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A Safe Environment for Every Kid (SEEK) I (SEEK)

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00507299
First Posted: July 26, 2007
Last Update Posted: September 28, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Howard Dubowitz, University of Maryland
  Purpose
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.

Condition Intervention
Child Abuse Behavioral: Enhanced pediatric primary care Behavioral: Standard pediatric primary care

Study Type: Interventional
Study Design: Allocation: Randomized
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)
Primary Purpose: Prevention
Official Title: A Safe Environment for Every Kid (SEEK) I: Preventing Child Maltreatment - A Role for Pediatrics

Further study details as provided by Howard Dubowitz, University of Maryland:

Primary Outcome Measures:
  • Reduced child abuse and neglect [ Time Frame: 2002 - 2005 ]
    Reports to Child Protective Services


Secondary Outcome Measures:
  • Improved resident attitudes and behavior regarding psychosocial problems. [ Time Frame: 2002 - 2005 ]
    Self-reported thinking and behavior regarding addressing targeted problems


Enrollment: 660
Actual Study Start Date: June 2002
Study Completion Date: December 31, 2006
Primary Completion Date: December 31, 2005 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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.

Detailed Description:

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.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   1 Month to 70 Years   (Child, Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

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

Exclusion Criteria:

  • Child in foster care
  • Another child in the family already enrolled
  Contacts and Locations
Information from the National Library of Medicine

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


Locations
United States, Maryland
Pediatric Ambulatory Clinic, University of Maryland
Baltimore, Maryland, United States, 21201
Sponsors and Collaborators
University of Maryland
Investigators
Principal Investigator: Howard Dubowitz, MD University of Maryland
  More Information

Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Howard Dubowitz, Professor of Pediatrics, University of Maryland
ClinicalTrials.gov Identifier: NCT00507299     History of Changes
Other Study ID Numbers: H-20890
First Submitted: July 25, 2007
First Posted: July 26, 2007
Last Update Posted: September 28, 2017
Last Verified: September 2017

Keywords provided by Howard Dubowitz, University of Maryland:
Child maltreatment
Physician education
Prevention