Testing a Scalable Model For ACEs-Related Care Navigation

Not Applicable

Completed

• Conditions: Adverse Childhood Experiences; Child Development

• Registration Number: NCT05567250
• Lead Sponsor: University of California, Los Angeles

Brief Summary

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.

Detailed 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.

Study Timeline

• Study First Submitted: 2022-09-28
• Study First Submitted QC: 2022-10-03
• Study Start: 2022-10-05
• Study First Posted: 2022-10-05
• Primary Completion: 2023-08-07
• Study Completion: 2023-11-24
• Status Verified: 2024-02
• Last Update Submitted: 2024-02-12
• Last Update Posted: 2024-02-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 102

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Referrals to ACEs-related services	2-6 months after enrollment	The percentage of children who are referred to at least one ACEs-related service, as reported on the participant survey.

Secondary Outcome Measures

Name	Time	Method
Receipt of ACEs-related services	2-6 months after enrollment	The percentage of children who receive at least one ACEs-related service, as reported on the participant survey.
Number of referrals received	2-6 months after enrollment	The number of referrals made for ACEs-related services, as reported on the participant survey.
Number of services received	2-6 months after enrollment	The number of ACEs-related services received, as reported on the participant survey.

Trial Locations

Locations (1)

University of California Los Angeles; 🇺🇸 Los Angeles, California, United States