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Completed

NCT Number: NCT03416712

Transforming Care and Payment Priorities for Vulnerable Families

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.

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Key information

Conditions

Social Stress

Age range

Up to 18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Texas Children's Hospital

Houston, Texas, 77030, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Screening survey and accompanying handout for resources

Other

Intervention group will be completing a survey of social determinants of health and providing resources based on caregiver responses.

Other names: Addressing social needs

Primary outcomes

  1. 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

  1. Decreased emergency department revisits and hospital readmissions

    Time frame: 6 months after study enrollment

    We will assess whether children in the intervention group will have fewer quantity of all cause emergency department visits, fewer quantity of hospital readmissions on chart review.

  2. Improved parental perception of child's health

    Time frame: study enrollment to 6 months after enrollment

    We will compare caregiver's baseline and 6 month self-rating of their child's health in categories of "excellent", "good", "fair" or "poor".

  3. Child's immunization status

    Time frame: 6 months after study enrollment

    Self report of compliance with vaccinations by parents on follow up survey

  4. Child's growth

    Time frame: 6 months after study enrollment

    Weight and height will be combined to report BMI in kg/m^2. If height is unavailable, weight will be used and reported in kilograms.

Sponsors and collaborators

Lead sponsor

Baylor College of Medicine

Other

Registry information

Important dates

Study start
2016
Primary completion
2018
Study completion
2018
First posted
Jan 31, 2018
Registry last updated
Feb 14, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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