Salud al Día: Engaging Latino Parents in Pediatric Primary Care

NCT02647814 | Completed

• 1 other identifier: IRB00075868
• Study Type: interventional
• Target: 158
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: To conduct a pilot randomized controlled trial comparing the effectiveness of a parent support intervention consisting of periodic text messages and educational support (video, collateral materials),and usual care on the healthcare engagement of limited English proficient (LEP) Latino parents during participants' child's first year and to examine its impact on healthcare utilization and primary care quality.

Conditions

Primary Health Care

Keywords

Parent activation; Text-messages; LEP; Latino populations; pediatrics

Outcome Measures

Primary Outcomes (3)

• Up to Date Well Child Care

  Composite variable of % of AAP recommended well visits completed at intervals 12 and 24 months of age, up to date immunizations and screening at 12 and 24 months

  24 months

• Emergency/Urgent Care Utilization

  \# of ED/Urgent care visits

  24 months

• Parent experience of care

  Use of standard measure of healthcare experiences (Child-CAHPS)

  12 months

Secondary Outcomes (5)

• Parent activation

  12 months

• Proportion of visits in the the past 12 months with the primary provider

  12 months

• Food stamp enrollment

  12 months

• Continuous health insurance for the child each of the last 12 months

  12 months

• Use of clinic support programs

  12 months

Other Outcomes (2)

• Intervention delivery

  12 months

• Intervention satisfaction

  12 months

Study Arms (2)

Salud al Día

EXPERIMENTAL

The participants in the intervention group will receive interactive text-messages with a link to support if needed for: clinic appointment reminders, follow-up on medicine and referral adherence, and illness care needs and use. Participants will additionally receive reminders for insurance renewal, food stamp applications, and health-promoting community events. Participants in this arm will complete a baseline survey when their infant is ≤ 2 months of age, a mid-point survey at 7-9 months, and a follow-up survey at by age 15 months.

Behavioral: Salud al Día

Usual Care

NO INTERVENTION

The participants in the usual care group will receive the clinic's usual care in terms of receiving no text messages. Participants in this arm will complete a baseline survey when their infant is ≤ 2 months of age, a mid-point survey at 7-9 months, and a follow-up survey at by age 15 months.

Interventions

Salud al Día BEHAVIORAL

A pilot randomized controlled trial comparing the effectiveness of a parent support intervention consisting of periodic text messages and educational support (video, collateral materials),and usual care on the healthcare engagement of LEP Latino parents during their child's first year and to examine its impact on healthcare utilization and primary care quality.

Salud al Día

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Parent or legal guardian of a singleton US-born infant ≤ 2 months of age
• Parent or legal guardian age 18 or older
• Parent or legal guardian self-identified as Latino/a
• Parent or legal guardian foreign-born
• Parental report of Spanish as their preferred healthcare language
• Plan to select Medicaid/Priority Partners insurance for their child with the Johns Hopkins Bayview Medical Center Children's Medical Practice as the primary care site
• Have a working cellular phone with text message capability and parent reports prior use of text messaging

Sponsors & Collaborators

• Johns Hopkins University: lead
• Gordon and Betty Moore Foundation: collaborator
• emocha Mobile Health, Inc.: collaborator
• Maryland Institute College of Art: collaborator

Study Sites (1)

Johns Hopkins Bayview Medical Center

Baltimore, Maryland, 21224, United States

Location

Related Publications (4)

• Roseman D, Osborne-Stafsnes J, Amy CH, Boslaugh S, Slate-Miller K. Early lessons from four 'aligning forces for quality' communities bolster the case for patient-centered care. Health Aff (Millwood). 2013 Feb;32(2):232-41. doi: 10.1377/hlthaff.2012.1085.

  PMID: 23381515 BACKGROUND

• Hibbard JH, Greene J. What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health Aff (Millwood). 2013 Feb;32(2):207-14. doi: 10.1377/hlthaff.2012.1061.

  PMID: 23381511 BACKGROUND

• Reuland CJ, Godage SK, Wu L, Valenzuela-Araujo D, Cortez JD, Polk S, DeCamp LR. Information and Communication Technology Access and Use Among Low-Income Latino Immigrant Parents. Matern Child Health J. 2021 Dec;25(12):1807-1813. doi: 10.1007/s10995-021-03265-6. Epub 2021 Oct 23.

  PMID: 34687401 DERIVED

• DeCamp LR, Godage SK, Valenzuela Araujo D, Dominguez Cortez J, Wu L, Psoter KJ, Quintanilla K, Rivera Rodriguez T, Polk S. A Texting Intervention in Latino Families to Reduce ED Use: A Randomized Trial. Pediatrics. 2020 Jan;145(1):e20191405. doi: 10.1542/peds.2019-1405.

  PMID: 31879276 DERIVED

Study Officials

• Lisa R DeCamp, MD, MSPH

  Johns Hopkins University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 18, 2015
• First Posted: January 6, 2016
• Study Start: February 1, 2016
• Primary Completion: February 1, 2018
• Study Completion: February 1, 2018
• Last Updated: August 16, 2018

Record last verified: 2018-08

Locations

US (1)