Clinical trial NCT03719976: Prepared Parents Helping Kids
Official title: Prepared Parents Helping Kids: Teaching Health Care Navigation for Bhutanese Parents
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Immigrant Caregiver Health Care Navigation for Children
Keywords: Refugee Health
Immigrant Health
Health care navigation
Lead sponsor: Children's Hospital of Philadelphia
Sponsor class: OTHER
Collaborators: name: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
First posted: 2018-10-25
Enrollment: 35
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: Learning to navigate the US health system is challenging for many new immigrants. This pilot study will determine whether an intervention to teach parents key skills needed to access health care for children is feasible and acceptable to immigrant parents.

This study will also look for evidence of efficacy to inform the planning process for future, larger evaluations of the intervention (i.e., estimate effect sizes).

Detailed description: Parents-particularly those with limited English proficiency (LEP) and limited literacy-may require months or years of experiential learning to master fundamental health care navigation tasks, such as requesting an interpreter. Most programs teaching health care navigation skills are ad hoc and have not be evaluated.

In this study, Investigators will pilot a group-based educational intervention in which a bilingual community health worker will use an interactive curriculum to teach immigrant parents key skills needed to access health care for children.

Parents and caregivers for children \<18 years will be enrolled in closed groups of 6-12 individuals. The 6-12 week intervention will comprise 6 meetings, each of which will be no longer than 75 minutes. Each meeting will focus on one of six skills:

1. Requesting an interpreter;
2. Communicating with a health care facility by telephone;
3. Scheduling appointments;
4. Traveling to health care facilities and registering with the front desk;
5. Obtaining appointments with specialists;
6. Calling 911 for an ambulance.

Each meeting will follow a pre-specified plan that will typically include welcoming activities, a review of prior material, introduction of new material, and a series of activities (e.g., role play) to practice key skills. Sessions will be interactive, culturally-appropriate, and held in parents' preferred language.

Eligibility criteria: Inclusion Criteria:

* Adult age 18 years or older
* Parent of a child \<18 years
* Nepali-speaking
* Resident of the US for \<10 years

Exclusion Criteria:

* Scheduled to move away from the study location (e.g., to another city) before the end of the 6-session intervention

Primary outcomes:
measure: Number of subjects enrolling in study and completing study visits
timeFrame: 9 months
Secondary outcomes:
measure: Change in retainment of health care navigation skills from baseline
timeFrame: 9 months
Other outcomes:
Locations:
city: Philadelphia
country: United States
facility: Bhutanese American Organization - Philadelphia
state: Pennsylvania
Study officials:
affiliation: Children's Hospital of Philadelphia
name: Katherine Yun, MD MHS
role: PRINCIPAL_INVESTIGATOR
References: