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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
July 25, 2007
July 26, 2007
September 28, 2017
June 2002
December 31, 2005   (Final data collection date for primary outcome measure)
Reduced child abuse and neglect [ Time Frame: 2002 - 2005 ]
Reports to Child Protective Services
Reduced child abuse and neglect [ Time Frame: 2002 - 2005 ]
Complete list of historical versions of study NCT00507299 on ClinicalTrials.gov Archive Site
Improved resident attitudes and behavior regarding psychosocial problems. [ Time Frame: 2002 - 2005 ]
Self-reported thinking and behavior regarding addressing targeted problems
Improved resident attitudes and behavior regarding psychosocial problems. [ Time Frame: 2002 - 2005 ]
Not Provided
Not Provided
 
A Safe Environment for Every Kid (SEEK) I
A Safe Environment for Every Kid (SEEK) I: Preventing Child Maltreatment - A Role for Pediatrics
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.

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.

Interventional
Not Provided
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
Child Abuse
  • 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.
  • 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.
  • 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.
    Intervention: Behavioral: Enhanced pediatric primary care
  • 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
    Intervention: Behavioral: Standard pediatric primary care

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
660
December 31, 2006
December 31, 2005   (Final data collection date for primary outcome measure)

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
Sexes Eligible for Study: All
1 Month to 70 Years   (Child, Adult, Senior)
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
 
NCT00507299
H-20890
No
Not Provided
Not Provided
Howard Dubowitz, University of Maryland
University of Maryland
Not Provided
Principal Investigator: Howard Dubowitz, MD University of Maryland
University of Maryland
September 2017

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP