A Safe Environment for Every Kid (SEEK) I

Child Abuse Clinical Trial

— SEEK  

Official title:

A Safe Environment for Every Kid (SEEK) I: Preventing Child Maltreatment - A Role for Pediatrics

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00507299
• Other study ID #: H-20890
• Status: Completed
• Phase: N/A
• Start date: June 2002
• Est. completion date: December 31, 2006

Study information

• Verified date: November 2019
• Source: University of Maryland, Baltimore
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 660
• Est. completion date: December 31, 2006
• Est. primary completion date: December 31, 2005
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 1 Month to 70 Years

Eligibility

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

Related Conditions & MeSH terms

• Child Abuse

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.
• 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.

Locations

Country	Name	City	State
United States	University of Maryland, Baltimore	Baltimore	Maryland

Sponsors (1)

Lead Sponsor	Collaborator
University of Maryland, Baltimore

Country where clinical trial is conducted

United States, 

References & Publications (1)

Dubowitz H, Feigelman S, Lane W, Prescott L, Blackman K, Grube L, Meyer W, Tracy JK. Screening for depression in an urban pediatric primary care clinic. Pediatrics. 2007 Mar;119(3):435-43. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Reduced child abuse and neglect	Reports to Child Protective Services	2002 - 2005
Secondary	Improved resident attitudes and behavior regarding psychosocial problems.	Self-reported thinking and behavior regarding addressing targeted problems	2002 - 2005