Obesity Clinical Trial
— WECARE01Official title:
Reducing Socioeconomic Disparities in Health at Pediatric Visits
Verified date | May 2021 |
Source | Boston Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This research project is aimed to assess the effectiveness and impact of a pediatric-based intervention aimed at reducing low-income families' unmet material needs (food, housing, employment, childcare, household heat, education and learning the English language ) on child health.
Status | Completed |
Enrollment | 1205 |
Est. completion date | December 29, 2020 |
Est. primary completion date | December 29, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A to 1 Month |
Eligibility | Inclusion Criteria: - Child is on Medicaid insurance - Is attending routine newborn visit Exclusion Criteria: - Premature (less than or equal to 32 weeks GA) - Has a chronic disease - Has Neonatal Abstinence Syndrome - Has a foster parent |
Country | Name | City | State |
---|---|---|---|
United States | Codman Square Health Center | Boston | Massachusetts |
United States | Dorchester House Multi-Service Center | Boston | Massachusetts |
United States | South End Community Health Center | Boston | Massachusetts |
United States | Uphams Corner Health Center | Dorchester | Massachusetts |
United States | Mattapan Community Health Center | Mattapan | Massachusetts |
United States | Greater Roslindale Medical and Dental Center | Roslindale | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Boston Medical Center | Center for Community Health Education Research and Service, Inc., National Institute on Minority Health and Health Disparities (NIMHD) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Health care utilization | Investigators will measure whether child is up to date with well child visits between 0-3 years of age. Investigators will measure whether child is up to date on their immunizations between 0-3 years of age. Investigators will measure if and how many times child has been hospitalized or had a visit to the emergency department (ED) between 0-3 years of age. | Throughout child's enrollment in study (0 years through 3 years of age) | |
Secondary | Child maltreatment | Investigators will measure in the child's EMR whether or not there are any reports of child maltreatment and/or involvement with the Department of Child and Families, at any point, from age 0-3 years of age. | Throughout child's enrollment in study (0 years through 3 years of age) | |
Secondary | Developmental delay | Investigators will measure whether a developmental delay has been added to the child's problem list in their EMR or if provider has noted a concern of a developmental delay in their routine well-child care notes, at any point, from age 0-3 years of age. | Throughout child's enrollment in study (0 years through 3 years of age) | |
Secondary | Obesity | Investigators will record the child's reported BMI at their 2-year, 30-month, and 3-year well child care visits from the EMR | Measured at 2-year, 30-month, and 3-year well child care visits (as recommended by the American Academy of Pediatrics) | |
Secondary | Asthma | Investigators will record whether asthma or concerns about asthma have been added to child's problem list in the EMR or noted in the EMR by child's provider at any point, from age 0-3 years of age. | Throughout child's enrollment in study (0 years through 3 years of age) | |
Secondary | Blood pressure | We will record the child's reported blood pressure number as measured at their 3-year well child care visit. We will gather this information from the EMR. | Measured at 3-year well child care visits | |
Secondary | Provider referrals | Investigators will measure if and how many times a provider made a referral/printed out a community resource handout for patients during their enrollment in the study at any point, from age 0-3 years of age. | Throughout child's enrollment in study (0 years through 3 years of age) | |
Secondary | Family receipt of community based resource | Investigators will determine whether families who were printed out community resource handouts had been able to receive services from a community based resource organization. This will be recorded in the EMR by the patient navigator at anytime from age 0-3 years of age. | Throughout child's enrollment in study (0 years through 3 years of age) | |
Secondary | Focus group data gathered by audio recordings then transcribed and coded | Investigators will gain insight into the context and implementation of the augmented WE CARE model from providers and administrative staff at the intervention sites | During 1st month pilot phase and again after investigators have enrolled our the cohort, approximately 3 years after the first focus groups and the study initiation |
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