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The Safe Environment for Every Kid Model: Impact on Pediatric Primary Care Professionals

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dc.contributor.author Dubowitz, H., Lane, W. G., Semiatin, J. N., Magder, L. S., Venepally, M., & Jans, M.
dc.date.accessioned 2014-08-07T18:27:02Z
dc.date.available 2014-08-07T18:27:02Z
dc.date.issued 2011
dc.identifier.citation Dubowitz, H., Lane, W. G., Semiatin, J. N., Magder, L. S., Venepally, M., & Jans, M. (2011). The safe environment for every kid model: impact on pediatric primary care professionals. Pediatrics, 127(4), e962-e970. en_US
dc.identifier.uri http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3387892/pdf/zpee962.pdf
dc.identifier.uri http://hdl.handle.net/11212/1634
dc.description.abstract 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. (Author Abstract) en_US
dc.language.iso en_US en_US
dc.publisher Pediatrics en_US
dc.subject risk factors en_US
dc.subject screening en_US
dc.subject child abuse en_US
dc.subject primary care en_US
dc.subject research en_US
dc.subject prevention en_US
dc.title The Safe Environment for Every Kid Model: Impact on Pediatric Primary Care Professionals en_US
dc.type Article en_US


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