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Study 12 of 420 for search of: | received on or after 12/30/2008 |
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Sponsors and Collaborators: |
University of Maryland Doris Duke Charitable Foundation |
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Information provided by: | University of Maryland |
ClinicalTrials.gov Identifier: | NCT00819702 |
Our broad goal is to help prevent child maltreatment (CM) by modifying pediatric practice to be more responsive to important biopsychosocial needs of many children and families. Training pediatricians to address key risk factors for CM, thereby enhancing parenting and family functioning, reducing the risk for CM while helping ensure children's health and safety, are accomplishing this. We are building upon the existing pediatric primary care system and strengthen 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 | Intervention |
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Child Maltreatment |
Other: Model Care |
Study Type: | Interventional |
Study Design: | Prevention, Randomized, Single Blind (Subject), Uncontrolled, Parallel Assignment, Efficacy Study |
Official Title: | Preventing Child Maltreatment: A Role for Community Pediatricians |
Enrollment: | 1234 |
Study Start Date: | May 2006 |
Estimated Study Completion Date: | April 2009 |
Estimated Primary Completion Date: | March 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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Model Care: Experimental
The Model Care approach was implemented in 7 practices, where health care providers were specially trained to address major risk factors for CM, including maternal depression, alcohol and substance abuse, intimate partner violence, harsh discipline, and stress. We taught the relevance of these problems for children's health and safety, and how they can be briefly assessed and initially addressed. The initial training consisted of 2 four hour session. The use of the Parent Screening Questionnaire (PSQ) was discussed, including the importance of applying it universally during regular checkups, on a set schedule. The health care providers received laminated cards or an electronic version for a PDA with the salient information a handbook with more complete practical information including local resources, and user friendly parent hand outs on each of the targeted issues. We held one hour booster sessions at 4 to 6 months.
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Other: Model Care
The Model Care provides training to pediatric health care providers to assess parental psychosocial risk factors to child maltreatment.
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Standard Care: No Intervention
Health Care providers in Standard Care group will serve as the controls. They will continue to practice as usual.
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Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Exclusion Criteria:
United States, Maryland | |
University of Maryland, School of Medicine | |
Baltimore, Maryland, United States, 21201 |
Principal Investigator: | Howard Dubowitz, MD MS | University of Maryland |
Study Director: | Angela M Grodack, MA | University of Maryland |
Responsible Party: | University of Maryland, School of Medicine, Division of Child Protection ( Howard Dubowitz, MD MS ) |
Study ID Numbers: | HP-00040157 (H-27327), 1R49CE000588 |
Study First Received: | January 7, 2009 |
Last Updated: | January 7, 2009 |
ClinicalTrials.gov Identifier: | NCT00819702 |
Health Authority: | United States: Institutional Review Board |
child abuse prevention primary care professional education in primary care |