A Parent Coach Model for Well-Child Care Among Low-Income Children: A Randomized Controlled Trial

Coker, Tumaini R.; Chacon, Sandra; Elliott, Marc N.; Bruno, Yovana; Chavis, Toni; Biely, Christopher; Bethell, Christina; Contreras, Sandra; Mimila, Naomi A.; Mercado, Jeffrey; Chung, Paul J.

doi:10.1542/peds.2015-3013

Cited by 56 publications

(66 citation statements)

References 42 publications

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“…We explored receptiveness to health care delivery innovations that have been suggested to reduce use of the ED in other patient populations . First, we asked caretakers’ opinion on the use of CHWs to inform the treatment of their child's low‐acuity illnesses and allowed them to define how a CHW might be useful.…”

Section: Resultsmentioning

confidence: 99%

Understanding Pediatric Caretakers’ Views on Obtaining Medical Care for Low‐acuity Illness

Cabey

Shea²,

Kangovi³

et al. 2018

Academic Emergency Medicine

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Section: Resultsmentioning

confidence: 99%

Understanding Pediatric Caretakers’ Views on Obtaining Medical Care for Low‐acuity Illness

Cabey

Shea²,

Kangovi³

et al. 2018

Academic Emergency Medicine

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“…As this paper focuses on parent experiences with the intervention, we do not present control group data; an intervention versus control group analysis is presented elsewhere. 20 Social desirability bias may also limit our findings; to reduce this type of bias, all quantitative and qualitative surveys were conducted privately with a research assistant who was not directly involved in the intervention and not affiliated with the pediatric practices. Additionally, the intervention experiences of participants were highly influenced by the PC.…”

Section: Discussionmentioning

confidence: 99%

“…In this survey, we collected data on outcome measures on receipt of WCC services to compare intervention and control participants; these outcome measures for intervention vs. control parents are reported elsewhere. 20 The survey also included a series of questions for all intervention parents to assess their experience with the intervention. These survey questions asked intervention participants about each PARENT component, whether they utilized the specific components, how often they used it, its helpfulness to them, and whether they would recommend it to others (Appendix A).…”

Section: Methodsmentioning

confidence: 99%

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Well-Child Care Redesign: A Mixed Methods Analysis of Parent Experiences in the PARENT Trial

Mimila

Elliott

Bethell

et al. 2017

Academic Pediatrics

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Background Parent-focused Redesign for Encounters, Newborns-Toddlers (PARENT) is a well-child care (WCC) model that has demonstrated effectiveness in improving the receipt of comprehensive WCC services and reducing emergency department utilization for children ages 0–3 in low-income communities. PARENT relies on a health educator (“Parent Coach”) to provide WCC services, and utilizes a web-based pre-visit prioritization/screening tool (Well-Visit Planner; WVP), and an automated text message reminder/education service. Objective To assess intervention feasibility and acceptability among PARENT trial intervention participants. Design/Methods Intervention parents completed a survey after a 12-month study period; a 26% random sample of them were invited to participate in a qualitative interview. Interviews were recorded, transcribed, and analyzed using the constant comparative method of qualitative analysis; survey responses were analyzed using bivariate methods. Results 115 intervention participants completed the 12-month survey; 30 completed a qualitative interview. Nearly all intervention participants reported meeting with the coach, found her helpful, and would recommend continuing coach-led well-visits (97–99%). Parents built trusting relationships with the coach, and viewed her as a distinct and important part of their WCC team. They reported that PARENT well-visits more efficiently used in-clinic time and were comprehensive and family-centered. Most used the WVP (87%), and found it easy to use (94%); a minority completed it at home prior to the visit (18%). 62% reported using the text message service; most reported it as a helpful source of new information and reinforcement of information discussed during visits. Conclusion A parent coach-led intervention for WCC for young children is a model of well-child care delivery that is both acceptable and feasible to parents in a low-income urban population.

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“…In a recent randomized controlled trial of 251 families, this intervention showed significant improvements in the receipt of WCC services and experiences of care, as well as a reduction in emergency department visits. 54 …”

Section: Care Coordination Programsmentioning

confidence: 99%

Determinants of Health and Pediatric Primary Care Practices

Beck

Tschudy²,

Coker

et al. 2016

Pediatrics

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More than 20% of children nationally live in poverty. Pediatric primary care practices are critical points-of-contact for these patients and their families. Practices must consider risks that are rooted in poverty as they determine how to best deliver family-centered care and move toward action on the social determinants of health. The Practice-Level Care Delivery Subgroup of the Academic Pediatric Association's Task Force on Poverty has developed a roadmap for pediatric providers and practices to use as they adopt clinical practice redesign strategies aimed at mitigating poverty's negative impact on child health and well-being. The present article describes how care structures and processes can be altered in ways that align with the needs of families living in poverty. Attention is paid to both facilitators of and barriers to successful redesign strategies. We also illustrate how such a roadmap can be adapted by practices depending on the degree of patient need and the availability of practice resources devoted to intervening on the social determinants of health. In addition, ways in which practices can advocate for families in their communities and nationally are identified. Finally, given the relative dearth of evidence for many poverty-focused interventions in primary care, areas that would benefit from more in-depth study are considered. Such a focus is especially relevant as practices consider how they can best help families mitigate the impact of povertyrelated risks in ways that promote long-term health and well-being for children.abstract

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A Parent Coach Model for Well-Child Care Among Low-Income Children: A Randomized Controlled Trial

Cited by 56 publications

References 42 publications

Understanding Pediatric Caretakers’ Views on Obtaining Medical Care for Low‐acuity Illness

Understanding Pediatric Caretakers’ Views on Obtaining Medical Care for Low‐acuity Illness

Well-Child Care Redesign: A Mixed Methods Analysis of Parent Experiences in the PARENT Trial

Determinants of Health and Pediatric Primary Care Practices

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