Mobilizing Community Networks to Optimize Child Well-being

NCT02622399 | Completed DMC

• 1 other identifier: H-33938
• Study Type: interventional
• Target: 98
• Locations: 1 country
• Sites: 1

Brief Summary

Caregiver social isolation adversely impacts child health and developmental outcomes; it also contributes to suboptimal engagement in health care services and enrichment resources, which also elevate risk for poor outcomes in childhood. The proposed pilot intervention aims to reduce social isolation and promote engagement in health promoting enrichment and activities, by embedding a community health worker assisted forum in a community-driven mobile communications (using a platform supported by the company txtwire). The investigators propose a two-arm, pilot study enrolling 100 parents of children age 0-5 years old who reside in the Roxbury, Dorchester, and Mattapan neighborhoods of Boston. Participants will be recruited from Boston Medical Center and community sites in Roxbury, Dorchester, and Mattapan. The investigators will use quality improvement methods to improve the utilization of the mobile communications shared through txtwire to build collective efficacy for children and social support and engagement that will optimize family resiliency and thereby promote child well-being, as well as, assess the acceptability of the intervention, and logistics of the field implementation to ultimately inform an appropriately powered RCT. Participants will receive compensation for participation at baseline and follow-up interviews. The intent of this study is to support developement of mobile social communications to reduce social isolation.

Conditions

Social Isolation

Outcome Measures

Primary Outcomes (1)

• Reduction in social isolation

  This will be measured by change in baseline to follow-up survey on measures of social isolation.

  6 months

Secondary Outcomes (3)

• Decrease in parental stress

  6 months

• Increase in parental social support

  6 months

• increase in parental knowledge of and use of community resources for child enrichment and well-being

  6 months

Study Arms (2)

Project NOW

EXPERIMENTAL

Participants in the intervention arm receive access to free mobile communications and a web-based informational platform supported by txtwire.

Behavioral: Project NOW

Control

NO INTERVENTION

Participants in the control arm do not receive access to the txtwire platform.

Interventions

Project NOW BEHAVIORAL

This intervention aims to reduce social isolation and promote engagement in health promoting enrichment and activities, by embedding a community health worker-assisted forum in a community-driven mobile communications through a private, secure, and confidential platform supported by txtwire. The principal innovation is harnessing both the behavioral change utility of a mobile health application and the social support potential of an online social network the investigators can deliver more timely and dynamic reinforcement to caregivers and social support more in rhythm with the pace of community events and stressors.

Project NOW

Eligibility Criteria

• Age: 18 Years - 64 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Must be a parent or primary caregiver for child five years or younger
• Participant has a smart phone that is text message and web enabled
• Participant resides in the Dorchester, Mattapan, or Roxbury neighborhoods of Boston, within the 02119, 02121, 02122, 02124, 02125, 02126 zip codes
• Fluent in English language
• Able to participate in English.

You may not qualify if:

• Does not have a smart phone or the ability to navigate a mobile application
• Participant does not reside Dorchester, Mattapan, or Roxbury neighborhoods of Boston, within the 02119, 02121, 02122, 02124, 02125, 02126 zip codes
• Not identified as a parent or caregiver of a child age five years old or younger
• Not identified as a parent or caregiver of a child age five years old or younger

Sponsors & Collaborators

• Boston Medical Center: lead

Study Sites (1)

Boston Medical Center

Boston, Massachusetts, 02118, United States

Location

MeSH Terms

Conditions

Social Isolation

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Study Officials

• Renee Boynton-Jarrett, MD, ScD

  Associate Professor

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: BMC Attending Physician

Study Record Dates

• First Submitted: November 16, 2015
• First Posted: December 4, 2015
• Study Start: August 1, 2015
• Primary Completion: June 1, 2017
• Study Completion: June 1, 2017
• Last Updated: August 28, 2017

Record last verified: 2017-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)