Clinical trial NCT05567250: Testing a Scalable Model For ACEs-Related Care Navigation
Official title: Testing a Scalable Model For ACEs-Related Care Navigation Via 211 Telephone-Based Services
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Adverse Childhood Experiences
Child Development
Keywords: Health Services Research
Care Coordination
Lead sponsor: University of California, Los Angeles
Sponsor class: OTHER
Collaborators: name: Kaiser Permanente School of Medicine
First posted: 2022-10-05
Enrollment: 102
Sex: ALL
Maximum age (years): 11
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The study is a randomized controlled trial of a telephone-based care coordination system for families who experienced Adverse Childhood Events (ACEs). The investigators will conduct the study in partnership with Kaiser Permanente School of Medicine (KPSOM) and 2-1-1 Los Angeles County (211LA), part of a national network of 2-1-1 call centers covering 93% of the US population. The study will test the effectiveness of 211LA in increasing referrals and services for families who screen positive for ACEs.

Detailed description: The trial will enroll 200 children ages 0-11 years from the three FQHCs partner clinics, who screen positive for at least 1 ACE during their clinical encounter. The research study team will randomize children 1:1 into intervention (connection to 211LA for ACEs care coordination + usual care) or control (usual care alone).

Primary outcomes will include number of referrals to, eligibility for, and receipt of ACE-related services among intervention group participants compared to controls.

The investigators will measure these outcomes through parent reported data and 211LA data at baseline and 6 months after enrollment.

Expected findings include higher referral and service rates by six months after enrollment among intervention group participants.

Eligibility criteria: Inclusion Criteria:

* A patient in one of the three partner community clinic systems (ChapCare, Via Care and NEVHC)
* Child aged 0 - 11 years old
* Parent or legal guardian of child at least 18 years of age
* Comfortable completing a survey by interview in English or Spanish

Exclusion Criteria:

* Child or sibling already enrolled in this study
* Child or sibling enrolled in the AMP Child Development study

Primary outcomes:
measure: Referrals to ACEs-related services
timeFrame: 2-6 months after enrollment
Secondary outcomes:
measure: Receipt of ACEs-related services
timeFrame: 2-6 months after enrollment
measure: Number of referrals received
timeFrame: 2-6 months after enrollment
measure: Number of services received
timeFrame: 2-6 months after enrollment
Other outcomes:
Locations:
city: Los Angeles
country: United States
facility: University of California Los Angeles
state: California
Study officials:
affiliation: University of California, Los Angeles
name: Rebecca Dudovitz, MD MSHS
role: PRINCIPAL_INVESTIGATOR
References:
citation: Nelson BB, Thompson LR, Herrera P, Biely C, Arriola Zarate D, Aceves I, Estrada I, Chan V, Orantes C, Chung PJ. Telephone-Based Developmental Screening and Care Coordination Through 2-1-1: A Randomized Trial. Pediatrics. 2019 Apr;143(4):e20181064. doi: 10.1542/peds.2018-1064.