Adverse Childhood Experiences (ACEs) Resource Referral Process in the Pediatric Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 62
- 试验地点
- 8
- 主要终点
- Rate of attendance between groups after Behavioral Mental Health Specialist (BMHS) referral.
研究概览
简要总结
Adverse childhood experiences (ACEs) are traumatic exposures that can cause many negative health impacts across life. ACEs are common in patients who seek out care in pediatric emergency departments (PEDs); this is an opportunity to connect families with mental health resources to mitigate the effects of ACEs and improve lifelong health. The goal of this study is to determine if children with high ACEs have better rates of follow-up with mental health resources when a telehealth option is provided, as previous research has shown that simply making an in-person follow-up appointment is not very helpful.
详细描述
Children 12-17 years old who are receiving care in a PED and their legal guardians will fill out a tablet-based electronic consent/assent and survey that takes no longer than 10 minutes to complete while waiting for treatment once they are in a private patient room. The study team will review the responses to identify children with ACE scores 2 or higher and contact the family to help them arrange therapy services. Patients will be randomized to in-person versus telehealth therapy. A few months after enrollment, the study team will contact the family and mental health team to find out if the family was able to keep their appointment to start mental health treatment. This will aid future research to identify if and how mental health treatment impacts these patients over the following years.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients aged 12-17 years seen in the PED who read and speak English
排除标准
- •Patients already enrolled in outpatient therapy resources,
- •Critically ill patients
- •Patients with significant developmental delays impeding their ability to participate in therapy.
结局指标
主要结局
Rate of attendance between groups after Behavioral Mental Health Specialist (BMHS) referral.
时间窗: Within 24 weeks after scheduled appointment date
Researchers will ask the therapy offices and participants if they were able to make it to the therapy appointment that was scheduled.
次要结局
- Child-reported and caregiver-reported Adverse Childhood Experiences (ACEs) and PCEs(Baseline)
- Child opportunity index (COI)(Baseline)
- Positive Childhood Experiences (PCEs) scores between groups(Baseline and Within 24 weeks after scheduled appointment date)
- ACEs prevalence by zip code between groups(Baseline)
- Community Resources by zip code(Baseline)
研究者
Karli S. Okeson
Assistant Professor
Emory University