A Safe Environment for Every Kid (SEEK) II (SEEK2)
|Child Abuse||Behavioral: Enhanced pediatric primary care Behavioral: Standard pediatric primary care||Phase 2|
|Study Design:||Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single Blind
Primary Purpose: Prevention
|Official Title:||A Safe Environment for Every Kid II: Preventing Child Maltreatment - A Role for Pediatrics|
- Reduced child abuse and neglect [ Time Frame: 2002 - 2005 ]
- Improved resident attitudes and behavior regarding psychosocial problems. [ Time Frame: 2002 - 2005 ]
|Study Start Date:||June 2002|
|Study Completion Date:||December 2005|
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.
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.
No Intervention: B
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.
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.
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00507299
|United States, Maryland|
|Pediatric Ambulatory Clinic, University of Maryland|
|Baltimore, Maryland, United States, 21201|
|Principal Investigator:||Howard Dubowitz, MD||University of Maryland|