Early childhood is a critical period, laying the foundation for future growth and deveopment. This foundational period has an outsized effect, impacting health, well-being and achievement across one's lifespan. The U.S. lacks a cohesive early childhood system to support families with young children ages 0-5. The goal of this randomized controlled trial(RCT) is to test if community-based support via community health workers(CHWs) improves social and health services utilization, and child development. Furthermore, the trial will examine if income support enhances the impact of a CHW integrated system. Participants are English and Spanish speaking families with healthy newborns. This RCT was designed based on family priorities, community capacity and needs in a collective impact model. This trial is anchored at a university based children's hospital and involves many partners: families, county health, county leadership, a leading early childhood non-profit organization, the county's Medicaid managed care organization.
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Change in attendance at well-child visits
Timeframe: 12, 24 and 36 months
Change in attendance at maternal postpartum follow-up visits
Timeframe: 12 months
Change in pediatric Emergency Department visits
Timeframe: 12 months, 24 months and 36 months
Change in referrals to Child Protective Services
Timeframe: 12 months, 24 months and 36 months
Change in utilization of the Women Infants and Children program (WIC) - survey parents
Timeframe: Baseline, year 1, year 2, year 3
Change in utilization of the Women Infants and Children program (WIC) - administrative data
Timeframe: Baseline, 12 months, 24 months and 36 months
Change in utilization of Supplemental Nutrition Assistance Program (SNAP) services - survey parents
Timeframe: Baseline, year 1, year 2, year 3
Change in utilization of SNAP services - administrative data
Timeframe: Baseline, 12 months, 24 months and 36 months
Change in food insecurity scale score as measured by U.S. Household Food Security Survey Module
Timeframe: Baseline, year 1, year 2, year 3
Change in financial well-being scale score
Timeframe: Baseline, year 1, year 2, year 3
Number of participants who will be able or unable to cover a $400 unexpected expense.
Timeframe: Baseline, year 1, year 2, year 3
Change in child developmental trajectory
Timeframe: Approximately 18 to 22 months, and approximately 30 to 34 months.