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dc.contributor.authorFeigelman, S.
dc.contributor.authorDubowitz, H.
dc.contributor.authorLane, W.
dc.contributor.authorGrube, L.
dc.contributor.authorKim, J.
dc.date.accessioned2020-02-07T21:22:37Z
dc.date.available2020-02-07T21:22:37Z
dc.date.issued2011
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-81055140317&doi=10.1016%2fj.acap.2011.07.005&partnerID=40&md5=74c790f59d2104e997e6041f4aa14d44
dc.identifier.urihttp://hdl.handle.net/10713/11843
dc.description.abstractObjective: The objectives of this study were to determine whether 1) residents trained in the SEEK (A Safe Environment for Every Kid) model would report improved attitudes, knowledge, comfort, competence, and practice regarding screening for psychosocial risk factors (parental depression, parental substance abuse, intimate partner violence, stress, corporal punishment, and food insecurity); 2) intervention residents would be more likely to screen for and assess those risk factors; and 3) families seen by intervention residents would report improved satisfaction with their child's doctor compared to families receiving standard care from control residents. Methods: Pediatric residents in a university-based pediatrics continuity clinic were enrolled onto a randomized controlled trial of the SEEK model. The model included resident training about psychosocial risk factors, a Parent Screening Questionnaire, and a study social worker. Outcome measures included: 1) residents' baseline, 6-month, and 18-month posttraining surveys, 2) medical record review, and 3) parents' satisfaction regarding doctor-parent interaction. Results: Ninety-five residents participated. In 4 of 6 risk areas, intervention residents scored higher on the self-assessment compared to control subjects, with sustained improvement at 18 months. Intervention residents were more likely than control subjects to screen and assess parents for targeted risk factors. Parents seen by intervention residents responded favorably regarding interactions with their doctor. Conclusions: The SEEK model helped residents become more comfortable and competent in screening for and addressing psychosocial risk factors. The benefits were sustained. Parents viewed the intervention doctors favorably. The model shows promise as a way of helping address major psychosocial problems in pediatric primary care. Copyright 2011 by Academic Pediatric Association.en_US
dc.description.sponsorshipThe study was funded by a grant from the U.S. Department of Health and Human Services, Administration on Children and Families, Office on Child Abuse and Neglect . 90CA1695/01 , Howard Dubowitz, PI. Trial registration, clinicaltrials.gov identifier NCT00507299.en_US
dc.description.urihttps://doi.org/10.1016/j.acap.2011.07.005en_US
dc.language.isoen_USen_US
dc.publisherElsevieren_US
dc.relation.ispartofAcademic Pediatrics
dc.subjectchild maltreatmenten_US
dc.subjectpreventionen_US
dc.subjectpsychosocial risk factorsen_US
dc.subjectresidencyen_US
dc.titleTraining pediatric residents in a primary care clinic to help address psychosocial problems and prevent child maltreatmenten_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.acap.2011.07.005
dc.identifier.pmid21959095
dc.identifier.ispublishedYes
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