Protocol for comparing two training approaches for primary care professionals implementing the Safe Environment for...

Area of Science:

• Implementation Science
• Public Health
• Pediatric Primary Care

Background:

• Child maltreatment (CM) is a significant public health issue with long-term consequences.
• The Safe Environment for Every Kid (SEEK) model is an evidence-based intervention for pediatric primary care to prevent CM.
• Despite proven effectiveness, SEEK has faced challenges in widespread adoption.

Purpose of the Study:

• To examine technology-driven implementation strategies for scaling up the SEEK model in primary care settings.
• To evaluate the effectiveness of different training approaches on SEEK implementation.
• To identify barriers and facilitators to SEEK's successful adoption and sustainment.

Main Methods:

• A randomized type III hybrid mixed methods design was employed.
• Investigated online and in-depth structured training, alongside SEEKonline software and traditional methods.
• Utilized EPIS framework, Universal Stages of Implementation Completion, quantitative measures, qualitative interviews, and EHR data.

Main Results:

• The study evaluated the impact of various training strategies on SEEK implementation.
• Assessed barriers and facilitators influencing the adoption and sustainment of the SEEK model.
• Examined the model's effectiveness in preventing child maltreatment and its implementation costs.

Conclusions:

• The research aims to enhance pediatric primary care's capacity to address social determinants of health.
• Outcomes are expected to advance implementation science and inform future primary care interventions.
• Knowledge gained will benefit numerous children and families by improving preventive care models.