Internet]. 2015 Oct 18;15(1):1068. https://doi.org/10.1186/s12889-015-2387-9
(24) Poole MK, Seal DW, Taylor CA. A systematic review of universal campaigns targeting child physical abuse prevention. Health Educ Res [Internet]. 2014;29(3):388-432. https://doi.org/10.1093/her/cyu012
(25) Peterson C, Kearns MC. Systematic Review of Violence Prevention Economic Evaluations, 2000-2019. Am J Prev Med [Internet]. 2021;60(4):552-62. https://doi.org/10.1016/j.amepre.2020.11.002
(26) Cuartas J, Salazar A, Backhaus S, Little MT, McCoy D, Yoshikawa H, et al. Strategies to Prevent Violence Against Children in the Home: A Systematic Review of Reviews. Trauma Violence Abuse [Internet]. 2024;25(4):3419-3433. https://doi.org/10.1177/15248380241247018
(27) Morello L, Caputi M, Scaini S, Forresi B. Parenting Programs to Reduce Recurrence of Child Maltreatment in the Family Environment: A Systematic Review. Int J Environ Res Public Health [Internet]. 2022;19(20):13283. https://doi.org/10.3390/ijerph192013283
(28) Ashraf IJ, Pekarsky AR, Race JAE, Botash AS. Making the Most of Clinical Encounters: Prevention of Child Abuse and Maltreatment. Pediatric Clin North America [Internet]. 2020;67(3):481-498. https://doi.org/10.1016/j.pcl.2020.02.004
(29) Macmillan HL, Wathen N, Barlow J, Fergusson DM, Leventhal JM, Taussig HN. Interventions to prevent child maltreatment and associated impairment. Lancet [Internet]. 2009;373(9659):250-266. https://doi.org/10.1016/S0140-6736(08)61708-0
(30) Casillas KL, Fauchier A, Derkash BT, Garrido EF. Implementation of evidence-based home visiting programs aimed at reducing child maltreatment: A meta-analytic review. Vol. 53, Child Abuse Neglect [Internet]. 2016;53:64-80. https://doi.org/10.1016/j.chiabu.2015.10.009
(31) Petra M, Kohl P. Pathways Triple P and the child welfare system: A promising fit. Child Youth Serv Rev [Internet]. 2010 Apr;32(4):611-8. https://doi.org/10.1016/j.childyouth.2009.12.008
(32) Sanders MR. Development, evaluation, and multinational dissemination of the Triple P-Positive Parenting Program. Annu Rev Clin Psychol [Internet]. 2012;8:345-79. https://doi.org/10.1146/annurev-clinpsy-032511-143104
(33) Sanders MR. Triple P-Positive Parenting Program: Towards an Empirically Validated Multilevel Parenting and Family Support Strategy for the Prevention of Behavior and Emotional Problems in Children. Clin Child Fam Psychol Rev [Internet]. 1999;2:71-90. https://doi.org/10.1023/A:1021843613840
(34) Sanders MR. Triple P-Positive Parenting Program as a Public Health Approach to Strengthening Parenting. J Fam Psychol [Internet]. 2008;22(4):506-17. https://doi.org/10.1037/0893-3200.22.3.506
(35) Sanders MR, Kirby JN, Tellegen CL, Day JJ. The Triple P-Positive Parenting Program: A systematic review and meta-analysis of a multi-level system of parenting support. Clin Psychol Rev [Internet]. 2014;34(4):337-57. https://doi.org/10.1016/j.cpr.2014.04.003
(36) McWilliam J, Brown J, Sanders MR, Jones L. The Triple P Implementation Framework: the Role of Purveyors in the Implementation and Sustainability of Evidence-Based Programs. Prevention Science [Internet]. 2016;17(5):636-45. https://doi.org/10.1007/s11121-016-0661-4
(37) Shapiro CJ, Prinz RJ, Sanders MR. Facilitators and Barriers to Implementation of an Evidence-Based Parenting Intervention to Prevent Child Maltreatment: The Triple P-Positive Parenting Program. Child Maltreat [Internet]. 2012;17(1):86-95. https://doi.org/10.1177/1077559511424774
(38) Özyurt G, Dinsever Ç, Çaliskan Z, Evgin D. Can positive parenting program (Triple P) be useful to prevent child maltreatment? Indian J Psychiatry [Internet]. 2018 Jul-Sep;60(3):286–291. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201675/?report=reader
(39) Leung C, Sanders PR, Shirley Leung P, Mak R, Lau J, Ed M. An Outcome Evaluation of the Implementation of the Triple P-Positive Parenting Program in Hong Kong. Family Process [Internet]. 2003;42(4):531-544. https://doi.org/10.1111/j.1545-5300.2003.00531.x
(40) Matsumoto Y, Sofronoff K, Sanders MR. Investigation of the Effectiveness and Social Validity of the Triple P Positive Parenting Program in Japanese Society. J Fam Psychol [Internet]. 2010 Feb;24(1):87-91. https://doi.org/10.1037/a0018181
(41) Mejia A, Calam R, Sanders MR. A Pilot Randomized Controlled Trial of a Brief Parenting Intervention in Low-Resource Settings in Panama. Prevention Science [Internet]. 2015 Jul 4;16(5):707-17. https://doi.org/10.1007/s11121-015-0551-1
(42) Keown LJ, Sanders MR, Franke N, Shepherd M. Te Whānau Pou Toru: a Randomized Controlled Trial (RCT) of a Culturally Adapted Low-Intensity Variant of the Triple P-Positive Parenting Program for Indigenous Māori Families in New Zealand. Prevention Science [Internet]. 2018 Oct 1;19(7):954-65. https://doi.org/10.1007/s11121-018-0886-5
(43) Mejia A, Ulph F, Calam R. Exploration of Mechanisms behind Changes after Participation in a Parenting Intervention: A Qualitative Study in a Low-Resource Setting. Am J Community Psychol [Internet]. 2016 Mar 1;57(1-2):181-9. https://doi.org/10.1002/ajcp.12020
(44) Errázuriz P, Cerfogli C, Moreno G, Soto G. Perception of Chilean Parents on the Triple P Program for Improving Parenting Practices. J Child Fam Stud [Internet]. 2016 Nov 1;25(11):3440-9. https://doi.org/10.1007/s10826-016-0492-8
(45) Prinz RJ, Sanders MR, Shapiro CJ, Whitaker DJ, Lutzker JR. Population-based prevention of child maltreatment: The U.S. triple P system population trial. Prevention Science [Internet]. 2009;10(1):1-12. https://doi.org/10.1007/s11121-009-0123-3
(46) Foster EM, Prinz RJ, Sanders MR, Shapiro CJ. The costs of a public health infrastructure for delivering parenting and family support. Child Youth Serv Rev [Internet]. 2008 May;30(5):493-501. https://doi.org/10.1016/j.childyouth.2007.11.002
(47) Ma T, Tellegen CL, Sanders MR. Predictors of champion behaviors in an evidence-based parenting program: A structural equation modeling approach. Am J Community Psychol [Internet]. 2023 Mar 1;71(1-2):211-23. https://doi.org/10.1002/ajcp.12623
(48) Prinz RJ, Sanders MR, Shapiro CJ, Whitaker DJ, Lutzker JR. Addendum to "Population-Based Prevention of Child Maltreatment: The U.S. Triple P System Population Trial." Prevention Science [Internet]. 2016 Apr 16;17(3):410-6. https://doi.org/10.1007/s11121-016-0631-x
(49) Cuartas J. Physical punishment against the early childhood in Colombia: National and regional prevalence, sociodemographic gaps, and ten-year trends. Child Youth Serv Rev [Internet]. 2018 Oct 1;93:428-40. https://doi.org/10.1016/j.childyouth.2018.08.024
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2025 Iatreia

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
Los artículos publicados en la revista están disponibles para ser utilizados bajo la licencia Creative Commons, específicamente son de Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional.
Los trabajos enviados deben ser inéditos y suministrados exclusivamente a la Revista; se exige al autor que envía sus contribuciones presentar los formatos: presentación de artículo y responsabilidad de autoría completamente diligenciados.