Well-Child Care Clinical Practice Redesign: A Parent Coach-Led Model of Care

Completed · Not applicable

Conditions studied: Preventive Health Services, Health Promotion

In brief

Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT) is a team-based approach to care using a health educator ("Parent Coach") to provide the bulk of WCC services, address specific needs faced by families in low-income communities, and decrease reliance on the clinician as the primary provider of WCC services. The Parent Coach provides anticipatory guidance, psychosocial and social needs screening/referral, and developmental and behavioral surveillance, screening, and guidance at each WCC visit, and is supported by parent-focused pre-visit screening and visit prioritization, a brief, problem-focused clinician encounter for a physical exam and any concerns that require a clinician's attention, and an automated text message parent reminder and education service for periodic, age-specific messages to reinforce key health-related information recommended by Bright Futures national guidelines. The investigators will conduct a cluster RCT of PARENT to determine its effects on quality, utilization, and clinician efficiency, and its cost/cost-offset.

Key facts

Study ID

NCT03797898

Run by

Seattle Children's Hospital

People needed

937

Starts

2019-03-05

Expected to finish

2022-07-14

Last updated by the study team

2023-06-26

Who can join

Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Parent/legal guardian-Child dyad attending well child check-up visits for a 2-week to 12- month WCC visit.
• Parent is English or Spanish proficient
• For multiple gestations, one infant will be randomly selected as the index child. Infants with special health care needs will not be excluded from the study, since these children generally need the same recommended preventive care services.

You may not qualify if…

• More than one child attending Well-Child Care
• Legal guardian of child is under 18 years of age
• Parents who are employed by one of the federally-qualified health centers (FQHCs)
• Parents/legal guardian not planning to continue receiving well child care services at this clinic for their child in the next 12 months

Where it is running

• University of California, Los Angeles — Los Angeles, California, United States
• Seattle Children's Research Institute — Seattle, Washington, United States

Full record on ClinicalTrials.gov

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