A Randomized Trial of Effects of Parent Mentors on Insuring Minority Children

NCT01264718 | Completed Results

• 1 other identifier: 082010-138
• Study Type: interventional
• Target: 329
• Locations: 1 country
• Sites: 2

Brief Summary

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.

Conditions

Uninsured Children Eligible for Medicaid or CHIP

Keywords

minority health; child; Medicaid

Outcome Measures

Primary Outcomes (1)

• Number of Children With Health Insurance

  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.

  One year after enrollment

Secondary Outcomes (3)

• Number of Days From Study Enrollment to Obtaining Coverage

  One year after enrollment

• Parental Satisfaction With the Process of Obtaining Coverage for Child

  One year after enrollment

• Intervention Cost-Effectiveness Ratio (ICER)

  One year after enrollment

Study Arms (2)

Control

NO INTERVENTION

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

EXPERIMENTAL

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.

Behavioral: Parent Mentors

Interventions

Parent Mentors BEHAVIORAL

After random assignment to the Parent Mentor group, minority low-income parents of Medicaid/CHIP eligible children met with Parent Mentors to receive instruction and help on completing, submitting applications for, and maintaining Medicaid/CHIP coverage for their child.

Also known as: Kids' HELP

Parent Mentors

Eligibility Criteria

• Age: Up to 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• 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).

Sponsors & Collaborators

• University of Texas Southwestern Medical Center: lead

Study Sites (2)

Connecticut Children's Medical Center

Hartford, Connecticut, 06106, United States

Location

UT Southwestern

Dallas, Texas, 75390, United States

Location

Related Publications (5)

• Flores G, Walker C, Lin H, Lee M, Fierro M, Henry M, Massey K, Portillo A. Design, methods, and baseline characteristics of the Kids' Health Insurance by Educating Lots of Parents (Kids' HELP) trial: a randomized, controlled trial of the effectiveness of parent mentors in insuring uninsured minority children. Contemp Clin Trials. 2015 Jan;40:124-37. doi: 10.1016/j.cct.2014.11.015. Epub 2014 Dec 2.

  PMID: 25476583 BACKGROUND

• Flores G, Walker C, Lin H, Lee M, Fierro M, Henry M, Massey K, Portillo A. A successful program for training parent mentors to provide assistance with obtaining health insurance for uninsured children. Acad Pediatr. 2015 May-Jun;15(3):275-81. doi: 10.1016/j.acap.2014.09.011. Epub 2014 Dec 1.

  PMID: 25447369 BACKGROUND

• Flores G, Lin H, Walker C, Lee M, Currie JM, Allgeyer R, Fierro M, Henry M, Portillo A, Massey K. Parent Mentors and Insuring Uninsured Children: A Randomized Controlled Trial. Pediatrics. 2016 Apr;137(4):e20153519. doi: 10.1542/peds.2015-3519. Epub 2016 Mar 17.

  PMID: 27244706 BACKGROUND

• Flores G, Lin H, Walker C, Lee M, Portillo A, Henry M, Fierro M, Massey K. A cross-sectional study of parental awareness of and reasons for lack of health insurance among minority children, and the impact on health, access to care, and unmet needs. Int J Equity Health. 2016 Mar 22;15:44. doi: 10.1186/s12939-016-0331-y.

  PMID: 27000795 BACKGROUND

• Flores G, Portillo A, Lin H, Walker C, Fierro M, Henry M, Massey K. A successful approach to minimizing attrition in racial/ethnic minority, low-income populations. Contemp Clin Trials Commun. 2017 Mar;5:168-174. doi: 10.1016/j.conctc.2017.01.009. Epub 2017 Feb 14.

  PMID: 28378019 BACKGROUND

Related Links

• Manuscript: Design, methods, and baseline characteristics of the Kids' Health Insurance by Educating Lots of Parents (Kids' HELP) trial: A randomized, controlled trial of the effectiveness of parent mentors in insuring uninsured minority children
• Manuscript: A successful program for training parent mentors to provide assistance with obtaining health insurance for uninsured children
• Manuscript: A cross-sectional study of parental awareness of and reasons for lack of health insurance among minority children, and the impact on health, access to care, and unmet needs

Results Point of Contact

• Title: Dr. Glenn Flores, Distinguished Chair of Health Policy Research
• Organization: Medica Research Institute

Glenn.Flores@medica.com

952-992-3367

Study Officials

• Glenn Flores, M.D.

  Connecticut Children's Medical Center

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Chief Research Officer, and Associate Chair of Research

Study Record Dates

• First Submitted: December 20, 2010
• First Posted: December 22, 2010
• Study Start: December 1, 2010
• Primary Completion: May 31, 2016
• Study Completion: May 31, 2016
• Last Updated: April 19, 2019
• Results First Posted: April 19, 2019

Record last verified: 2019-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)