Randomized Controlled Trial to Prevent Child

Violence

Pediatric Research in Office Settings (PROS)

Welcome to Safety Check!

Safety Check is the first large-scale intervention study implemented by the PROS network!

So, What is Safety Check?

It’s a study that examines the effectiveness of an office-based intervention where practitioners will use brief, easy-to-use patient education tools to promote positive child health and development.

Safety Check is in both English and Spanish –and has been pilot tested!

Randomization

Practices will be randomly assigned to either:

GROUP 1Screen and counsel families about risk factors for child

violence, a pressing public health

problem.

GROUP 2Screen and counsel

families about reading promotion,

another important aspect of healthy

child development.

OR

What We Will Ask You To Do

At your office, enroll 30 children presenting consecutively for well-child visits:

15 children 2-5 years of age; and

15 children 6-11 years of age

Inclusion Criteria Well-child visit for children between 2 -11

years of age Accompanied by legal guardian who

spends the majority of time with the child when at home

English or Spanish speaking Have working telephone number where

they can be reached for the next 6-12 months

Before the visit: Obtain informed consent Give families Parent Household Survey to

complete Have enrolled families complete a return

postcard Put completed return postcards in the mail

daily

What We Will Ask Your Office Coordinator To Do

What We Will Ask Your Office Coordinator To Do

After the visit: Give family 1 page post visit survey Give practitioner 1 page post visit survey

We anticipate that data collection will take 2-4 weeks, depending on patient volume.

So, What Are These “Patient Surveys” About?

Parent Household Survey (8-10 minutes) Duration and frequency of family reading

aloud time Children’s and their families’ daily activities,

such as:Duration and frequency of children’s exposure to

TV and video gamesParental supervision of TV and video games

So, What Are These “Patient Surveys” About?

Parent Household Survey (continued)Discipline strategies used in the home

Gun ownership and safety

Parental knowledge and attitudes about reading aloud to children, children’s TV viewing, discipline and safety

So, What Are These “Patient Surveys” About?

Parent Post-Visit Survey (1-2 minutes) Topics discussed with practitioner Activities recommended by practitioner Parents’ intention to follow

recommendations

And, What About the “Practitioner Surveys”?Prior to beginning the study:

Practitioner Characteristic Survey

(one-time, 10 minutes) Topics discussed during well-child visits Types of community resources available

in your area Practice and practitioner demographics

And, What About the “Practitioner Surveys”?

Practitioner Post-Visit Survey (1 minute - after each enrolled patient

visit is completed) Topics discussed with parents Recommendations made

Practitioner’s Time Commitment

Safety CheckTraining Box

New PROS ProtocolPrior to beginning the study, each site will

receive a training box including:

Easy to follow overview of the study

Training audiotapes for practitioner

Training videotapes for office coordinator

Examples of all study materials

Practitioner’s Time CommitmentTo prepare for the study: You and your office coordinator review

training kit materials You listen to the audiotape and your office

coordinator reviews the videotape You complete training certification form

Practitioner’s Time CommitmentTo prepare for the study: You need to listen to the practitioner training

audiotape to learn about the intervention to which you’ve been assigned

Fax training certification form back to PROS to receive study materials and start the study

TIP: Listen to the audiotape multiple times to familiarize yourself with the process

Practitioner’s Time Commitment

For each enrolled participant, the study will require:

2-4 minutes to use the screening and counseling procedure

1 minute to fill out post-visit questionnaire

Patient’s Time Commitment 8-10 minutes to complete pre-visit

questionnaire in the waiting room*

* Spanish speaking families might need more time to complete this survey

1 minute to complete the post-visit questionnaire

10 minutes for follow-up telephone interviews with independent research staff 1 and 6 months after the visit

What if My Practice Provides Care to Spanish Speaking Patients?

If you or a member of your staff is fluent in Spanish, you can receive all Safety Check materials in Spanish!

Just let PROS know!

Benefits of Participation Help families discover the value of reading

aloud with their children Help prevent violence by counseling families

about media use, discipline and safe gun storage

Manuscript review and authorship opportunities

Practice credited in manuscripts Receive study information from both groups 1

& 2

Risks of Participation Participation in the study may reveal

suspected child abuse among your patients - your state laws may require you to report suspected abuse, which could affect the practitioner-family alliance

You may also discover improper gun storage

We Appreciate You! You will receive $100 as a token of

appreciation for your participation in the study

After the study is complete, each group gets the other’s materials

Participants will receive a parent/child activity book after they’ve completed both follow-up calls

Join Us Now! For more information: Call your PROS chapter coordinator Call PROS Central at 800/433-9016, ext.

7626 or 4756 Safety Check consultants, Ben Scheindlin

and Joe Craig, as well, are available for your specific questions

Safety Check Funding Sources National Institute of Child Health and

Human Development (NICHD) Agency for Healthcare Research and

Quality (AHRQ) Health Resources and Services

Administration on Maternal and Child Health Bureau (HRSA MCHB)

American Academy of Pediatrics (AAP)