Table.
Topic Area | Median | Mean | Standard Deviation | Range | Agreementa |
---|---|---|---|---|---|
Missed diagnosis | 8 | 8.38 | 0.52 | 8–9 | Yes |
Selected/indicated prevention | 8 | 8.00 | 1.07 | 6–9 | Yes |
Occult injuries in suspected physical abuse | 8 | 7.88 | 0.99 | 6–9 | Yes |
Bias and variability | 7.5 | 7.63 | 1.30 | 6–9 | Yes |
Social and legal interventions | 7.5 | 7.25 | 0.89 | 6–8 | Yes |
Injury timing and mechanism in suspected physical abuse | 7.5 | 7.13 | 1.46 | 5–9 | Yes |
Evaluation and management of suspected abusive head trauma | 7 | 7.00 | 1.20 | 5–9 | Yes |
Long-term outcomes | 7 | 7.00 | 1.63 | 5–9 | Yes |
Psychosocial risk factors | 6.5 | 6.63 | 2.07 | 5–9 | No |
Mental health interventions for physical abuse | 6.5 | 6.38 | 1.85 | 5–9 | No |
Mental health interventions for sexual abuse | 6 | 6.63 | 1.30 | 5–9 | No |
Forensic evaluation of suspected child sexual abuse | 6 | 6.50 | 1.31 | 5–9 | Yes |
Medical evaluation and management of suspected sexual abuse | 6 | 6.43 | 1.27 | 5–8 | No |
Education of medical professionals | 5 | 4.88 | 1.55 | 3–7 | No |
Medical mimics and differential diagnoses | 5 | 4.75 | 0.71 | 4–6 | Yes |
Evaluation and management of suspected child trafficking victims | 4.5 | 4.38 | 2.26 | 2–9 | No |
Systems of care for child abuse pediatricians | 4.5 | 4.38 | 1.60 | 2–6 | No |
Evaluation and management of suspected child neglect | 3.5 | 4.13 | 1.73 | 2–7 | No |
Epidemiology | 3.5 | 3.88 | 1.55 | 2–7 | No |
Universal prevention | 2.5 | 2.88 | 1.81 | 1–6 | Yes |
Raters were asked to rate topics by priority taking account of 1) the impact of each topic and 2) the feasibility of research within a multi-center network.
As defined by RAND Appropriateness Methodology.(Fitch et al., 2001) No topic areas met the definition of “Disagreement.”