A Safe Environment for Every Kid (SEEK) I

NCT00507299 | Completed

• 1 other identifier: H-20890
• Study Type: interventional
• Target: 660
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to enhance pediatric primary care to make it more responsive to psychosocial needs facing many families. We hypothesized that by identifying and addressing certain problems, such as depressed mothers, parental drug use, and domestic violence, we would help decrease child abuse and neglect.

Conditions

Child Abuse

Keywords

Child maltreatment; Physician education; Prevention

Outcome Measures

Primary Outcomes (1)

• Reduced child abuse and neglect

  Reports to Child Protective Services

  2002 - 2005

Secondary Outcomes (1)

• Improved resident attitudes and behavior regarding psychosocial problems.

  2002 - 2005

Study Arms (2)

Model Care (SEEK)

EXPERIMENTAL

Residents in this group received special training on addressing pyschosocial problems. They then used a parent screening questionnaire, and addressed identified problems. A study social worker was also part of this intervention. Thus, this group provided enhanced pediatric primary care.

Behavioral: Enhanced pediatric primary care

Standard pediatric primary care

ACTIVE COMPARATOR

This arm involved residents receiving the regular education through the program. They did not use the screening questionnaire to identify psychosocial problems, and did not have a dedicated social worker to assist them. Instead, residents in this group provided standard pediatric primary care

Behavioral: Standard pediatric primary care

Interventions

Enhanced pediatric primary care BEHAVIORAL

Residents received special training to address targeted psychosocial problems. Parents bringing in children (0 - 5 years) completed a screening questionnaire and gave this to their doctor. The resident briefly assessed the identified problems and helped address them. A social worker was present to assist.

Model Care (SEEK)

Standard pediatric primary care BEHAVIORAL

Residents did not receive special training on the targeted psychosocial problems. They did not use the parent screening questionnaire, and they did not have a dedicated social worker.

Standard pediatric primary care

Eligibility Criteria

• Age: 1 Month - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Child 0 - 5 years
• Family English speaking
• Parent agrees to participate

You may not qualify if:

• Child in foster care
• Another child in the family already enrolled

Sponsors & Collaborators

• University of Maryland, Baltimore: lead

Study Sites (1)

University of Maryland, Baltimore

Baltimore, Maryland, 21201, United States

Location

Related Publications (3)

• Dubowitz H, Feigelman S, Lane W, Prescott L, Blackman K, Grube L, Meyer W, Tracy JK. Screening for depression in an urban pediatric primary care clinic. Pediatrics. 2007 Mar;119(3):435-43. doi: 10.1542/peds.2006-2010.

  PMID: 17332195 RESULT

• Kalra N, Hooker L, Reisenhofer S, Di Tanna GL, Garcia-Moreno C. Training healthcare providers to respond to intimate partner violence against women. Cochrane Database Syst Rev. 2021 May 31;5(5):CD012423. doi: 10.1002/14651858.CD012423.pub2.

  PMID: 34057734 DERIVED

• Feigelman S, Dubowitz H, Lane W, Grube L, Kim J. Training pediatric residents in a primary care clinic to help address psychosocial problems and prevent child maltreatment. Acad Pediatr. 2011 Nov-Dec;11(6):474-80. doi: 10.1016/j.acap.2011.07.005. Epub 2011 Sep 29.

  PMID: 21959095 DERIVED

Study Officials

• Howard Dubowitz, MD

  University of Maryland, Baltimore

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Pediatrics

Model Details: Pediatric residents were trained to screen for and help address prevalent psychosocial problems, such as parental depression and substance abuse, that are risk factors for child maltreatment (CM). The SEEK model included a project social worker and use of community resources.

Study Record Dates

• First Submitted: July 25, 2007
• First Posted: July 26, 2007
• Study Start: June 1, 2002
• Primary Completion: December 31, 2005
• Study Completion: December 31, 2006
• Last Updated: April 7, 2022

Record last verified: 2019-11

Locations

US (1)