A Safe Environment for Every Kid (SEEK II)

This study has been completed.
Sponsor:
Collaborators:
Doris Duke Charitable Foundation
Information provided by:
University of Maryland
ClinicalTrials.gov Identifier:
NCT00819702
First received: January 7, 2009
Last updated: August 2, 2010
Last verified: August 2010
  Purpose

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
Child Maltreatment
Other: Model Care

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Prevention
Official Title: Preventing Child Maltreatment: A Role for Community Pediatricians

Further study details as provided by University of Maryland:

Primary Outcome Measures:
  • Parent to Child Conflict Tactics Scale [ Time Frame: Initial contact, 6 months & 12 months after start of study participation ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Department of Human Services, Department of Child Protection records. [ Time Frame: Child's birth through March 2009 ] [ Designated as safety issue: Yes ]

Enrollment: 905
Study Start Date: May 2006
Study Completion Date: May 2010
Primary Completion Date: March 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Model Care
The Model Care approach was implemented in 7 practices, where healthcare providers (HPs) were trained to address major risk factors for CM, including maternal depression, alcohol/substance abuse, intimate partner violence, 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 1 four hour sessions. Use of the Parent Screening Questionnaire (PSQ) was discussed, as was the importance of applying it universally during regular checkups. HPs received laminated cards or an electronic version with salient information, and parent handouts on each targeted issues. We held one hour booster sessions approximately 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
Health Care providers in Standard Care group served as the controls. They continued to practice as usual.

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Mother or mother figure accompanying a child under 6 for a regular checkup.
  • Fluent english
  • Mother agrees to participate
  • Health Care provider is provider at involved practice
  • Health Care provider agrees to participate

Exclusion Criteria:

  • Mother is already participating through another child
  • Mother does not speak english
  • Mother declines participation
  • Health Care providers practice is not involved in study
  • Health Care provider declines
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00819702

Locations
United States, Maryland
University of Maryland, School of Medicine
Baltimore, Maryland, United States, 21201
Sponsors and Collaborators
University of Maryland
Doris Duke Charitable Foundation
Investigators
Principal Investigator: Howard Dubowitz, MD MS University of Maryland
  More Information

No publications provided

Responsible Party: Howard Dubowitz, MD MS, University of Maryland, School of Medicine, Division of Child Protection
ClinicalTrials.gov Identifier: NCT00819702     History of Changes
Other Study ID Numbers: HP-00040157 (H-27327), 1R49CE000588
Study First Received: January 7, 2009
Last Updated: August 2, 2010
Health Authority: United States: Institutional Review Board

Keywords provided by University of Maryland:
child abuse prevention
primary care
professional education in primary care

ClinicalTrials.gov processed this record on July 22, 2014