Assisting Low-Income Families at Pediatric Well-Child Care Visits

Enhancing a Medical Home for Vulnerable Children by Addressing Family Psychosocial Problems at Well-Child Care Visits: THE WE CARE Project

The objective of this study is to evaluate the impact and feasibility of a practice-based intervention on the discussion and referral of family psychosocial topics at well-child care visits at a medical home for low-income children.

Study Overview

• Status: Completed
• Conditions: Low-income Children's Well-child Care Visit
• Intervention / Treatment: Behavioral: Prompting (survey instrument/resources list) (behavior)

Detailed Description

Many low-income families have family psychosocial problems such as unemployment, housing difficulties, and food insecurity. Pediatric guidelines that pediatricians should be discussing and assisting these families. However, to date few routine do. The primary hypotheses for this study is that the WE CARE (Well-child care visit, Evaluation, Community resources, Advocacy, Referral, Education)intervention would increase the discussion and referral rates for family psychosocial problems at well-child care visits.

• Study Type: Interventional
• Enrollment: 200
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Maryland
    • Baltimore, Maryland, United States, 21287
      • Harriet Lane Clinic at Johns Hopkins Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Caregivers of children aged 2 months to 10 years who present for well-child care visit at a pediatric clinic

Exclusion Criteria:

• Non-English speaking
• Foster parents
• Previously enrolled parent
• No access to telephone

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Discussion of family psychosocial problem
Referral of family psychosocial problem
Contacting community resources

Collaborators and Investigators

• Sponsor: Johns Hopkins University
• Collaborators: The Commonwealth Fund
• Investigators: Principal Investigator: Arvin Garg, MD, MPH, Johns Hopkins School of Medicine; Principal Investigator: Janet Serwint, MD, Johns Hopkins School of Medicine

Publications and helpful links

General Publications

• Kalra N, Hooker L, Reisenhofer S, Di Tanna GL, Garcia-Moreno C. Training healthcare providers to respond to intimate partner violence against women. Cochrane Database Syst Rev. 2021 May 31;5(5):CD012423. doi: 10.1002/14651858.CD012423.pub2.
• Garg A, Butz AM, Dworkin PH, Lewis RA, Thompson RE, Serwint JR. Improving the management of family psychosocial problems at low-income children's well-child care visits: the WE CARE Project. Pediatrics. 2007 Sep;120(3):547-58. doi: 10.1542/peds.2007-0398.

Study record dates

Study Major Dates

• Study Start: March 1, 2006
• Study Completion: June 1, 2006

Study Registration Dates

• First Submitted: November 7, 2006
• First Submitted That Met QC Criteria: November 7, 2006
• First Posted (Estimated): November 9, 2006

Study Record Updates

• Last Update Posted (Actual): November 1, 2023
• Last Update Submitted That Met QC Criteria: October 31, 2023
• Last Verified: October 1, 2023

More Information

Terms related to this study

• Keywords: pediatrician; well-child care visit; low-income children; family psychosocial problem
• Other Study ID Numbers: 20060351