A Kinder Coaching Program With Community Health Workers "READY"

NCT07677618 | Not Yet Recruiting

• 1 other identifier: STUDY00030113
• Study Type: interventional
• Target: 480
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, the investigators compare two novel primary care interventions (School Readiness Checklist vs. Kinder Coaching) for low-income parents, which were co-developed by parent, clinical, and educational stakeholders. This R01 builds evidence on a low touch (low intensity, lower cost intervention) School Readiness Checklist compared to high touch (higher intensity, embedded program) Kinder Coaching with Community Health Workers in a hybrid effectiveness-implementation RCT.

Conditions

School Readiness; Preschool Enrollment; Parent School Readiness Confidence and Skills

Keywords

school readiness; Kinder Coaching

Outcome Measures

Primary Outcomes (2)

• Child composite school readiness skills

  Brigance III Screen (Brigance); total composite score: min 0, max 0. Interpretation: Very weak (\< 70), Weak (70-79), Below average (80-89), Average (90-110), Above average (111-120), Strong (121-130), Very strong (\>130)

  Baseline and 12 months post-intervention

• Child social emotional development

  Devereux Early Childhood Assessment (DECA). Attachment relationship T score: Min 28- Max 72 Initiative T score: Min 28- Max 72 Self-regulation T score: Min 28- Max 72 Behavioral concerns T score: Min 28- Max 72 Total Protective Factors sum: Description total protective factors: Strengths, Typical, Area of Need Description behavioral concerns: Strengths, Typical, Area of Need

  Baseline and 12 months post-intervention

Secondary Outcomes (1)

• Percentage of children enrolled in preschool by intervention status

  Baseline and 12 months post-intervention

Study Arms (2)

Enhanced Usual Care - School Readiness Checklist

NO INTERVENTION

Provider reviews a school readiness checklist with tips in the well child check

Intervention - Kinder Coaching

EXPERIMENTAL

The Kinder Ready Coaching Intervention provides two structured, individualized parent-child school readiness coaching sessions with a bilingual community health worker (CHW) to: 1) share knowledge of kindergarten skills, 2) assess child school readiness, 3) set goals and model activities for home practice, 4) connect families to critical school readiness resources including preschool and behavioral health, and 5) provide educational tools for home such as culturally concordant books, games, and/or puzzles.

Behavioral: Kinder Coaching

Interventions

Kinder Coaching BEHAVIORAL

The Kinder Ready Coaching Intervention provides two structured, individualized parent-child school readiness coaching sessions with a bilingual community health worker (CHW) to: 1) share knowledge of kindergarten skills, 2) assess child school readiness, 3) set goals and model activities for home practice, 4) connect families to critical school readiness resources including preschool and behavioral health, and 5) provide educational tools for home such as culturally concordant books, games, and/or puzzles.

Intervention - Kinder Coaching

Eligibility Criteria

• Age: 2 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Parent or caregiver is 18 years of age or older with no intellectual disability and can speak and understand Spanish and/or English. Participants unable to read will be eligible as data will be verbally collected by bilingual research staff.
• Child is between 3 and 4 years of age at enrollment and receives primary care at a study site.
• Child is from a low-income household on Medicaid insurance.
• Child has no significant developmental disability or serious medical condition that limits communication with the Kinder Coach. Children with mild developmental delays including speech delay, gross motor delay, autism spectrum disorder, mild cerebral palsy, and ADHD will be included to capture a heterogenous, real-world sample from primary care.

You may not qualify if:

• Parent or child with significant intellectual disability.
• Teen parents under the age of 18.
• Child is in foster care or other situation in which consent cannot be obtained from a legal guardian.
• Child with a significant developmental disability that limits participation including cerebral palsy, non-verbal autism spectrum disorder, Down's syndrome, global developmental delay, or other serious medical condition impacting ability to participate in a Kinder Coaching visit. Developmental conditions will be defined as children who screen negative on the Children with Special Health Care Needs (CSHCN) screener for developmental and/or behavioral special needs "above and beyond what would be expected" for a child of that age.

Sponsors & Collaborators

• Oregon Health and Science University: lead
• Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): collaborator

Study Sites (1)

Hillsboro Pediatric Clinic

Hillsboro, Oregon, 97123, United States

Location

Study Officials

• Jaime Peterson, MD, MPH

  Oregon Health and Science University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Jaime Peterson, MD, MPH

CONTACT

503-418-5700; peterjai@ohsu.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: The research assistant performing baseline and follow up outcome measures will be masked to group assignment. The PI and study team will be masked. Only the project coordinator will be unmasked as they will assign randomization.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: May 22, 2026
• First Posted: July 1, 2026
• Study Start (Estimated): July 1, 2027
• Primary Completion (Estimated): July 1, 2030
• Study Completion (Estimated): July 1, 2031
• Last Updated: July 1, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will share
• Time Frame: De-identified quantitative and qualitative data will be made available at the time of publication of primary study findings or at the end of the funding period, whichever comes first.
• Access Criteria: Researchers interested in accessing de-identified quantitative and qualitative data must request the data from DASH using their policies and procedures.

Locations

US (1)