A Safe Environment for Every Kid (SEEK) I (SEEK)
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|ClinicalTrials.gov Identifier: NCT00507299|
Recruitment Status : Completed
First Posted : July 26, 2007
Last Update Posted : September 28, 2017
|Condition or disease||Intervention/treatment|
|Child Abuse||Behavioral: Enhanced pediatric primary care Behavioral: Standard pediatric primary care|
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.
The first step was to train pediatric residents on the importance of addressing the targeted problems. Then, we developed a brief screening tool to use when children under six years came in for the regular checkups. Parents would complete this while waiting for their doctor. Finally, the doctor and/or social worker would try address any problems the parent identified.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||660 participants|
|Intervention Model:||Single Group Assignment|
|Intervention Model Description:||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.|
|Masking:||None (Open Label)|
|Official Title:||A Safe Environment for Every Kid (SEEK) I: Preventing Child Maltreatment - A Role for Pediatrics|
|Actual Study Start Date :||June 2002|
|Primary Completion Date :||December 31, 2005|
|Study Completion Date :||December 31, 2006|
Experimental: Model Care (SEEK)
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
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.
Active Comparator: Standard pediatric primary care
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
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.
- Reduced child abuse and neglect [ Time Frame: 2002 - 2005 ]Reports to Child Protective Services
- Improved resident attitudes and behavior regarding psychosocial problems. [ Time Frame: 2002 - 2005 ]Self-reported thinking and behavior regarding addressing targeted problems
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00507299
|United States, Maryland|
|Pediatric Ambulatory Clinic, University of Maryland|
|Baltimore, Maryland, United States, 21201|
|Principal Investigator:||Howard Dubowitz, MD||University of Maryland|