Family Partner Navigation for Children
Optimizing a Paraprofessional, Family Partner Navigation Model for Children
2 other identifiers
interventional
312
1 country
1
Brief Summary
Family Navigation (FN), an evidence-based care management strategy which is a promising intervention to help low income and minority families access timely mental health services. Despite significant evidence supporting the effectiveness of FN, concerns exist about the ability to disseminate FN to a broad population due to inefficiency and cost. The proposed study employs an innovative research methodology, the Multiphase Optimization STrategy (MOST), a framework for developing highly efficacious, efficient, scalable, and cost-effective interventions. The investigators will conduct a randomized experiment to assess the individual components of FN and identify which components and component levels have greatest effect on access to, and engagement in, diagnostic and treatment services for children with mental health disorders. This information then guides assembly of an optimized FN model that achieves the primary outcomes with least resource consumption and participant burden
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2019
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 15, 2018
CompletedFirst Posted
Study publicly available on registry
June 26, 2018
CompletedStudy Start
First participant enrolled
June 24, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 21, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
June 21, 2024
CompletedResults Posted
Study results publicly available
November 26, 2025
CompletedNovember 26, 2025
November 1, 2025
5 years
June 15, 2018
September 30, 2025
November 17, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Goal Completion
Successful behavioral health service goal completion obtained from the electronic health record including Family Partner's template documentation.
6 months
Time to Goal Completion
Time to goal completion obtained from the electronic health record including Family Partner's template documentation.
18 months
Secondary Outcomes (7)
Change in the Survey of Well-being of Young Children (SWYC)
baseline, 6 months
Change in Pediatric Symptom Checklist-17 (PSC-17)
baseline, 6 months
Satisfaction With Hospital Care Questionnaire (SHCQ)
6 months
Interpersonal Relationship With Navigator (PSN-I)
6 months
Change in Family Resource Scale (FRS)
baseline, 6 months
- +2 more secondary outcomes
Study Arms (16)
Group 1- Goat
EXPERIMENTALClinic-based visit, usual care, standard pediatric surveillance, and structured visits
Group 2- Cow
EXPERIMENTALClinic-based visit, usual care, enhanced pediatric surveillance, and structured visits
Group 3- Horse
EXPERIMENTALClinic-based visit, technology-enhanced care coordination, standard pediatric surveillance, and structured visits
Group 4- Pig
EXPERIMENTALClinic-based visit, technology-enhanced care coordination, enhanced pediatric surveillance, and structured visits
Group 5- Sheep
EXPERIMENTALClinic-based visit, usual care, standard pediatric surveillance, and individually-tailored visits
Group 6- Llama
EXPERIMENTALClinic-based visit, usual care, enhanced pediatric surveillance, and individually-tailored visits
Group 7- Cat
EXPERIMENTALClinic-based visit, technology-enhanced care coordination, standard pediatric surveillance, and individually-tailored visits
Group 8- Dog
EXPERIMENTALClinic-based visit, technology-enhanced care coordination, enhanced pediatric surveillance, and individually-tailored visits
Group 9- Donkey
EXPERIMENTALClinic and community visits, usual care coordination, standard pediatric surveillance, and structured visits
Group 10- Bear
EXPERIMENTALClinic and community visits, usual care coordination, enhanced pediatric surveillance, and structured visits
Group 11- Tiger
EXPERIMENTALClinic and community visits, technology enhanced care coordination, standard pediatric surveillance, and structured visits
Group 12- Lion
EXPERIMENTALClinic and community visits, technology enhanced care coordination, enhanced pediatric surveillance, and structured visits
Group 13- Monkey
EXPERIMENTALClinic and community visits, usual care coordination, standard pediatric surveillance, and individually-tailored visits
Group 14- Zebra
EXPERIMENTALClinic and community visits, usual care coordination, enhanced pediatric surveillance, and individually-tailored visits
Group 15- Elephant
EXPERIMENTALClinic and community visits, technology-enhanced care, standard pediatric surveillance, and individually-tailored visits
Group 16- Giraffe
EXPERIMENTALClinic and community visits, technology-enhanced care, enhanced pediatric surveillance, and individually-tailored visits
Interventions
Family partners will keep records and communicate with families using standard information technology, including telephones, electronic medical records, and standard desktop software.
Family partners will be restricted to working at the primary care clinic - communication will be restricted to telephone, text, and clinic visits
Monitoring is determined by standard pediatric practice. Behavioral screening is usually done annually.
Family Partners will utilize a predetermined schedule of contacts with families
In Massachusetts, behavioral screening is mandated at every pediatric visit, which for children in the target population (ages 3-12 years) is annually. With "enhanced monitoring," Family Partners will screen children using validated instruments quarterly and communicate results to the child's care team
Behavioral: technology enhanced care coordination FPs will also have access to Act.MD, a cloud-based care coordination and communication tool that offers the potential to improve communication with families, schools, and the primary care site through administration of online questions, videoconferencing, and common portals that can be used by parents and multiple providers (e.g., FP, pediatrician, teacher).
Family Partners will be able to meet with families on an as-needed basis, with no predetermined schedule of contacts
In clinic-based visits the Family Partner is restricted to working at the primary care clinic and communication is restricted to telephone, text, and clinic visits. However in conditions with clinic based and community visits, the Family Partners will be available to meet families in their home and community (as well as the clinic), and accompany families to community-based meetings at school or childcare.
Eligibility Criteria
You may qualify if:
- All children who are 3-12 years old:
- who screen positive on the Survey of Wellbeing of Young Children (SWYC) (3-5 years) OR
- who screen positive on the Pediatric Symptom Checklist-17 (PSC-17) (6-12 years) OR
- whose parents indicate a behavioral health concern during any pediatric visit
You may not qualify if:
- Children who are already actively engaged in behavioral health specialty care services, defined as having had a behavioral health visit in the last 30 days, who do not require new additional services
- Children with active psychosis
- Children with safety concerns requiring emergency mental health services.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Boston Medical Centerlead
- National Institute of Mental Health (NIMH)collaborator
Study Sites (1)
DotHouse Health
Dorchester, Massachusetts, 02122, United States
Related Publications (1)
Broder-Fingert S, Kuhn J, Sheldrick RC, Chu A, Fortuna L, Jordan M, Rubin D, Feinberg E. Using the Multiphase Optimization Strategy (MOST) framework to test intervention delivery strategies: a study protocol. Trials. 2019 Dec 16;20(1):728. doi: 10.1186/s13063-019-3853-y.
PMID: 31842963DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Emily Feinberg, ScD, CPNP
- Organization
- Boston Medical Center, Boston University School of Public Health
Study Officials
- PRINCIPAL INVESTIGATOR
Emily Feinberg, ScD, CPNP
Boston Medical Center and Boston University SPH
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 15, 2018
First Posted
June 26, 2018
Study Start
June 24, 2019
Primary Completion
June 21, 2024
Study Completion
June 21, 2024
Last Updated
November 26, 2025
Results First Posted
November 26, 2025
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will not share