Health Equity and Rural Education (HERE!) Clinical Trial: A Healthcare-Community Partnership Leveraging School-Based Community Health Workers to Improve Student Attendance
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 126
- 试验地点
- 1
- 主要终点
- School Based Health Services Utilization
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Phase I Stakeholder Interviews (nonintervention):
- •Inclusion Criteria:
- •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 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)
排除标准
- •Parents/guardians or youth with profound intellectual/cognitive disability will be excluded.
研究组 & 干预措施
Study Phase I: Stakeholder Interviews
Phase I interviews with stakeholders (Community Advisory Board members, CHWs, community members, students Grade 6-12, & parent stakeholders) will be completed to inform the school-based community health worker and the enhanced usual care conditions in the Phase 2 feasibility pilot.
Study Phase II: Enhanced Usual Care
Enhanced usual care (EUC) is the comparator in the Phase II feasibility trial.
干预措施: Enhanced Usual Care (EUC) Methods (Behavioral)
Study Phase II: School-based Community Health Worker Intervention
The School-Based Community Health Worker (SB-CHW) intervention is the active intervention in the Phase II feasibility trial.
干预措施: School-Based Community Health Worker (SB-CHW) intervention (Behavioral)
结局指标
主要结局
School Based Health Services Utilization
时间窗: At study completion (an average of 10 months/1 school year)
The number of visits to School Based Health Centers (SBHC)
School Attendance
时间窗: 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)
次要结局
- School-Based Community Health Worker Interactions(At study completion (an average of 10 months/1 school year))
- Parent & Child Self-Sufficiency and Needs(At enrollment, at study completion (an average of 10 months/1 school year))
- Process for Enhanced Usual Care(At enrollment, at study completion (an average of 10 months/1 school year))
- Child and Adolescent Needs and Strengths(At enrollment, at study completion (an average of 10 months/1 school year))
- Family Engagement(At enrollment, at study completion (an average of 10 months/1 school year))