Prepared Parents Helping Kids

Children's Hospital of Philadelphia (CHOP)

Status: Completed

Conditions: Immigrant Caregiver Health Care Navigation for Children

Treatments: Other: Group-based educational intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03719976

18-015474

1K23HD082312-01A1 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

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).

Full 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.

Enrollment: 35 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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35 participants in 1 patient group

Healthcare navigation workshops

Experimental group

Description:

All enrolled caregivers and parents will partake in the group-based educational intervention.

Treatment:

Other: Group-based educational intervention