Trial Outcomes & Findings for SEEK: Dissemination and Implementation (NCT NCT03642327)
NCT ID: NCT03642327
Last Updated: 2025-05-29
Results Overview
The SIC is an assessment tool with 8 stages extending from Engagement to achievement of Competency. Each stage maps onto 3 phases of implementation (Pre-Implementation, Implementation and Sustainment). Startup reflects whether the practice implemented SEEK - Yes/No. Yes = practice started implemented SEEK. Practices that did start are reported.
COMPLETED
NA
360 participants
up to 30 months
2025-05-29
Participant Flow
Pediatric and family medicine practices across the U.S. were contacted from March 2019 to June 2022 through several avenues: American Academy of Pediatrics state chapters, collegial networks, healthcare system liaisons, and primary care networks. To be eligible, practices had to agree to randomization to either training modality and to introducing SEEK into their practice.
Of the 44 practices that expressed initial interest, 29 agreed to participation. Four withdrew prior to randomization, so 25 practices were randomized to IND (13) or MOC (12), stratified by practice type (family medicine/pediatrics) and resident training site (yes/no). 6 additional practices withdrew early on. Reasons included feeling already overwhelmed, compounded by the pandemic; the sole family medicine practice cited plans for universal screening within their healthcare system.
Unit of analysis: Practices randomly assigned to IND
Participant milestones
| Measure |
Independent Online Training (IND)
IND refers to practices where all its primary care professionals (PCPs)were randomly assigned to Independently doing the online training.
|
Maintenance of Certification (MOC)
MOC refers to the practices where all its PCPs were randomly assigned to do the Maintenance of Certification (MOC) - 4 training, approved by the American Board of Pediatrics.
|
|---|---|---|
|
Overall Study
STARTED
|
148 13
|
212 12
|
|
Overall Study
PCPs
|
90 13
|
120 12
|
|
Overall Study
Behavioral Health
|
2 13
|
9 12
|
|
Overall Study
Admin/Nursing
|
11 13
|
20 12
|
|
Overall Study
Parents
|
45 13
|
63 12
|
|
Overall Study
COMPLETED
|
67 10
|
93 9
|
|
Overall Study
NOT COMPLETED
|
81 3
|
119 3
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
The difference between the numbers is that we only had adequate data on the analysis sample.
Baseline characteristics by cohort
| Measure |
Independent Online Training (IND)
n=13 Practices
IND refers to practitioners independently doing the online training per practice assignment.
We did not conduct separate analyses on the other subsamples: practice leaders, behavioral health professionals, admin/nursing and parents. Particularly in the 1st three groups the n was too low.
|
Maintenance of Certification (MOC)
n=12 Practices
MOC refers to practitioners trained via the SEEK MOC-4 Activity per practice assignment. involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
We did not conduct separate analyses on the other subsamples: practice leaders, behavioral health professionals, admin/nursing and parents. Particularly in the 1st three groups the n was too low.
|
Total
n=25 Practices
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
90 Participants
n=5 Participants
|
120 Participants
n=7 Participants
|
210 Participants
n=5 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Sex: Female, Male
Sex · Female
|
71 Participants
n=5 Participants • The difference between the numbers is that we only had adequate data on the analysis sample.
|
95 Participants
n=7 Participants • The difference between the numbers is that we only had adequate data on the analysis sample.
|
166 Participants
n=5 Participants • The difference between the numbers is that we only had adequate data on the analysis sample.
|
|
Sex: Female, Male
Sex · Male
|
19 Participants
n=5 Participants • The difference between the numbers is that we only had adequate data on the analysis sample.
|
25 Participants
n=7 Participants • The difference between the numbers is that we only had adequate data on the analysis sample.
|
44 Participants
n=5 Participants • The difference between the numbers is that we only had adequate data on the analysis sample.
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
4 Participants
n=5 Participants
|
10 Participants
n=7 Participants
|
14 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
84 Participants
n=5 Participants
|
108 Participants
n=7 Participants
|
192 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
2 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
23 Participants
n=5 Participants
|
23 Participants
n=7 Participants
|
46 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
4 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
9 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
55 Participants
n=5 Participants
|
80 Participants
n=7 Participants
|
135 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
4 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
9 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
4 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
11 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
90 Participants
n=5 Participants
|
120 Participants
n=7 Participants
|
210 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: up to 30 monthsThe SIC is an assessment tool with 8 stages extending from Engagement to achievement of Competency. Each stage maps onto 3 phases of implementation (Pre-Implementation, Implementation and Sustainment). Startup reflects whether the practice implemented SEEK - Yes/No. Yes = practice started implemented SEEK. Practices that did start are reported.
Outcome measures
| Measure |
Independent Online Training (IND)
n=13 practices
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=12 practices
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
Stages of SEEK Implementation Completion (SIC) - Startup (at a Practice Level)
|
10 practices
|
9 practices
|
PRIMARY outcome
Timeframe: up to 30 monthsPopulation: The n is different because 6 practices dropped out early on and were not included in the analyses. 3 dropped out from each arm.
The SIC is an assessment tool with 8 stages extending from Engagement to achievement of Fidelity. Each stage maps onto 3 phases of implementation (Pre-Implementation, Implementation and Sustainment). Competence/Fidelity score reflects the extent to which a practice implemented the intervention as intended. Score range: 0-100; higher is better fidelity to the intervention as planned.
Outcome measures
| Measure |
Independent Online Training (IND)
n=10 Practices
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=9 Practices
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
Stages of Implementation Completion (SIC) - as Assessed by the Safe Environment for Every Kid (SEEK) Fidelity Score (at a Practice Level)
|
90.4 Score on a scale
Standard Deviation 6.9
|
91.0 Score on a scale
Standard Deviation 6.5
|
PRIMARY outcome
Timeframe: up to 30 monthsPopulation: The n is different because 6 practices dropped out early on and were not included in the analyses. 3 dropped out from each arm.
The SIC is an assessment tool with 8 stages extending from Engagement to achievement of Competency. Each stage maps onto 3 phases of implementation (Pre-Implementation, Implementation and Sustainability). Sustainability was determined if the practice was implementing SEEK 24 months after initiation and doing so with fidelity. Reporting the number of practices that achieved sustainability.
Outcome measures
| Measure |
Independent Online Training (IND)
n=10 practices
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=9 practices
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
Stages of SEEK Implementation Completion (SIC) - Sustainability
|
6 practices
|
8 practices
|
SECONDARY outcome
Timeframe: 2 years prior to implementing SEEK, 2 years after implementing SEEK., 48 months total.Population: Electronic Health Record (EHR) data were collected from 14 of the participating practices.
International Classification of Diseases - 10 (ICD-10) codes related to possible child maltreatment (CM or child abuse and neglect) are readily accessible through EHRs. De-identified aggregate data were gathered towards the end of the study for all children in the practice 0-66 months of age.
Outcome measures
| Measure |
Independent Online Training (IND)
n=6 Practices
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=8 Practices
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
Overall Rates of Children With Possible Abuse and Neglect.
Pre-SEEK
|
4.1 percentage of patients
|
8.2 percentage of patients
|
|
Overall Rates of Children With Possible Abuse and Neglect.
Post-SEEK
|
4.3 percentage of patients
|
9.3 percentage of patients
|
SECONDARY outcome
Timeframe: 2 years prior to implementing SEEK, 2 years after implementing SEEK., 48 months total.Population: EHR data were collected from 14 of the participating practices.
ICD-10 codes related to possible maltreatment (child abuse and neglect) are readily accessible through EHRs. De-identified aggregate data were gathered towards the end of the study for all children in the practice 0-66 months of age.
Outcome measures
| Measure |
Independent Online Training (IND)
n=6 Practices
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=8 Practices
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
Rates of Children With Possible Neglect.
Pre-SEEK
|
3.3 percentage of patients
|
7.0 percentage of patients
|
|
Rates of Children With Possible Neglect.
Post-SEEK
|
3.6 percentage of patients
|
8.3 percentage of patients
|
SECONDARY outcome
Timeframe: 2 years prior to implementing SEEK, 2 years after implementing SEEK., 48 months total.Population: EHR data were collected from 14 of the participating practices.
ICD-10 codes related to possible maltreatment (child abuse and neglect) are readily accessible through EHRs. De-identified aggregate data were gathered towards the end of the study for all children in the practice 0-66 months of age.
Outcome measures
| Measure |
Independent Online Training (IND)
n=6 Practices
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=8 Practices
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
Rates of Children With Non-adherence to Medical Care
Pre-SEEK
|
0.02 percentage of patients
|
0.1 percentage of patients
|
|
Rates of Children With Non-adherence to Medical Care
Post-SEEK
|
0.01 percentage of patients
|
0.05 percentage of patients
|
SECONDARY outcome
Timeframe: 2 years prior to implementing SEEK, 2 years after implementing SEEK., 48 months total.Population: EHR data were collected from 14 of the participating practices.
ICD-10 codes related to possible maltreatment (child abuse and neglect) are readily accessible through EHRs. De-identified aggregate data were gathered towards the end of the study for all children in the practice 0-66 months of age.
Outcome measures
| Measure |
Independent Online Training (IND)
n=6 Practices
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=8 Practices
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
Rates of Under Immunized Children
Pre-SEEK
|
0.009 percentage of patients
|
0.02 percentage of patients
|
|
Rates of Under Immunized Children
Post-SEEK
|
0.01 percentage of patients
|
0.018 percentage of patients
|
SECONDARY outcome
Timeframe: 2 years prior to implementing SEEK, 2 years after implementing SEEK., 48 months total.Population: EHR data were collected from 14 of the participating practices.
ICD-10 codes related to possible maltreatment (child abuse and neglect) are readily accessible through EHRs. De-identified aggregate data were gathered towards the end of the study for all children in the practice 0-66 months of age.
Outcome measures
| Measure |
Independent Online Training (IND)
n=6 Practices
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=8 Practices
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
Rates of Children With Possible Abuse.
Pre-SEEK
|
0.8 percentage of patients
|
1.3 percentage of patients
|
|
Rates of Children With Possible Abuse.
Post-SEEK
|
0.7 percentage of patients
|
1.2 percentage of patients
|
SECONDARY outcome
Timeframe: 30 monthsPopulation: The analysis is based on PCPs with data collected between 8 - 24 months after startup.
The PCPQ, used in both SEEK RCTs has 5 vignettes, with 7-12 statements assessing PCPs' thinking and practice with regard to addressing the targeted CM risk factors. Items were grouped conceptually into 6 topical scales (e.g., Substance Abuse) and 5 cross-cutting themes (e.g., Perceived Competence). The mean subscale scores ranged from 0-3. Higher scores reflect PCPs more optimal capability to address the problem.
Outcome measures
| Measure |
Independent Online Training (IND)
n=70 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=95 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
The Safe Environment for Every Kid (SEEK) PCP Questionnaire (PCPQ) - Addressing Depression Subscale
|
2.12 units on a scale
Standard Deviation 0.36
|
2.08 units on a scale
Standard Deviation 0.41
|
SECONDARY outcome
Timeframe: 30 monthsPopulation: The analysis is based on PCPs with data collected between 8 - 24 months after startup.
The PCPQ, used in both SEEK RCTs has 5 vignettes, with 7-12 statements assessing PCPs' thinking and practice with regard to addressing the targeted CM risk factors. Items were grouped conceptually into 6 topical scales (e.g., Substance Abuse) and 5 cross-cutting themes (e.g., Perceived Competence). The mean subscale scores ranged from 0-3. Higher scores reflect PCPs more optimal capability to address the problem.
Outcome measures
| Measure |
Independent Online Training (IND)
n=70 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=95 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK PCP Questionnaire (PCPQ) - Addressing Food Insecurity
|
2.19 units on a scale
Standard Deviation 0.35
|
2.09 units on a scale
Standard Deviation 0.41
|
SECONDARY outcome
Timeframe: 30 monthsPopulation: The analysis is based on PCPs with data collected between 8 - 24 months after startup.
The PCPQ, used in both SEEK RCTs has 5 vignettes, with 7-12 statements assessing PCPs' thinking and practice with regard to addressing the targeted CM risk factors. Items were grouped conceptually into 6 topical scales (e.g., Substance Abuse) and 5 cross-cutting themes (e.g., Perceived Competence). The mean subscale scores ranged from 0-3. Higher scores reflect PCPs more optimal capability to address the problem.
Outcome measures
| Measure |
Independent Online Training (IND)
n=70 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=95 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK PCP Questionnaire (PCPQ) - Addressing Major Stress
|
1.93 units on a scale
Standard Deviation 0.35
|
1.98 units on a scale
Standard Deviation 0.39
|
SECONDARY outcome
Timeframe: 30 monthsPopulation: The analysis is based on PCPs with data collected between 8 - 24 months after startup.
The PCPQ, used in both SEEK RCTs has 5 vignettes, with 7-12 statements assessing PCPs' thinking and practice with regard to addressing the targeted CM risk factors. Items were grouped conceptually into 6 topical scales (e.g., Substance Abuse) and 5 cross-cutting themes (e.g., Perceived Competence). The mean subscale scores ranged from 0-3. Higher scores reflect PCPs more optimal capability to address the problem.
Outcome measures
| Measure |
Independent Online Training (IND)
n=70 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=95 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK PCP Questionnaire (PCPQ) - Addressing Intimate Partner Violence
|
2.14 units on a scale
Standard Deviation 0.40
|
2.02 units on a scale
Standard Deviation 0.35
|
SECONDARY outcome
Timeframe: 30 monthsPopulation: The analysis is based on PCPs with data collected between 8 - 24 months after startup.
The PCPQ, used in both SEEK RCTs has 5 vignettes, with 7-12 statements assessing PCPs' thinking and practice with regard to addressing the targeted CM risk factors. Items were grouped conceptually into 6 topical scales (e.g., Substance Abuse) and 5 cross-cutting themes (e.g., Perceived Competence). The mean subscale scores ranged from 0-3. Higher scores reflect PCPs more optimal capability to address the problem.
Outcome measures
| Measure |
Independent Online Training (IND)
n=70 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=95 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK PCP Questionnaire (PCPQ) - Addressing Harsh Punishment
|
2.16 units on a scale
Standard Deviation 0.35
|
2.26 units on a scale
Standard Deviation 0.31
|
SECONDARY outcome
Timeframe: 30 monthsPopulation: The analysis is based on PCPs with data collected between 8 - 24 months after startup.
The PCPQ, used in both SEEK RCTs has 5 vignettes, with 7-12 statements assessing PCPs' thinking and practice with regard to addressing the targeted CM risk factors. Items were grouped conceptually into 6 topical scales (e.g., Substance Abuse) and 5 cross-cutting themes (e.g., Perceived Competence). The mean subscale scores ranged from 0-3. Higher scores reflect PCPs more optimal capability to address the problem.
Outcome measures
| Measure |
Independent Online Training (IND)
n=70 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=95 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK PCP Questionnaire (PCPQ) - Addressing Substance Abuse
|
1.98 units on a scale
Standard Deviation 0.34
|
1.94 units on a scale
Standard Deviation 0.31
|
SECONDARY outcome
Timeframe: 30 monthsPopulation: The analysis is based on PCPs with data collected between 8 - 24 months after startup.
The PCPQ, used in both SEEK RCTs has 5 vignettes, with 7-12 statements assessing PCPs' thinking and practice with regard to addressing the targeted CM risk factors. Items were grouped conceptually into 6 topical scales (e.g., Substance Abuse) and 5 cross-cutting themes (e.g., Perceived Competence). The mean subscale scores ranged from 0-3. Higher scores reflect PCPs more optimal capability to address the problem.
Outcome measures
| Measure |
Independent Online Training (IND)
n=70 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=95 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK PCP Questionnaire (PCPQ) - Attitudes Regarding Addressing Health-related Social Needs
|
2.33 units on a scale
Standard Deviation 0.32
|
2.26 units on a scale
Standard Deviation 0.30
|
SECONDARY outcome
Timeframe: 30 monthsPopulation: The analysis is based on PCPs with data collected between 8 - 24 months after startup.
The PCPQ, used in both SEEK RCTs has 5 vignettes, with 7-12 statements assessing PCPs' thinking and practice with regard to addressing the targeted CM risk factors. Items were grouped conceptually into 6 topical scales (e.g., Substance Abuse) and 5 cross-cutting themes (e.g., Perceived Competence). The mean subscale scores ranged from 0-3. Higher scores reflect PCPs more optimal capability to address the problem.
Outcome measures
| Measure |
Independent Online Training (IND)
n=70 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=95 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK PCP Questionnaire (PCPQ) - Comfort Level Regarding Addressing Health-related Social Needs
|
2.02 units on a scale
Standard Deviation 0.40
|
1.99 units on a scale
Standard Deviation 0.43
|
SECONDARY outcome
Timeframe: 30 monthsPopulation: The analysis is based on PCPs with data collected between 8 - 24 months after startup.
The PCPQ, used in both SEEK RCTs has 5 vignettes, with 7-12 statements assessing PCPs' thinking and practice with regard to addressing the targeted CM risk factors. Items were grouped conceptually into 6 topical scales (e.g., Substance Abuse) and 5 cross-cutting themes (e.g., Perceived Competence). The mean subscale scores ranged from 0-3. Higher scores reflect PCPs more optimal capability to address the problem.
Outcome measures
| Measure |
Independent Online Training (IND)
n=70 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=95 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK PCP Questionnaire (PCPQ) - Perceived Competence Regarding Addressing Health-related Social Needs
|
1.78 units on a scale
Standard Deviation 0.41
|
1.73 units on a scale
Standard Deviation 0.43
|
SECONDARY outcome
Timeframe: 30 monthsPopulation: The analysis is based on PCPs with data collected between 8 - 24 months after startup.
The PCPQ, used in both SEEK RCTs has 5 vignettes, with 7-12 statements assessing PCPs' thinking and practice with regard to addressing the targeted CM risk factors. Items were grouped conceptually into 6 topical scales (e.g., Substance Abuse) and 5 cross-cutting themes (e.g., Perceived Competence). The mean subscale scores ranged from 0-3. Higher scores reflect PCPs more optimal capability to address the problem.
Outcome measures
| Measure |
Independent Online Training (IND)
n=70 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=95 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK PCP Questionnaire (PCPQ) - Knowledge Regarding Addressing Health-related Social Needs
|
2.26 units on a scale
Standard Deviation 0.28
|
2.21 units on a scale
Standard Deviation 0.27
|
SECONDARY outcome
Timeframe: 30 monthsPopulation: The analysis is based on PCPs with data collected between 8 - 24 months after startup.
The PCPQ, used in both SEEK RCTs has 5 vignettes, with 7-12 statements assessing PCPs' thinking and practice with regard to addressing the targeted CM risk factors. Items were grouped conceptually into 6 topical scales (e.g., Substance Abuse) and 5 cross-cutting themes (e.g., Perceived Competence). The mean subscale scores ranged from 0-3. Higher scores reflect PCPs more optimal capability to address the problem.
Outcome measures
| Measure |
Independent Online Training (IND)
n=70 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=95 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK PCP Questionnaire (PCPQ) - Practice Behavior Regarding Addressing Health-related Social Needs
|
2.07 units on a scale
Standard Deviation 0.39
|
2.04 units on a scale
Standard Deviation 0.40
|
SECONDARY outcome
Timeframe: 24 monthsPopulation: Represents all the data collected from parents.
Parents rate their child's PCP on this measure adapted for pediatric practice from the Patient-Doctor Interaction Scale. The Likert scale included 8 questions; the response set was from 1 (no) to 4 (always). Subscale mean scores range from 1 - 4; higher scores indicate greater satisfaction. The mean of the Likert subscale response is reported.
Outcome measures
| Measure |
Independent Online Training (IND)
n=45 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=63 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK Parent View of Relationship With Child's PCP Subscale - Adapted From the Patient-Doctor Interaction Scale
|
3.53 score on a scale
Standard Deviation 0.50
|
3.48 score on a scale
Standard Deviation 0.44
|
SECONDARY outcome
Timeframe: 24 monthsPopulation: Represents all the data collected from parents.
Parents rate their child's PCP on this measure adapted for pediatric practice from the Patient-Doctor Interaction Scale. The Likert scale included 8 questions; the response set was from 1 (no) to 4 (always). Subscale mean scores range from 1 - 4; higher scores indicate greater satisfaction. The mean of the Likert subscale response is reported.
Outcome measures
| Measure |
Independent Online Training (IND)
n=45 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=63 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK Parent View of the Attentiveness of the Child's PCP Subscale - Adapted From the Patient-Doctor Interaction Scale
|
3.67 score on a scale
Standard Deviation 0.38
|
3.62 score on a scale
Standard Deviation 0.44
|
SECONDARY outcome
Timeframe: 24 monthsPopulation: Represents all the data collected from parents.
Parents rate their child's PCP on this measure adapted for pediatric practice from the Patient-Doctor Interaction Scale. The Likert scale included 8 questions; the response set was from 1 (no) to 4 (always). Subscale mean scores range from 1 - 4; higher scores indicate greater satisfaction. The mean of the Likert subscale response is reported.
Outcome measures
| Measure |
Independent Online Training (IND)
n=45 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=63 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK Parent View of the Comprehensiveness of the Child's PCP Subscale - Adapted From the Patient-Doctor Interaction Scale
|
3.08 score on a scale
Standard Deviation 0.56
|
2.92 score on a scale
Standard Deviation 0.56
|
SECONDARY outcome
Timeframe: 24 monthsPopulation: Represents all the data collected from parents.
Parents rate their child's PCP on this measure adapted for pediatric practice from the Patient-Doctor Interaction Scale. The Likert scale included 8 questions; the response set was from 1 (no) to 4 (always). Subscale mean scores range from 1 - 4; higher scores indicate greater satisfaction. The mean of the Likert subscale response is reported.
Outcome measures
| Measure |
Independent Online Training (IND)
n=45 Participants
IND refers to practitioners Independently doing the online training.
|
Maintenance of Certification (MOC)
n=63 Participants
MOC involves a guided learning experience, approved by the American Board of Pediatrics and the American Board of Family Medicine for Maintenance of Certification credits. This involves a Quality Improvement project with 3 waves of data collection to assess and improve implementation while participating in 4 monthly webinars led by Dr. Dubowitz.
|
|---|---|---|
|
SEEK Parent View of the Communication Skills of the Child's PCP Subscale - Adapted From the Patient-Doctor Interaction Scale
|
3.61 score on a scale
Standard Deviation 0.41
|
3.51 score on a scale
Standard Deviation 0.43
|
Adverse Events
Independent Online Training (IND)
Maintenance of Certification (MOC)
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Howard Dubowitz, MD, Professor of Pediatrics
University of Maryland School of Medicine
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place