Well-Child Care Redesign: A New Model of Care for Children in Low-Income Families

Completed · Not applicable

Conditions studied: Preventive Health Services, Health Promotion

In brief

The purpose of this research is to design and test a new model for delivery of well-child care (WCC) for children ages 0-3 years in a sample of low-income parents. The investigators used an innovative expert panel and community advisory board process to develop this new model for the delivery of WCC to low-income families in partnership with our partner community pediatric practices. The new model of care utilizes a trained health educator, or "Parent Coach" at every well-visit from 0-3 years of age. The Parent Coach provides a range of services, including health education and guidance, developmental screening, and psychosocial screening and services. The Parent Coach works with the Primary Care Physician to ensure that the family's needs are met for that well-visit. As a part of this new model for well-child care, the parent also uses a web-based tool to help prioritize needs for the visit and complete any necessary pre-visit screening. Parents receive additional education and guidance from a text message service and have access to the Parent Coach outside of the visit. The randomized controlled trial (RCT) of this new model of care will include 250 families who will be enrolled at participating clinics if the child is under 1 year of age. Parents will receive the intervention for 12 months and will complete surveys to collect data on their experiences of care. Our hypothesis is that this new model of care will be more patient-centered and more effective in providing recommended preventive care services than usual care, and that it will be a sustainable and feasible model for the partner practices.

Key facts

Study ID

NCT02262962

Run by

University of California, Los Angeles

People needed

251

Starts

2005-06-01

Expected to finish

2015-01-01

Last updated by the study team

2016-06-22

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Parent or guardian of an infant who is 12 months of age or younger
• Speaks English or Spanish
• Is 18 years of age or older

You may not qualify if…

• Has plans to move out of Los Angeles county within the next 12 months
• Has plans to change the primary care location for the index child within the next 12 months.
• Parent or guardian is an employee of one of the primary care clinics that are part of the study.

Where it is running

• UCLA Children's Discovery and Innovation Institute — Los Angeles, California, United States

Full record on ClinicalTrials.gov

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