Testing a Scalable Model For ACEs-Related Care Navigation

NCT05567250 | Completed

• 1 other identifier: 22-000405
• Study Type: interventional
• Target: 102
• Locations: 1 country
• Sites: 1

Brief Summary

The study is a randomized controlled trial of a telephone-based care coordination system for families who experienced Adverse Childhood Events (ACEs). The investigators will conduct the study in partnership with Kaiser Permanente School of Medicine (KPSOM) and 2-1-1 Los Angeles County (211LA), part of a national network of 2-1-1 call centers covering 93% of the US population. The study will test the effectiveness of 211LA in increasing referrals and services for families who screen positive for ACEs.

Conditions

Adverse Childhood Experiences; Child Development

Keywords

Health Services Research; Care Coordination

Outcome Measures

Primary Outcomes (1)

• Referrals to ACEs-related services

  The percentage of children who are referred to at least one ACEs-related service, as reported on the participant survey.

  2-6 months after enrollment

Secondary Outcomes (3)

• Receipt of ACEs-related services

  2-6 months after enrollment

• Number of referrals received

  2-6 months after enrollment

• Number of services received

  2-6 months after enrollment

Study Arms (2)

Experimental Intervention + Usual Care

EXPERIMENTAL

Intervention group families will receive usual care and they will be connected via telephone to 211LA.

Behavioral: Behavioral: Telephone-based ACEs care coordination

No Intervention: Usual Care

NO INTERVENTION

This group will receive usual care

Interventions

Behavioral: Telephone-based ACEs care coordination BEHAVIORAL

The 211LA care coordinator will use the agency's extensive resource directory to identify and provide appropriate referral recommendations to each family. In addition, they will develop a care coordination plan, noting these recommendations and plans for follow-up, to be provided to the family's clinical care provider. The coordinator will routinely follow-up with the family until 1) children begin receiving services, 2) families refuse services, or 3) children are deemed ineligible by service providers.

Experimental Intervention + Usual Care

Eligibility Criteria

• Age: Up to 11 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• A patient in one of the three partner community clinic systems (ChapCare, Via Care and NEVHC)
• Child aged 0 - 11 years old
• Parent or legal guardian of child at least 18 years of age
• Comfortable completing a survey by interview in English or Spanish

You may not qualify if:

• Child or sibling already enrolled in this study
• Child or sibling enrolled in the AMP Child Development study

Sponsors & Collaborators

• University of California, Los Angeles: lead
• Kaiser Permanente School of Medicine: collaborator

Study Sites (1)

University of California Los Angeles

Los Angeles, California, 90095, United States

Location

Related Publications (2)

• Nelson BB, Thompson LR, Herrera P, Biely C, Arriola Zarate D, Aceves I, Estrada I, Chan V, Orantes C, Chung PJ. Telephone-Based Developmental Screening and Care Coordination Through 2-1-1: A Randomized Trial. Pediatrics. 2019 Apr;143(4):e20181064. doi: 10.1542/peds.2018-1064.

  PMID: 30894408 BACKGROUND

• Lim Chang C, Chung PJ, Ngan H, Porras-Javier L, Vangala S, Correa-Mendoza L, Calderon K, Thompson LR, Molina D, Aceves I, Torres F, Dudovitz R. Testing a Scalable Model for Adverse Childhood Experiences-Related Care Coordination via 211 Telephone-Based Services. Acad Pediatr. 2026 Jan-Feb;26(1):103160. doi: 10.1016/j.acap.2025.103160. Epub 2025 Oct 27.

  PMID: 41161485 DERIVED

Study Officials

• Rebecca Dudovitz, MD MSHS

  University of California, Los Angeles

  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: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: September 28, 2022
• First Posted: October 5, 2022
• Study Start: October 5, 2022
• Primary Completion: August 7, 2023
• Study Completion: November 24, 2023
• Last Updated: February 14, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: Data will be shared within 2 years of study completion.
• Access Criteria: Proposals should be directed to lporras@mednet.ucla.edu. To gain access, data requestors will need to sign a data access agreement. Data are available for 5 years at a third party website, to be provided when requests are approved.

Locations

US (1)