1. Randomized Controlled Trial to Prevent Child Violence Pediatric Research in Office Settings (PROS)

2. Welcome to Safety Check! Safety Check is the first large-scale intervention study implemented by the PROS network!

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

4. Randomization Practices will be randomly assigned to either: GROUP 1 Screen and counsel families about risk factors for child violence, a pressing public health problem. GROUP 2 Screen and counsel families about reading promotion, another important aspect of healthy child development. OR

5. What We Will Ask You To Do At your office, enroll 30 children presenting consecutively for well-child visits: ã15 children 2-5 years of age; and ã15 children 6-11 years of age

6. Inclusion Criteria n Well-child visit for children between 2 -11 years of age n Accompanied by legal guardian who spends the majority of time with the child when at home n English or Spanish speaking n Have working telephone number where they can be reached for the next 6-12 months

7. Before the visit: n Obtain informed consent n Give families Parent Household Survey to complete n Have enrolled families complete a return postcard n Put completed return postcards in the mail daily What We Will Ask Your Office Coordinator To Do

8. After the visit: n Give family 1 page post visit survey n Give practitioner 1 page post visit survey Q We anticipate that data collection will take 2-4 weeks, depending on patient volume.

9. So, What Are These “Patient Surveys” About? Parent Household Survey (8-10 minutes) n Duration and frequency of family reading aloud time n Children’s and their families’ daily activities, such as: ãDuration and frequency of children’s exposure to TV and video games ãParental supervision of TV and video games

10. So, What Are These “Patient Surveys” About? Parent Household Survey (continued) ãDiscipline strategies used in the home ãGun ownership and safety ãParental knowledge and attitudes about reading aloud to children, children’s TV viewing, discipline and safety

11. So, What Are These “Patient Surveys” About? Parent Post-Visit Survey (1-2 minutes) n Topics discussed with practitioner n Activities recommended by practitioner n Parents’ intention to follow recommendations

12. And, What About the “Practitioner Surveys”? Prior to beginning the study: Practitioner Characteristic Survey (one-time, 10 minutes) n Topics discussed during well-child visits n Types of community resources available in your area n Practice and practitioner demographics

13. And, What About the “Practitioner Surveys”? Practitioner Post-Visit Survey (1 minute - after each enrolled patient visit is completed) n Topics discussed with parents n Recommendations made

14. Practitioner’s Time Commitment Safety Check Training Box  New PROS Protocol  Prior to beginning the study, each site will receive a training box including: ãEasy to follow overview of the study ãTraining audiotapes for practitioner ãTraining videotapes for office coordinator ãExamples of all study materials

15. Practitioner’s Time Commitment To prepare for the study: n You and your office coordinator review training kit materials n You listen to the audiotape and your office coordinator reviews the videotape n You complete training certification form

16. Practitioner’s Time Commitment To prepare for the study: n You need to listen to the practitioner training audiotape to learn about the intervention to which you’ve been assigned n 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

17. Practitioner’s Time Commitment For each enrolled participant, the study will require: n 2-4 minutes to use the screening and counseling procedure n 1 minute to fill out post-visit questionnaire

18. Patient’s Time Commitment n 8-10 minutes to complete pre-visit questionnaire in the waiting room* * Spanish speaking families might need more time to complete this survey n 1 minute to complete the post-visit questionnaire n 10 minutes for follow-up telephone interviews with independent research staff 1 and 6 months after the visit

19. What if My Practice Provides Care to Spanish Speaking Patients? n 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!

20. Benefits of Participation n Help families discover the value of reading aloud with their children n Help prevent violence by counseling families about media use, discipline and safe gun storage n Manuscript review and authorship opportunities n Practice credited in manuscripts n Receive study information from both groups 1 & 2

21. Risks of Participation n 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 n You may also discover improper gun storage

22. We Appreciate You! n You will receive $100 as a token of appreciation for your participation in the study n After the study is complete, each group gets the other’s materials n Participants will receive a parent/child activity book after they’ve completed both follow-up calls

23. Join Us Now! For more information: n Call your PROS chapter coordinator n Call PROS Central at 800/433-9016, ext. 7626 or 4756 n Safety Check consultants, Ben Scheindlin and Joe Craig, as well, are available for your specific questions

24. Safety Check Funding Sources n National Institute of Child Health and Human Development (NICHD) n Agency for Healthcare Research and Quality (AHRQ) n Health Resources and Services Administration on Maternal and Child Health Bureau (HRSA MCHB) n American Academy of Pediatrics (AAP)