Utility of screening for adverse childhood experiences (ACE) in children and young people attending clinical and healthcare settings: a systematic review
Objective To examine and synthesise the literature on adverse childhood experience (ACE) screening in clinical and healthcare settings servicing children (0–11) and young people (12–25).Design A systematic review of literature was undertaken.Data source PsycInfo, Web of Science, Embase, PubMed and C...
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ftdoajarticles:oai:doaj.org/article:07ee91b4c1604217be94c87850bf552f 2023-05-15T16:16:57+02:00 Utility of screening for adverse childhood experiences (ACE) in children and young people attending clinical and healthcare settings: a systematic review Susan Woolfenden Shanti Raman Valsamma Eapen Elisabeth Murphy Ilan Katz April Deering Antonio Mendoza Diaz Sara Cibralic Mafruha Alam Dimitra Tzioumi Lorna McNamara 2022-08-01T00:00:00Z https://doi.org/10.1136/bmjopen-2021-060395 https://doaj.org/article/07ee91b4c1604217be94c87850bf552f EN eng BMJ Publishing Group https://bmjopen.bmj.com/content/12/8/e060395.full https://doaj.org/toc/2044-6055 doi:10.1136/bmjopen-2021-060395 2044-6055 https://doaj.org/article/07ee91b4c1604217be94c87850bf552f BMJ Open, Vol 12, Iss 8 (2022) Medicine R article 2022 ftdoajarticles https://doi.org/10.1136/bmjopen-2021-060395 2022-12-30T22:14:04Z Objective To examine and synthesise the literature on adverse childhood experience (ACE) screening in clinical and healthcare settings servicing children (0–11) and young people (12–25).Design A systematic review of literature was undertaken.Data source PsycInfo, Web of Science, Embase, PubMed and CINAHL were searched through June 2021. Additional searches were also undertaken.Eligibility criteria English language studies were included if they reported results of an ACE tool being used in a clinical or healthcare setting, participants were aged between 0 and 25 years and the ACE tool was completed by children/young people or by parents/caregivers/clinicians on behalf of the child/young person. Studies assessing clinicians’ views on ACE screening in children/young people attending health settings were also included.Data extraction and synthesis Two independent reviewers extracted data and assessed for risk of bias using the Mixed Methods Appraisal Tool. Results were synthesised qualitatively.Results Initial searches identified 5231 articles, of which 36 were included in the final review. Findings showed that the most commonly used tool for assessing ACE was the ACE questionnaire; administering ACE tools was found to be feasible and acceptable; there were limited studies looking at the utility, feasibility and acceptability of assessing for ACE in First Nations people; and while four studies provided information on actions taken following ACE screening, no follow-up data were collected to determine whether participants accessed services and/or the impact of accessing services.Conclusion As the evidence stands, widespread ACE screening is not recommended for routine clinical use. More research is needed on how and what specific ACE to screen for and the impact of screening on well-being.PROSPERO registration number University of York Centre for Reviews and Dissemination (CRD42021260420). Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles BMJ Open 12 8 e060395 |
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Directory of Open Access Journals: DOAJ Articles |
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language |
English |
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Medicine R |
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Medicine R Susan Woolfenden Shanti Raman Valsamma Eapen Elisabeth Murphy Ilan Katz April Deering Antonio Mendoza Diaz Sara Cibralic Mafruha Alam Dimitra Tzioumi Lorna McNamara Utility of screening for adverse childhood experiences (ACE) in children and young people attending clinical and healthcare settings: a systematic review |
topic_facet |
Medicine R |
description |
Objective To examine and synthesise the literature on adverse childhood experience (ACE) screening in clinical and healthcare settings servicing children (0–11) and young people (12–25).Design A systematic review of literature was undertaken.Data source PsycInfo, Web of Science, Embase, PubMed and CINAHL were searched through June 2021. Additional searches were also undertaken.Eligibility criteria English language studies were included if they reported results of an ACE tool being used in a clinical or healthcare setting, participants were aged between 0 and 25 years and the ACE tool was completed by children/young people or by parents/caregivers/clinicians on behalf of the child/young person. Studies assessing clinicians’ views on ACE screening in children/young people attending health settings were also included.Data extraction and synthesis Two independent reviewers extracted data and assessed for risk of bias using the Mixed Methods Appraisal Tool. Results were synthesised qualitatively.Results Initial searches identified 5231 articles, of which 36 were included in the final review. Findings showed that the most commonly used tool for assessing ACE was the ACE questionnaire; administering ACE tools was found to be feasible and acceptable; there were limited studies looking at the utility, feasibility and acceptability of assessing for ACE in First Nations people; and while four studies provided information on actions taken following ACE screening, no follow-up data were collected to determine whether participants accessed services and/or the impact of accessing services.Conclusion As the evidence stands, widespread ACE screening is not recommended for routine clinical use. More research is needed on how and what specific ACE to screen for and the impact of screening on well-being.PROSPERO registration number University of York Centre for Reviews and Dissemination (CRD42021260420). |
format |
Article in Journal/Newspaper |
author |
Susan Woolfenden Shanti Raman Valsamma Eapen Elisabeth Murphy Ilan Katz April Deering Antonio Mendoza Diaz Sara Cibralic Mafruha Alam Dimitra Tzioumi Lorna McNamara |
author_facet |
Susan Woolfenden Shanti Raman Valsamma Eapen Elisabeth Murphy Ilan Katz April Deering Antonio Mendoza Diaz Sara Cibralic Mafruha Alam Dimitra Tzioumi Lorna McNamara |
author_sort |
Susan Woolfenden |
title |
Utility of screening for adverse childhood experiences (ACE) in children and young people attending clinical and healthcare settings: a systematic review |
title_short |
Utility of screening for adverse childhood experiences (ACE) in children and young people attending clinical and healthcare settings: a systematic review |
title_full |
Utility of screening for adverse childhood experiences (ACE) in children and young people attending clinical and healthcare settings: a systematic review |
title_fullStr |
Utility of screening for adverse childhood experiences (ACE) in children and young people attending clinical and healthcare settings: a systematic review |
title_full_unstemmed |
Utility of screening for adverse childhood experiences (ACE) in children and young people attending clinical and healthcare settings: a systematic review |
title_sort |
utility of screening for adverse childhood experiences (ace) in children and young people attending clinical and healthcare settings: a systematic review |
publisher |
BMJ Publishing Group |
publishDate |
2022 |
url |
https://doi.org/10.1136/bmjopen-2021-060395 https://doaj.org/article/07ee91b4c1604217be94c87850bf552f |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
BMJ Open, Vol 12, Iss 8 (2022) |
op_relation |
https://bmjopen.bmj.com/content/12/8/e060395.full https://doaj.org/toc/2044-6055 doi:10.1136/bmjopen-2021-060395 2044-6055 https://doaj.org/article/07ee91b4c1604217be94c87850bf552f |
op_doi |
https://doi.org/10.1136/bmjopen-2021-060395 |
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BMJ Open |
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12 |
container_issue |
8 |
container_start_page |
e060395 |
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