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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
Sponsor:
Information provided by (Responsible Party):
Howard Dubowitz, University of Maryland

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.

Condition or disease Intervention/treatment Phase
Child Abuse Behavioral: Enhanced pediatric primary care Behavioral: Standard pediatric primary care Not Applicable

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.


Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 660 participants
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
Actual Study Start Date : June 2002
Actual Primary Completion Date : December 31, 2005
Actual Study Completion Date : December 31, 2006

Arm Intervention/treatment
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.




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


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



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Ages Eligible for Study:   1 Month to 70 Years   (Child, Adult, Older Adult)
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

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

Publications of Results:
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 Posted: July 26, 2007    Key Record Dates
Last Update Posted: September 28, 2017
Last Verified: September 2017

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