OurChild: A Health IT Solution to Reduce Minority Health Disparities
- Conditions
- Mental Health
- Interventions
- Other: OurChild mHealth Digital Platform
- Registration Number
- NCT04677647
- Lead Sponsor
- NYU Langone Health
- Brief Summary
Chinese American immigrant families are a fast-growing immigrant group with unmet early childhood mental health needs. The team proposes to design, build, and implement OurChild, an integrated mHealth/EHR solution to increase access to early childhood mental health knowledge and mental health services and resources for Chinese American children ages 2-6 years old and their parents in the Sunset Park Brooklyn.
- Detailed Description
The goal of this study is to reduce health disparities by designing a digital solution (OurChild) that facilitates connection and bidirectional exchange of information across the cultural, contextual, language, and setting differences that are key barriers to early childhood mental health knowledge and care access for the Chinese American community in Sunset Park, Brooklyn. The first study aim is to iteratively design, build, and test OurChild. To do this, the team will 1) collaborate with family, clinical, and community stakeholders to conduct an early childhood mental health context/needs analysis and participatory design and discovery activities; 2) build a digital library of early childhood mental health resources accessible from OurChild; and 3) pilot and assess the usability and acceptability of a beta version of OurChild in a mixed-methods, cross-sectional cohort of 12 Chinese American parents and their 2- to 6-year-old children (N=24) who receive care at the Sunset Park 7th Avenue Family Health Center; and 5) optimize the design, features, and performance to create OurChild 1.0. The second study aim is to evaluate the reach, effectiveness, adoption, implementation and maintenance of OurChild 1.0 through an implementation cohort study with 120 parent/child dyads (N=240). A mixed-methods approach using metadata collected with the OurChild app, parent-reported data from the app, EHR data, and post-implementation key informant interviews with providers and other stakeholders to determine whether use of OurChild increases referrals of young children for a mental health consultation or evaluation (Primary Aim) will be used. The secondary aims include examining whether use of OurChild increases 1) parent self-efficacy; 2) parent-provider engagement; and 3) linkage with community early childhood resources.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 264
- Child must be 24 to 72 months old
- Child must have been receiving pediatric primary care at the 7th Ave FHC for at least 6 months
- Child must be identified as Chinese and/or preferred language is Chinese in EHR
- Parents must be at least 18 years old
- Parents must be the child's parent/legal guardian
- Parents must be able and willing to provide informed consent
- Siblings and parents of previously enrolled children
- Parents who do not have access to an iOS or Android smartphone
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description OurChild OurChild mHealth Digital Platform -
- Primary Outcome Measures
Name Time Method Change in Number of Referrals Month 18, Month 45 Change in number of referrals to NYU Langone Child Psychiatry or Developmental Pediatrics
- Secondary Outcome Measures
Name Time Method Change in accessing resources on App Month 25, Month 45 Access to clinical and community early childhood and family services and resources; access defined as click through on resources library tab in OurChild app
Change in Amount of parent-provider engagement Month 18, Month 45 Engagement defined as at least one interaction or messaging exchange between parent and provider through OurChild messaging portal
Score on Betz Physician Confidence Scale Month 48 The Betz Scale is a collection of 11 statements describing the provider's perceived barriers to the identification and management of child mental health issues. Responses to each statement consist of Strongly Agree (0), Agree, Uncertain, Disagree, and Strongly Disagree (5). The total range of score is 0-55, with a higher score indicating higher physician confidence in assessing and treating mental health disorders.
Change in Score on Parental Self-Efficacy Scale Month 25, Month 45 The General Self-Efficacy Scale is a 10-item psychometric scale that is designed to assess optimistic self-beliefs to cope with a variety of difficult demands in life.
Trial Locations
- Locations (1)
NYU Langone Health
🇺🇸New York, New York, United States