Prepared Parents Helping Kids

Immigrant Caregiver Health Care Navigation for Children Clinical Trial

Official title:

Prepared Parents Helping Kids: Teaching Health Care Navigation for Bhutanese Parents

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03719976
• Other study ID #: 18-015474
• Secondary ID: 1K23HD082312-01A
• Status: Completed
• Phase: N/A
• Start date: December 17, 2018
• Est. completion date: September 1, 2022

Study information

• Verified date: January 2023
• Source: Children's Hospital of Philadelphia
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Learning to navigate the US health system is challenging for many new immigrants. This pilot study will determine whether an intervention to teach parents key skills needed to access health care for children is feasible and acceptable to immigrant parents.

This study will also look for evidence of efficacy to inform the planning process for future, larger evaluations of the intervention (i.e., estimate effect sizes).

Description:

Parents-particularly those with limited English proficiency (LEP) and limited literacy-may require months or years of experiential learning to master fundamental health care navigation tasks, such as requesting an interpreter. Most programs teaching health care navigation skills are ad hoc and have not be evaluated.

In this study, Investigators will pilot a group-based educational intervention in which a bilingual community health worker will use an interactive curriculum to teach immigrant parents key skills needed to access health care for children.

Parents and caregivers for children <18 years will be enrolled in closed groups of 6-12 individuals. The 6-12 week intervention will comprise 6 meetings, each of which will be no longer than 75 minutes. Each meeting will focus on one of six skills:

1. Requesting an interpreter;

2. Communicating with a health care facility by telephone;

3. Scheduling appointments;

4. Traveling to health care facilities and registering with the front desk;

5. Obtaining appointments with specialists;

6. Calling 911 for an ambulance.

Each meeting will follow a pre-specified plan that will typically include welcoming activities, a review of prior material, introduction of new material, and a series of activities (e.g., role play) to practice key skills. Sessions will be interactive, culturally-appropriate, and held in parents' preferred language.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 35
• Est. completion date: September 1, 2022
• Est. primary completion date: September 1, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adult age 18 years or older

• Parent of a child <18 years

• Nepali-speaking

• Resident of the US for <10 years

Exclusion Criteria:

• Scheduled to move away from the study location (e.g., to another city) before the end of the 6-session intervention

Related Conditions & MeSH terms

• Immigrant Caregiver Health Care Navigation for Children

Intervention

Other:
• Group-based educational intervention
The group-based educational intervention will use a bilingual Community Health Worker (CHW) who will teach parents key skills needed to access health care for children. Parents will be invited to attend 6 small, closed-group sessions held over 12 weeks and lasting no more than 75 minutes. Sessions will be interactive, culturally-appropriate, and held in parents' preferred language.

Locations

Country	Name	City	State
United States	Bhutanese American Organization - Philadelphia	Philadelphia	Pennsylvania

Sponsors (2)

Lead Sponsor	Collaborator
Children's Hospital of Philadelphia	Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of subjects enrolling in study and completing study visits	Enrollment of the target sample and completion of the planned study visits by participants	9 months
Secondary	Change in retainment of health care navigation skills from baseline	Change in Health Care Navigation Inventory (HCNI) Skills Subscale scores from baseline to post-intervention study visits. Scores can range from 12 to 60, with higher scores indicating better outcomes.	9 months