• Login
    View Item 
    •   UMB Digital Archive
    • School of Medicine
    • Dr. Howard Dubowitz
    • View Item
    •   UMB Digital Archive
    • School of Medicine
    • Dr. Howard Dubowitz
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

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

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Find Full text
    Author
    Dubowitz, H.
    Lane, W.G.
    Semiatin, J.N.
    Magder, L.S.
    Venepally, M.
    Jans, M.
    Date
    2011
    Journal
    Pediatrics
    Publisher
    American Academy of Pediatrics
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1542/peds.2010-1845
    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. Copyright 2011 by the American Academy of Pediatrics.
    Keyword
    Child maltreatment
    Prevention
    Primary care
    Risk factors
    Screening
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-79953295575&doi=10.1542%2fpeds.2010-1845&partnerID=40&md5=c472ce5b5fdda6c17194f79807b064e6; http://hdl.handle.net/10713/11853
    ae974a485f413a2113503eed53cd6c53
    10.1542/peds.2010-1845
    Scopus Count
    Collections
    Dr. Howard Dubowitz

    entitlement

    Related articles

    • Training pediatric residents in a primary care clinic to help address psychosocial problems and prevent child maltreatment.
    • Authors: Feigelman S, Dubowitz H, Lane W, Grube L, Kim J
    • Issue date: 2011 Nov-Dec
    • The SEEK model of pediatric primary care: can child maltreatment be prevented in a low-risk population?
    • Authors: Dubowitz H, Lane WG, Semiatin JN, Magder LS
    • Issue date: 2012 Jul-Aug
    • Pediatric primary care to help prevent child maltreatment: the Safe Environment for Every Kid (SEEK) Model.
    • Authors: Dubowitz H, Feigelman S, Lane W, Kim J
    • Issue date: 2009 Mar
    • Protocol for comparing two training approaches for primary care professionals implementing the Safe Environment for Every Kid (SEEK) model.
    • Authors: Dubowitz H, Saldana L, Magder LA, Palinkas LA, Landsverk JA, Belanger RL, Nwosu US
    • Issue date: 2020
    • The Safe Environment for Every Kid (SEEK) Model: helping promote children's health, development, and safety: SEEK offers a practical model for enhancing pediatric primary care.
    • Authors: Dubowitz H
    • Issue date: 2014 Nov
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.