N/A
N=360
SEEK: Dissemination and Implementation
Child Maltreatment
Bottom Line
View on ClinicalTrials.gov: NCT03642327 ↗Enrolled (actual)
360
Serious AEs
0.0%
Results posted
May 2025
Primary outcome: Primary: Stages of SEEK Implementation Completion (SIC) - Startup (at a Practice Level) — 10; 9 practices
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Experimental: Maintenance of Certification (MOC) (Behavioral); Independent online training (IND) (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Maryland, Baltimore
- Primary completion
- Mar 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Stages of SEEK Implementation Completion (SIC) - Startup (at a Practice Level) |
10; 9 | — |
| PRIMARY Stages of Implementation Completion (SIC) - as Assessed by the Safe Environment for Every Kid (SEEK) Fidelity Score (at a Practice Level) |
90.4; 91.0 | — |
| PRIMARY Stages of SEEK Implementation Completion (SIC) - Sustainability |
6; 8 | — |
| SECONDARY Overall Rates of Children With Possible Abuse and Neglect. |
4.1; 8.2; 4.3; 9.3 | — |
| SECONDARY Rates of Children With Possible Neglect. |
3.3; 7.0; 3.6; 8.3 | — |
| SECONDARY Rates of Children With Non-adherence to Medical Care |
0.02; 0.1; 0.01; 0.05 | — |
| SECONDARY Rates of Under Immunized Children |
0.009; 0.02; 0.01; 0.018 | — |
| SECONDARY Rates of Children With Possible Abuse. |
0.8; 1.3; 0.7; 1.2 | — |
| SECONDARY The Safe Environment for Every Kid (SEEK) PCP Questionnaire (PCPQ) - Addressing Depression Subscale |
2.12; 2.08 | — |
| SECONDARY SEEK PCP Questionnaire (PCPQ) - Addressing Food Insecurity |
2.19; 2.09 | — |
| SECONDARY SEEK PCP Questionnaire (PCPQ) - Addressing Major Stress |
1.93; 1.98 | — |
| SECONDARY SEEK PCP Questionnaire (PCPQ) - Addressing Intimate Partner Violence |
2.14; 2.02 | — |
| SECONDARY SEEK PCP Questionnaire (PCPQ) - Addressing Harsh Punishment |
2.16; 2.26 | — |
| SECONDARY SEEK PCP Questionnaire (PCPQ) - Addressing Substance Abuse |
1.98; 1.94 | — |
| SECONDARY SEEK PCP Questionnaire (PCPQ) - Attitudes Regarding Addressing Health-related Social Needs |
2.33; 2.26 | — |
| SECONDARY SEEK PCP Questionnaire (PCPQ) - Comfort Level Regarding Addressing Health-related Social Needs |
2.02; 1.99 | — |
| SECONDARY SEEK PCP Questionnaire (PCPQ) - Perceived Competence Regarding Addressing Health-related Social Needs |
1.78; 1.73 | — |
| SECONDARY SEEK PCP Questionnaire (PCPQ) - Knowledge Regarding Addressing Health-related Social Needs |
2.26; 2.21 | — |
| SECONDARY SEEK PCP Questionnaire (PCPQ) - Practice Behavior Regarding Addressing Health-related Social Needs |
2.07; 2.04 | — |
| SECONDARY SEEK Parent View of Relationship With Child's PCP Subscale - Adapted From the Patient-Doctor Interaction Scale |
3.53; 3.48 | — |
| SECONDARY SEEK Parent View of the Attentiveness of the Child's PCP Subscale - Adapted From the Patient-Doctor Interaction Scale |
3.67; 3.62 | — |
| SECONDARY SEEK Parent View of the Comprehensiveness of the Child's PCP Subscale - Adapted From the Patient-Doctor Interaction Scale |
3.08; 2.92 | — |
| SECONDARY SEEK Parent View of the Communication Skills of the Child's PCP Subscale - Adapted From the Patient-Doctor Interaction Scale |
3.61; 3.51 | — |
Summary
This study aims to understand what influences the adoption and implementation of an innovative approach to pediatric primary care by medical professionals and staff providing that care. The innovation concerns addressing common psychosocial problems such as parental depression and substance abuse. Different approaches to training medical professionals will be examined as well as the use of software versus traditional 'paper and pencil' to facilitate implementation.
Eligibility Criteria
Inclusion Criteria
- Practice not already implementing the SEEK model.
- The practice provides primary care to children.
- The practice agrees to participate in the study.
- PCPs, office staff and parents of children 0-5 years agree to participate.
- Able to comprehend basic English
- Access to a computer to complete online surveys.
Exclusion Criteria
- None
Data sourced from ClinicalTrials.gov (NCT03642327). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.