CompletedNot Applicable

Implementation of Adverse Childhood Experiences (ACEs) Policy

United States7,645 participantsStarted 2022-02-21

Plain-language summary

Adverse Childhood Experiences (ACEs) are pervasive among children with 45% experiencing at least one ACE and 10% experiencing three or more, placing them at high risk for toxic stress and symptomatology. Yet, ACEs often go undetected in primary care settings during well-child visits due to unclear policies and tested implementation strategies. This pilot study will use mapping methodology, guided by the Exploration, Preparation, Implementation and Sustainment (EPIS) framework, to refine a multi-faceted strategy supporting the implementation of the state of California's 2020 policy promoting universal ACE screening in community clinics, and a stepped-wedge trial to test the impact of the strategy on implementation and child-level outcomes.

Who can participate

Age range0 Years – 5 Years

SexALL

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Inclusion Criteria: * Children ages 0-5 scheduled for wellness visit for upcoming week * Caregiver of child is 18 years or older with legal custody or authority to arrange care for child * Caregiver provides informed consent; signs consent form and HIPAA release form as well as coronavirus disease (COVID-19) information sheet * Caregiver agrees to complete the Pediatric Symptoms Checklist or PSC * Caregiver provides permission for socio-demographic information about their child to be pulled from EMR records, de-identified, and shared with PI Exclusion Criteria: * Children ages 0-5 scheduled for wellness visit for upcoming week * Caregiver declines to provide signed informed consent, HIPAA release, or permission for socio-demographic data to be pulled from the Electronic Medical Records (EMR), de-identified and shared with PI; or declines to respond to 17 questions for the PSC * Children ages 6-18 scheduled for wellness visits * Children ages 0-5 scheduled for wellness visits outside the study data collection windows or at clinics not providing pediatric care * Caregiver does not have legal guardianship or written authority to arrange care for the child

What they're measuring

ACEs Screenings Reach

Timeframe: Every 10 weeks during the study trial, up to 19 months

Mental Health Service Referral

Timeframe: Every 10 weeks during the study trial, up to 19 months.

Trial details

NCT IDNCT04916587

SponsorUniversity of Colorado, Denver

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2024-04-30

Results submitted2024-09-09