NCT05567250

Testing a Scalable Model For ACEs-Related Care Navigation

Testing a Scalable Model For ACEs-Related Care Navigation Via 211 Telephone-Based Services

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 102 (actual)
• Sponsor: University of California, Los Angeles · Academic / Other
• Sex: All
• Age: 11 Years
• Healthy volunteers: Accepted

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.

Conditions

• Adverse Childhood Experiences
• Child Development

Interventions

Type	Name	Description
BEHAVIORAL	Behavioral: Telephone-based ACEs care coordination	The 211LA care coordinator will use the agency's extensive resource directory to identify and provide appropriate referral recommendations to each family. In addition, they will develop a care coordination plan, noting these recommendations and plans for follow-up, to be provided to the family's clinical care provider. The coordinator will routinely follow-up with the family until 1) children begin receiving services, 2) families refuse services, or 3) children are deemed ineligible by service providers.

Timeline

• Start date: 2022-10-05
• Primary completion: 2023-08-07
• Completion: 2023-11-24
• First posted: 2022-10-05
• Last updated: 2024-02-14

Locations

1 site across 1 country: United States