A Randomized Trial of Effects of Parent Mentors on Insuring Minority Children
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 329
- 试验地点
- 4
- 主要终点
- Number of Children With Health Insurance
研究概览
简要总结
The Kids' HELP trial rigorously documented that a Parent Mentor intervention results in multiple benefits: more children are insured faster, children's access to healthcare and parental satisfaction improve, quality of well-child care is enhanced, thousands of dollars are saved per child, jobs are created, disparities are eliminated, and the intervention potentially could save our nation billions of dollars.
详细描述
Background: Six million US children are uninsured, despite two-thirds being eligible for Medicaid/Children's Health Insurance Program (CHIP), and minority children are at especially high risk. The most effective way to insure uninsured children, however, is unclear.
Methods: We conducted a randomized trial of the effects of parent mentors (PMs) on insuring uninsured minority children. PMs were experienced parents with >=1 Medicaid/CHIP-covered child who received 2 days of training, then assisted families for 1 year with insurance applications, retaining coverage, medical homes, and social needs; controls received traditional Medicaid/CHIP outreach. The primary outcome was obtaining insurance 1 year post-enrollment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- — 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The parent/guardian is a primary caretaker of a least one child 0-18 years old who currently has no health insurance
- •The parent/guardian self-identifies the uninsured child as Hispanic/Latino, African-American/Black, or both
- •The uninsured child is eligible for either Medicaid or CHIP
- •The parent/guardian is willing to be contacted monthly by telephone, or in the form of a home visit (if no functioning telephone is present in the household).
排除标准
- 未提供
研究组 & 干预措施
Control
After randomization to the control group, minority low-income parents of uninsured, Medicaid/CHIP-eligible children received only traditional Medicaid/Children's Health Insurance Program (CHIP) outreach and enrollment.
Parent Mentors
After randomization to the Parent Mentor group, minority low-income parents of uninsured Medicaid/CHIP-eligible children received face-to-face instruction and guidance from Parent Mentors on obtaining and keeping Medicaid/CHIP for their child; getting a doctor, dentist, and pharmacist; and addressing social determinants of health.
干预措施: Parent Mentors (Behavioral)
结局指标
主要结局
Number of Children With Health Insurance
时间窗: One year after enrollment
A study child is considered insured once official written notification of insurance is confirmed, either through an electronic or hard copy of the state coverage letter, or via verification from the Texas Health and Human Services Center.
次要结局
- Number of Days From Study Enrollment to Obtaining Coverage(One year after enrollment)
- Intervention Cost-Effectiveness Ratio (ICER)(One year after enrollment)
- Parental Satisfaction With the Process of Obtaining Coverage for Child(One year after enrollment)
研究者
Glenn Flores, MD
Professor, Chief Research Officer, and Associate Chair of Research
Connecticut Children's Medical Center