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The problem
Intervention: SEEK (Safe Environment for Every Kid) approach implementation with two training modalities: Maintenance of Certification (MOC) intensive training versus independent online learning (IND)
Who it was tested with: Pediatric primary care practices across the United States (solo practices and large university training clinics); 14 practices with complete data.
Children or communities are compared with a group that did not receive the intervention, or followed over years. This is the design that best separates what the intervention did from everything else that changed.
"This longitudinal, multisite study randomized 25 practices to MOC or IND training groups. Of 19 practices that continued in the study, 14 provided electronic health record (EHR) data for 2-year periods prior to and after implementing SEEK." The study used a randomized design with comparison groups and longitudinal measurement, meeting criteria for experimental evidence, though the modest and non-significant findings prevent firm conclusions about intervention effectiveness.
High attrition with only 14 of 25 randomized practices providing complete data; trend-level rather than statistically significant reduction in abuse; no comparison to standard care without SEEK; unable to determine if changes were attributable to intervention versus secular trends.
Across countries and designs
1 study · 1 country
