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A Safe Environment for Every Kid (SEEK) II (SEEK2)
This study has been completed.
Sponsored by: University of Maryland
Information provided by: University of Maryland
ClinicalTrials.gov Identifier: NCT00507299
  Purpose

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 Intervention Phase
Child Abuse
Behavioral: Enhanced pediatric primary care
Behavioral: Standard pediatric primary care
Phase II

MedlinePlus related topics: Child Abuse Children's Health
U.S. FDA Resources
Study Type: Interventional
Study Design: Prevention, Randomized, Single Blind, Placebo Control, Single Group Assignment, Efficacy Study
Official Title: A Safe Environment for Every Kid II: Preventing Child Maltreatment - A Role for Pediatrics

Further study details as provided by University of Maryland:

Primary Outcome Measures:
  • Reduced child abuse and neglect [ Time Frame: 2002 - 2005 ]

Secondary Outcome Measures:
  • Improved resident attitudes and behavior regarding psychosocial problems. [ Time Frame: 2002 - 2005 ]

Enrollment: 2004
Study Start Date: June 2002
Study Completion Date: December 2005
Arms Assigned Interventions
A: Experimental
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.
B: No Intervention
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.

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.

  Eligibility

Ages Eligible for Study:   1 Month to 70 Years
Genders Eligible for Study:   Both
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
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: 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 School of Medicine
  More Information

Publications of Results:
Study ID Numbers: 778899, U.S. DHHS, 90-CA-1695.
Study First Received: July 25, 2007
Last Updated: July 25, 2007
ClinicalTrials.gov Identifier: NCT00507299  
Health Authority: United States: Institutional Review Board

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

ClinicalTrials.gov processed this record on January 16, 2009