Comparing a Team-Based Approach to Standard Well-Child Visits To Improve Preventive Care Services

Recruiting now · Not applicable

Conditions studied: Pediatric, Well Child Care

In brief

Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT) is a team-based approach to care that utilizes a community health worker in a health educator role ("Parent's Coach") to provide many of the Well-Child Care (WCC) services that children and families should receive, addresses specific needs faced by families in low-income communities, and decreases reliance on the clinician as the primary provider of WCC services. The model was developed in partnership with clinics and parents in low-income communities and previously tested among largely Latino, Medicaid-insured populations. The aims of this study are to (1) Adapt the PARENT intervention to meet the needs of a diverse, largely Black population of underserved families, (2) Determine the effect of adapted PARENT on receipt of nationally recommended preventive care services, emergency department utilization, and parent experiences of care, (3) Determine whether the effectiveness of adapted PARENT differs by family-level factors, (4) Explore parents' experiences in receiving adapted PARENT, (5) Examine the economic impact of adapted PARENT from the parent stakeholder perspective, (6) Examine the economic impact of adapted PARENT from the pediatric provider and clinic stakeholder perspective, and (7) Examine the economic impact of adapted PARENT on healthcare utilization, from the perspectives of parents and families. This study will evaluate the effectiveness of the adapted PARENT model as compared to traditional guideline-based WCC and assess the patient-centered economic outcomes of the adapted PARENT model.

Key facts

Study ID: NCT05852392
Run by: Seattle Children's Hospital
People needed: 12
Starts: 2023-06-30
Expected to finish: 2028-12-01
Last updated by the study team: 2026-05-07

Who can join

Age: 1 and older, up to 1. Sex: any. Healthy volunteers: accepted.

You may qualify if…

Participants are not individually recruited or enrolled; rather we collect de-identified Electronic Health Record (EHR) and administrative data on all children in the practices who:
are age ≥9 and ≤15 months on day of data collection,
have ≥1 visit at the practice in previous 9 months
are insured by Partners for Kids, the Accountable Care Organization (ACO) for NCH-PCN

You may not qualify if…

Where it is running

Nationwide Children's Hospital — Columbus, Ohio, United States (enrolling)
Hawaii Pacific Health — Honolulu, Hawaii, United States
Seattle Children's Research Institute — Seattle, Washington, United States

Full record on ClinicalTrials.gov

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