Table 3

Demonstrated outcomes after interventions

Outcomes	Studies
Procedural intervention outcomes
Improved documentation or recording of suspected abuse or neglect in clinical case notes	Bar-on and Zanga,⁴ Benger and McCabe,⁵ Benger and Pearce,⁶ Clark et al,⁷ Polnay and Curnock,⁹ Sidebotham and Pearce¹⁰
Increased vigilance:
Staff more likely to consider possibility of abuse	Benger and McCabe⁵
More checks made with social services	Bar-on and Zanga,⁴ Benger and McCabe,⁵ Sidebotham and Pearce¹⁰
Compatibility of injuries with history considered by clinical staff	Benger and McCabe⁵
Improved assessment for child abuse risk factors	Sidebotham and Pearce¹⁰

Training intervention outcomes
Objective
Improvement in tested knowledge	Palusci and McHugh¹⁶
Increase in detection of abuse or neglect	Cerezo and Pons-Salvador¹⁴
Subjective
Self-reported improvement in confidence	Henry et al,¹⁸ MacCleod et al²⁰
Self-reported increase in knowledge and awareness	Henry et al,¹⁸ MacCleod et al,²⁰ Myers,¹⁵ Welbury et al²³
Satisfaction with training	Buckley,¹³ Burton et al,²⁵ Dorsey et al,²⁴ Polnay and Blair¹⁹