Publication Detail

The publication detail shows the title, authors (with indicators showing other profiled authors), information on the publishing organization, abstract and a link to the article in PubMed. This abstract is what is used to create the fingerprint of the publication. If any grants are referenced by the publication, they will be listed here as well.

The safe environment for every kid model: impact on pediatric primary care professionals.

Howard Dubowitz; Wendy G Lane; Joshua N Semiatin; Laurence S Magder; Mamata Venepally; Merel Jans (Profiled Authors: Howard Dubowitz; Wendy G Lane; Laurence S Magder)

Department of Pediatrics, University of Maryland School of Medicine, 520 W Lombard St, Baltimore, MD 21201, USA. hdubowitz@peds.umaryland.edu
Pediatrics 2011;127(4):e962-70.

OBJECTIVE: To examine whether the Safe Environment for Every Kid (SEEK) model of enhanced primary care would improve the attitudes, knowledge, comfort, competence, and behavior of child health care professionals (HPs) regarding addressing major risk factors for child maltreatment (CM). METHODS: In a cluster randomized controlled trial, 18 private practices were assigned to intervention (SEEK) or control groups. SEEK HPs received training on CM risk factors (eg, maternal depression). The SEEK model included the parent screening questionnaire and the participation of a social worker. SEEK's impact was evaluated in 3 ways: (1) the health professional questionnaire (HPQ), which assessed HPs' attitudes and practice regarding the targeted problems; (2) observations of HPs conducting checkups; and (3) review of children's medical records. RESULTS: The 102 HPs averaged 45 years of age; 68% were female, and 74% were in suburban practices. Comparing baseline scores with 6-, 18-, and 36-month follow-up data, the HPQ revealed significant (P < .05) improvement in the SEEK group compared with controls on addressing depression (6 months), substance abuse (18 months), intimate partner violence (6 and 18 months), and stress (6, 18, and 36 months), and in their comfort level and perceived competence (both at 6, 18, and 36 months). SEEK HPs screened for targeted problems more often than did controls based on observations 24 months after the initial training and the medical records (P < .001). CONCLUSIONS: The SEEK model led to significant and sustained improvement in several areas. This is a crucial first step in helping HPs address major psychosocial problems that confront many families. SEEK offers a modest yet promising enhancement of primary care.

2 Originating Grant

• 1.

  LANE, WENDY GWIRTZMAN

  Epidemiology and Prevention of Abusive Abdominal Trauma in Children

  12 March 2008 - 28 February 2013

  EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT

• 2.

  DUBOWITZ, HOWARD

  Preventing Child Abuse--Community Pediatrians' Role

  1 September 2005 - 30 August 2008

  NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL

Scientific Context

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