Prepared Parents Helping Kids

NCT ID: NCT03719976

Last Updated: 2023-01-10

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 35 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-12-17
• Study Completion Date: 2022-09-01

Brief Summary

Learning to navigate the US health system is challenging for many new immigrants. This pilot study will determine whether an intervention to teach parents key skills needed to access health care for children is feasible and acceptable to immigrant parents.

This study will also look for evidence of efficacy to inform the planning process for future, larger evaluations of the intervention (i.e., estimate effect sizes).

Detailed Description

Parents-particularly those with limited English proficiency (LEP) and limited literacy-may require months or years of experiential learning to master fundamental health care navigation tasks, such as requesting an interpreter. Most programs teaching health care navigation skills are ad hoc and have not be evaluated.

In this study, Investigators will pilot a group-based educational intervention in which a bilingual community health worker will use an interactive curriculum to teach immigrant parents key skills needed to access health care for children.

Parents and caregivers for children <18 years will be enrolled in closed groups of 6-12 individuals. The 6-12 week intervention will comprise 6 meetings, each of which will be no longer than 75 minutes. Each meeting will focus on one of six skills:

1. Requesting an interpreter;

2. Communicating with a health care facility by telephone;

3. Scheduling appointments;

4. Traveling to health care facilities and registering with the front desk;

5. Obtaining appointments with specialists;

6. Calling 911 for an ambulance.

Each meeting will follow a pre-specified plan that will typically include welcoming activities, a review of prior material, introduction of new material, and a series of activities (e.g., role play) to practice key skills. Sessions will be interactive, culturally-appropriate, and held in parents' preferred language.

Conditions

Immigrant Caregiver Health Care Navigation for Children

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

Healthcare navigation workshops

All enrolled caregivers and parents will partake in the group-based educational intervention.

Group Type: EXPERIMENTAL

Group-based educational intervention

Intervention Type: OTHER

The group-based educational intervention will use a bilingual Community Health Worker (CHW) who will teach parents key skills needed to access health care for children. Parents will be invited to attend 6 small, closed-group sessions held over 12 weeks and lasting no more than 75 minutes. Sessions will be interactive, culturally-appropriate, and held in parents' preferred language.

Interventions

Group-based educational intervention

The group-based educational intervention will use a bilingual Community Health Worker (CHW) who will teach parents key skills needed to access health care for children. Parents will be invited to attend 6 small, closed-group sessions held over 12 weeks and lasting no more than 75 minutes. Sessions will be interactive, culturally-appropriate, and held in parents' preferred language.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Adult age 18 years or older
• Parent of a child <18 years
• Nepali-speaking
• Resident of the US for <10 years

Exclusion Criteria

• Scheduled to move away from the study location (e.g., to another city) before the end of the 6-session intervention

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role: collaborator

Children's Hospital of Philadelphia

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Katherine Yun, MD MHS

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital of Philadelphia

Locations

Bhutanese American Organization - Philadelphia

Philadelphia, Pennsylvania, United States

Countries

United States

Other Identifiers

1K23HD082312-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

18-015474

Identifier Type: -

Identifier Source: org_study_id