Testing a Scalable Model For ACEs-Related Care Navigation

University of California, Los Angeles (UCLA)

Status: Completed

Conditions: Child Development; Adverse Childhood Experiences

Treatments: Behavioral: Behavioral: Telephone-based ACEs care coordination

Study type: Interventional

Funder types: Other

Identifiers

NCT05567250

22-000405

Details and patient eligibility

About

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.

Full 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.

Enrollment: 102 patients

Sex: All

Ages: Under 11 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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102 participants in 2 patient groups

Experimental Intervention + Usual Care

Experimental group

Description:

Intervention group families will receive usual care and they will be connected via telephone to 211LA.

Treatment:

Behavioral: Behavioral: Telephone-based ACEs care coordination

No Intervention: Usual Care

No Intervention group

Description:

This group will receive usual care