A Safe Environment for Every Kid (SEEK) I

University of Maryland Baltimore (UMB)

Status: Completed

Conditions: Child Abuse

Treatments: Behavioral: Enhanced pediatric primary care; Behavioral: Standard pediatric primary care

Study type: Interventional

Funder types: Other

Identifiers

NCT00507299

H-20890

Details and patient eligibility

About

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.

Full 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.

Enrollment: 660 patients

Sex: All

Ages: 1 month to 70 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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660 participants in 2 patient groups

Model Care (SEEK)

Experimental group

Description:

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.

Treatment:

Behavioral: Enhanced pediatric primary care

Standard pediatric primary care

Active Comparator group

Description:

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

Treatment:

Behavioral: Standard pediatric primary care