Evidence map›Paper›PMID 39004298›Full record

Trial reportAcademic pediatrics

Comparing 2 Training Modalities Supporting the Adoption of the Safe Environment for Every Kid Approach in Pediatric Primary Care.

Howard Dubowitz, Rose Belanger, Laurence Magder, Lawrence A Palinkas, Hannah Kim, Vyas Muralidharan

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter StudyComparative Study
In one paragraph

Trial report in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03642327 (The Safe Environment for Every Kid), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03642327 nacompletednot on this map

The Safe Environment for Every Kid (SEEK) Model: Dissemination and Implementation

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2019 to 2024Enrolled360ConditionsChild MaltreatmentArmsExperimental: Maintenance of Certification (MOC), Independent online training (IND)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Howard DubowitzDepartment of Pediatrics (H Dubowitz, R Belanger, H Kim, and V Muralidharan), University of Maryland School of Medicine, Baltimore. Electronic address: hdubowitz@som.umaryland.edu.
Rose BelangerDepartment of Pediatrics (H Dubowitz, R Belanger, H Kim, and V Muralidharan), University of Maryland School of Medicine, Baltimore.
Laurence MagderDepartment of Epidemiology and Public Health (L Magder), University of Maryland School of Medicine, Baltimore.
Lawrence A PalinkasHerbert Wertheim School of Public Health and Longevity Science (LA Palinkas), University of California, San Diego.
Hannah KimDepartment of Pediatrics (H Dubowitz, R Belanger, H Kim, and V Muralidharan), University of Maryland School of Medicine, Baltimore.
Vyas MuralidharanDepartment of Pediatrics (H Dubowitz, R Belanger, H Kim, and V Muralidharan), University of Maryland School of Medicine, Baltimore.

Funding

Dissemination and Implementation of the Safe Environment for Every Kid(SEEK) Model for Preventing Child Abuse and NeglectR01HD092489 · NICHD · UNIVERSITY OF MARYLAND BALTIMORE · PI DUBOWITZ, HOWARD · 2018 to 2022
$3.7M
NICHD NIH HHS R01 HD092489
6 · The paper itself

Abstract

objectiveTo compare the impact of 2 common continuing medical education training modalities-independent online training (IND) and a Maintenance of Certification-4 (MOC) activity-on primary care professionals' (PCPs') thinking and practice behavior regarding the Safe Environment for Every Kid (SEEK) approach. This was part of an implementation science study scaling up the evidence-based practice, SEEK.

methodsThis is a longitudinal, multisite, mixed methods, cluster randomized controlled trial comparing 21 pediatric primary care practices across the United States randomized to 1 of 2 training modalities. Two hundred ten PCPs completed surveys up to 4 times over a 2-year period to assess their thinking and practice regarding SEEK; a subset was interviewed up to 3 times.

resultsTraining led to significant and sustained improvements in PCPs' thinking and behavior related to SEEK, with no significant differences between the IND and MOC groups. PCPs mostly viewed their training positively, but several described shortcomings. PCP characteristics, such as age and sex, did not moderate the impact of the training, nor did the presence of a behavioral health professional.

conclusionsThe lack of significant differences between the training modalities favors the simpler IND modality. This was despite the MOC training employing key principles of adult education. Of note, MOC-4 credits are required for pediatric board certification. More research is needed to optimize continuing medical education and tailor approaches for different learners. CLINICAL TRIAL REGISTRY AND DATA SHARING STATEMENT: SEEK: Dissemination and Implementation, NCT03642327: https://clinicaltrials.gov/ct2/show/NCT03642327.

Indexed as

Attitude of Health PersonnelEducation, DistanceEducation, Medical, ContinuingPatient SafetyPediatricsPrimary Health CareAdultCertificationChildFemaleHumansLongitudinal StudiesMaleMiddle AgedUnited Statesimplementation scienceprimary care professionalsSafe Environment for Every KidSEEKtraining

Identifiers

PMID39004298
PMCPMC11729468

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.