ACEs Referral From PED

NCT06574633 | Completed

• 1 other identifier: STUDY00008134
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 4

Brief Summary

Adverse childhood experiences (ACEs) are traumatic exposures that can cause many negative health impacts across life. ACEs are common in patients who seek out care in pediatric emergency departments (PEDs); this is an opportunity to connect families with mental health resources to mitigate the effects of ACEs and improve lifelong health. The goal of this study is to determine if children with high ACEs have better rates of follow-up with mental health resources when a telehealth option is provided, as previous research has shown that simply making an in-person follow-up appointment is not very helpful.

Conditions

Adverse Childhood Experiences

Keywords

Teenagers; Adolescents; Pediatric Emergency Department (PED).; Therapy Services

Outcome Measures

Primary Outcomes (1)

• Rate of attendance between groups after Behavioral Mental Health Specialist (BMHS) referral.

  Researchers will ask the therapy offices and participants if they were able to make it to the therapy appointment that was scheduled.

  Within 24 weeks after scheduled appointment date

Secondary Outcomes (5)

• Positive Childhood Experiences (PCEs) scores between groups

  Baseline and Within 24 weeks after scheduled appointment date

• Child-reported and caregiver-reported Adverse Childhood Experiences (ACEs) and PCEs

  Baseline

• ACEs prevalence by zip code between groups

  Baseline

• Community Resources by zip code

  Baseline

• Child opportunity index (COI)

  Baseline

Study Arms (2)

In-person therapy

ACTIVE COMPARATOR

Behavioral: In-person therapy

Telehealth

EXPERIMENTAL

Behavioral: Telehealth therapy

Interventions

In-person therapy BEHAVIORAL

Participants will be referred to in-person therapy services when facilitating referral resources by a dedicated behavioral mental health specialist (BMHS).

In-person therapy

Telehealth therapy BEHAVIORAL

Participants will be referred to telehealth therapy services when facilitating referral resources by a dedicated behavioral mental health specialist (BMHS).

Telehealth

Eligibility Criteria

• Age: 12 Years - 17 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Patients aged 12-17 years seen in the PED who read and speak English

You may not qualify if:

• Patients already enrolled in outpatient therapy resources,
• Critically ill patients
• Patients with significant developmental delays impeding their ability to participate in therapy.

Sponsors & Collaborators

• Emory University: lead

Study Sites (4)

Children's Healthcare of Atlanta at Hughes Spalding

Atlanta, Georgia, 30303, United States

Location

Children's Healthcare of Atlanta (CHOA)

Atlanta, Georgia, 30322, United States

Location

Children's Healthcare of Atlanta at Egleston

Atlanta, Georgia, 30322, United States

Location

Arthur M. Blank Hospital | Children's Healthcare of Atlanta

Atlanta, Georgia, 30329, United States

Location

MeSH Terms

Conditions

Oculocutaneous albinism type 2

Study Officials

• Karli S. Okeson, DO

  Emory 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: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: August 26, 2024
• First Posted: August 28, 2024
• Study Start: October 3, 2024
• Primary Completion: January 9, 2025
• Study Completion: January 9, 2025
• Last Updated: April 25, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: The research team will share deidentified data beginning 3 months and ending 2 years after publication.
• Access Criteria: Proposals should be directed to karli.okeson@emory.edu. To gain access, data regulators will need to sign a data access agreement.

Locations

US (4)