Transforming Care and Payment Priorities for Vulnerable Families
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Baylor College of Medicine
- Enrollment
- 430
- Locations
- 2
- Primary Endpoint
- Enrollment (yes/no) in social determinant of health resources based on answer to questionnaire
Study Overview
Brief Summary
This will be a randomized control trial of 800 children admitted to the Pediatric Hospital Medicine service at Texas Children's Hospital. Each eligible participant will give informed consent prior to enrollment. Study participants will be randomized into an intervention (400 participants) or control group (400 participants). The intervention group will receive a survey (WE CARE HOUSTON) that has been designed to assess family need for community resources that address the SDH (such as food insecurity, housing insecurity, etc.). The intervention group will receive referrals to community resources based on their responses to the WE CARE HOUSTON survey.
Detailed Description
This will be a randomized control trial of 800 children admitted to the Pediatric Hospital Medicine service at Texas Children's Hospital. Each eligible participant will give informed consent prior to enrollment.
Study participants will be randomized into an intervention (400 participants) or control group (400 participants). The intervention group will receive a survey (WE CARE HOUSTON) that has been designed to assess family need for community resources that address the SDH (such as food insecurity, housing insecurity, etc.). The intervention group will receive referrals to community resources based on their responses to the WE CARE HOUSTON survey. The intervention group will receive a phone call within 3 months of discharge to ask if they have had trouble following up with resources.
Both the intervention and the control groups will be followed for 6 months. Study investigators will obtain outcome data through structured telephone interviews at 6 months and also through medical record review.
This research has been designed to test our hypotheses:
- The use of the WE CARE HOUSTON screening tool and subsequent referral to community resources will result in increased family participation in community resources that address the SDH; i.e. we believe that the intervention group will enroll in more community resources than the control group over the 6 month study period.
- The use of the WE CARE HOUSTON screening tool and subsequent referral to community resources will result in improved health outcomes, i.e. children in the intervention group will have fewer emergency department visits, fewer readmissions, improved BMI and improved parent perception of child's health during the study period.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Screening
- Masking
- None
Eligibility Criteria
- Ages
- — to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Children admitted to pediatric hospital medicine service
Exclusion Criteria
- •Children in child protective service custody
- •Children residing outside of the greater Houston area
Outcomes
Primary Outcomes
Enrollment (yes/no) in social determinant of health resources based on answer to questionnaire
Time Frame: 6 months after study enrollment
We will assess whether study participants followed up with the resources provided and were able to enroll in needed resources with follow up phone call.
Secondary Outcomes
- Child's immunization status(6 months after study enrollment)
- Decreased emergency department revisits and hospital readmissions(6 months after study enrollment)
- Improved parental perception of child's health(study enrollment to 6 months after enrollment)
- Child's growth(6 months after study enrollment)
Investigators
Michelle Lopez
Assistant Professor
Baylor College of Medicine