A Safe Environment for Every Kid (SEEK) I

Sponsor

University of Maryland, Baltimore (Other)

Overall Status

Completed

CT.gov ID

NCT00507299

Collaborator

(none)

660

Enrollment

Location

Arms

Actual Duration (Months)

Patients Per Site Per Month

Study Details

Study Description

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	N/A

Detailed Description

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 Design

Study Type:

Interventional

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.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 :

Jun 1, 2002

Actual Primary Completion Date :

Dec 31, 2005

Actual Study Completion Date :

Dec 31, 2006

Arms and Interventions

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.

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.

Outcome Measures

Primary Outcome Measures

Reduced child abuse and neglect [2002 - 2005]
Reports to Child Protective Services

Secondary Outcome Measures

Improved resident attitudes and behavior regarding psychosocial problems. [2002 - 2005]
Self-reported thinking and behavior regarding addressing targeted problems

Eligibility Criteria

Criteria

Ages Eligible for Study:

1 Month to 70 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

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

Locations

	Site	City	State	Country	Postal Code
1	University of Maryland, Baltimore	Baltimore	Maryland	United States	21201

Sponsors and Collaborators

University of Maryland, Baltimore

Investigators

Principal Investigator: Howard Dubowitz, MD, University of Maryland, Baltimore

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Howard Dubowitz, Professor of Pediatrics, University of Maryland, Baltimore

ClinicalTrials.gov Identifier:

NCT00507299

Other Study ID Numbers:

H-20890

First Posted:

Jul 26, 2007

Last Update Posted:

Apr 7, 2022

Last Verified:

Nov 1, 2019

Keywords provided by Howard Dubowitz, Professor of Pediatrics, University of Maryland, Baltimore

Child maltreatment

Physician education

Prevention

Study Results

No Results Posted as of Apr 7, 2022