A Safe Environment for Every Kid (SEEK) I

Not Applicable

Completed

• Conditions: Child Abuse
• Interventions: Behavioral: Standard pediatric primary care; Behavioral: Enhanced pediatric primary care

• Registration Number: NCT00507299
• Lead Sponsor: University of Maryland, Baltimore

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.

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.

Study Timeline

• Study Start: 2002-06
• Primary Completion: 2005-12-31
• Study Completion: 2006-12-31
• Study First Submitted: 2007-07-25
• Study First Submitted QC: 2007-07-25
• Study First Posted: 2007-07-26
• Status Verified: 2019-11
• Last Update Submitted: 2022-03-29
• Last Update Posted: 2022-04-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 660

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Standard pediatric primary care	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
Model Care (SEEK)	Enhanced pediatric primary care	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.

Primary Outcome Measures

Name	Time	Method
Reduced child abuse and neglect	2002 - 2005	Reports to Child Protective Services

Secondary Outcome Measures

Name	Time	Method
Improved resident attitudes and behavior regarding psychosocial problems.	2002 - 2005	Self-reported thinking and behavior regarding addressing targeted problems

Trial Locations

Locations (1)

University of Maryland, Baltimore; 🇺🇸 Baltimore, Maryland, United States