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.
Age range
0 Days
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
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.