Testing the Effectiveness of Telephone-based Early Childhood Developmental Screening
| Status: | Completed |
|---|---|
| Conditions: | Cognitive Studies, Hospital |
| Therapuetic Areas: | Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 10/15/2017 |
| Start Date: | February 1, 2015 |
| End Date: | February 28, 2017 |
Developing and Testing a New Model for Telephone-based Early Childhood Developmental Screening and Care Coordination in Vulnerable Populations
The purpose of this research study is to test the effectiveness of telephone-based early
childhood developmental screening and care coordination, compared to usual care in a primary
care pediatrics clinic. Investigators randomized 152 participants to one of two study arms,
with the intervention families receiving developmental screening over the phone, and control
families receiving usual care with their pediatricians.
childhood developmental screening and care coordination, compared to usual care in a primary
care pediatrics clinic. Investigators randomized 152 participants to one of two study arms,
with the intervention families receiving developmental screening over the phone, and control
families receiving usual care with their pediatricians.
Although the American Academy of Pediatrics (AAP) recommends universal early childhood
developmental screening as part of routine well-child care, there have been many studies
documenting that many pediatricians do not follow the AAP guidelines. One intervention that
has the potential to improve care, especially for low-income families, is centralized,
telephone-based developmental screening, and care coordination for families whose children
have developmental or behavioral concerns. 2-1-1 Los Angeles developed such an intervention
and this study aims to test its effectiveness, in partnership with a local community clinic,
using a randomized, controlled study design. Investigators partnered with the Clinica Oscar A
Romero, a federally-qualified health center in Los Angeles, serving predominantly low-income
Latino families. Investigators hope to enroll up to 300 families in the study. Eligible
families will have children ages 12 to 42 months of age who receive well-child care at the
clinic. As investigators obtain informed consent and enroll families, they will randomize
study participants into intervention and control groups. Intervention group families will be
transferred to 211 Los Angeles to complete developmental screening over the phone, while
control group families will go to their pediatricians for well-child care as usual.
developmental screening as part of routine well-child care, there have been many studies
documenting that many pediatricians do not follow the AAP guidelines. One intervention that
has the potential to improve care, especially for low-income families, is centralized,
telephone-based developmental screening, and care coordination for families whose children
have developmental or behavioral concerns. 2-1-1 Los Angeles developed such an intervention
and this study aims to test its effectiveness, in partnership with a local community clinic,
using a randomized, controlled study design. Investigators partnered with the Clinica Oscar A
Romero, a federally-qualified health center in Los Angeles, serving predominantly low-income
Latino families. Investigators hope to enroll up to 300 families in the study. Eligible
families will have children ages 12 to 42 months of age who receive well-child care at the
clinic. As investigators obtain informed consent and enroll families, they will randomize
study participants into intervention and control groups. Intervention group families will be
transferred to 211 Los Angeles to complete developmental screening over the phone, while
control group families will go to their pediatricians for well-child care as usual.
Inclusion Criteria:
- child receives well-child care at the clinic
- child is not already receiving intervention services for a developmental disability
- parent speaks Spanish or English well enough to be interviewed
Exclusion Criteria:
- child is younger than 12 months or older than 42 months at time of enrollment
- child is already receiving intervention services for a developmental disability
- parent is unable to speak Spanish or English well enough to be interviewed
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