A Safe Environment for Every Kid (SEEK): A Model for Primary Care (SEEK)
|ClinicalTrials.gov Identifier: NCT00819702|
Recruitment Status : Completed
First Posted : January 9, 2009
Last Update Posted : September 28, 2017
Our broad goal is to help prevent child maltreatment (CM) by modifying pediatric practice to be more responsive to prevalent psychosocial needs of many children and families.Training pediatricians to address key risk factors for CM, the Safe Environment for Every Kid (SEEK) model aims to support parenting and family functioning, reducing the risk for CM while helping promote children's health, development and safety. We are building upon the existing pediatric primary care system and strengthening the training of pediatricians. The project also builds on our extensive research and clinical expertise in CM and in prevention (Black & Dubowitz, 1999, Dubowitz et al., 1998, 1999, in press; Dubowitz & Guterman, 2005, Gaudin & Dubowitz, 1997).
We have developed and implemented an enhanced model of pediatric primary care, taking advantage of the enormous opportunities of the existing pediatric primary care system, with its regular contact with young children and parents (Dubowitz & Newberger, 1989; Dubowitz, 1989, 1990; Green, 1994). Pediatricians typically devote over half their time to checkups, focusing on prevention. There is increasing recognition that pediatric care must incorporate aspects of parental and family functioning and collaborate with community resources (Academy of Pediatrics, 1998; Green, 1994b). The broad goal of this project is to implement concepts that have been embraced by the field of pediatrics, but have not been applied and tested.
|Condition or disease||Intervention/treatment|
|Child Maltreatment||Other: Model Care|
Show Detailed Description
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||905 participants|
|Intervention Model:||Parallel Assignment|
|Official Title:||Preventing Child Maltreatment: A Role for Community Pediatricians|
|Study Start Date :||May 2006|
|Primary Completion Date :||March 2009|
|Study Completion Date :||May 2010|
Experimental: Model Care
The Model Care approach was implemented in 7 practices, where PCPs were trained to address major risk factors for CM, including maternal depression, alcohol/substance abuse, intimate partner violence, food insecurity, harsh punishment and major stress. We taught how they can be briefly assessed and initially addressed. The initial training consisted of one 4-hour in-person session. Use of the Parent Screening Questionnaire (PSQ) was discussed, as was the importance of applying it universally during regular checkups. PCPs SEEK Parent Handouts on each targeted problem. We held 1-hour booster sessions every 6 months over the subsequent 2.5 years.
Other: Model Care
The Model Care provided training to pediatric health care providers to assess parental psychosocial risk factors to child maltreatment.
No Intervention: Standard Care
PCPs in Standard Care group served as the controls. They continued to practice as usual.
- Parent to Child Conflict Tactics Scale [ Time Frame: Initial contact, 6 months & 12 months after start of study participation ]
- Department of Human Services, Department of Child Protection records. [ Time Frame: Child's birth through March 2009 ]
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00819702
|United States, Maryland|
|University of Maryland, School of Medicine|
|Baltimore, Maryland, United States, 21201|
|Principal Investigator:||Howard Dubowitz, MD MS||University of Maryland|