Health Equity and Rural Education (HERE!) Clinical Trial
- Conditions
- Social Determinants of HealthCommunity Health WorkersBehavioral SymptomsEducational Problems
- Interventions
- Behavioral: School-Based Community Health Worker (SB-CHW) interventionBehavioral: Enhanced Usual Care (EUC) Methods
- Registration Number
- NCT06460116
- Lead Sponsor
- University of Kansas Medical Center
- Brief Summary
The goal of this community-engaged research is two-fold. The first goal is to gather stakeholder feedback to inform a school-based community health worker intervention with youth with poor school attendance and an enhanced usual care condition. The second goal is to evaluate the feasibility of implementing the school-based community health worker intervention and enhanced usual care approach within rural schools.
The main question it aims to answer is whether it is feasibile to recruit children with poor school attendance and their families to the intervention, to complete the trauma-informed intervention, and to complete the associated study measures of meeting social determinants of health/mental health needs, school-based health center utilization, and behavioral helath symptoms. At least 38 rural students in grades 6-12 with poor school attendance and their parents/guardians will meet with the school-based community health worker for support around social determinants of health needs that may be barriers to attendance. Researchers will also assess the feasibility of recruiting at least 10 rural students and their parents/guardians to complete the study measures in an enhanced usual care condition in which the school-based health center without a school-based community health worker is reminded of the availability of an online social services directory.
- Detailed Description
The HERE pilot study will consist of two phases to strengthen and finalize the HERE school-based community health worker (SB-CHW) intervention. The 6-month Phase I will provide broad stakeholder feedback on the proposed model and rationale, the SB-CHW intervention, the associated domains and measures, and the evaluation. The following 18-month Phase II will align with the school year and provide a feasibility test of the training, intervention, data collection, and analyses.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 126
- A member of the program's Community Advisory Board, including community health workers;
- Caregiver of a child ages 12-18 from the Southeast Kansas region; or
- Student at least 12 years in age.
Phase II Feasibility Pilot- SB-CHW Intervention and Enhanced Usual Care Conditions
Inclusion Criteria:
- Children in grades 6-12 (ages 12-18) and their parents/guardians from the Southeast Kansas region
- Student with or at risk for chronic poor attendance (missing 10% or more of the days that school has been in session at any point in the school year)
- Parents/guardians or youth with profound intellectual/cognitive disability will be excluded.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Study Phase II: School-based Community Health Worker Intervention School-Based Community Health Worker (SB-CHW) intervention The School-Based Community Health Worker (SB-CHW) intervention is the active intervention in the Phase II feasibility trial. Study Phase II: Enhanced Usual Care Enhanced Usual Care (EUC) Methods Enhanced usual care (EUC) is the comparator in the Phase II feasibility trial.
- Primary Outcome Measures
Name Time Method School Based Health Services Utilization At study completion (an average of 10 months/1 school year) The number of visits to School Based Health Centers (SBHC)
School Attendance At study completion (an average of 10 months/1 school year) The number of school days in attendance, collected by ½ day increments
1(b) determination whether the student continues to meet the definition of chronic poor attendance (Yes/No)
- Secondary Outcome Measures
Name Time Method School-Based Community Health Worker Interactions At study completion (an average of 10 months/1 school year) Number of CHW interactions with the student, parent/guardian, and/or both
Parent & Child Self-Sufficiency and Needs At enrollment, at study completion (an average of 10 months/1 school year) Arizona Self-Sufficiency Matrix. An 18-item self-report measure assessing needs on a 5-point Likert scale, including Housing, Employment, Income, Food, Childcare, Children's Education, Adult Education, Health Care Coverage, Life Skills, Family/Social Relations, Mobility, Community Involvement, Parenting Skills, Legal, Mental Health, Substance Abuse, Safety, and Disabilities.
Process for Enhanced Usual Care At enrollment, at study completion (an average of 10 months/1 school year) Use of resources from the online social services directory (yes/no)
Child and Adolescent Needs and Strengths At enrollment, at study completion (an average of 10 months/1 school year) Child and Adolescent Needs and Strengths (CANS) is a validated semi-structured interview that assesses children's exposure to potentially traumatic experiences \& level of traumatic stress symptoms, as well as considering strengths (Kisiel \& Fehrenbach, 2015).
Family Engagement At enrollment, at study completion (an average of 10 months/1 school year) The Family Engagement Survey -- Version 2 (FES), a validated measure of family and school engagement consisting of 20 items rated on a Likert-type scale from 1 (Strongly Disagree) to 5 (Strongly Agree).
Trial Locations
- Locations (1)
University of Kansas Medical Center
🇺🇸Kansas City, Kansas, United States