Effects of In-Person Assistance vs Personalized Written Resources About Social Services on Household Social Risks and Child and Caregiver Health: A Randomized Clinical Trial.

JAMA Network Open
Laura M GottliebDanielle Hessler

Abstract

Social and economic contexts shape children's short- and long-term health. Efforts to address contextual risk factors are increasingly incorporated into pediatric health care. To compare the effectiveness of 2 social risk-related interventions. This randomized clinical trial included English- and/or Spanish-speaking caregiver-child dyads recruited from a pediatric urgent care clinic nested in a large, urban, safety-net hospital. Study recruitment, enrollment, and follow-up were conducted from July 18, 2016, to March 8, 2019. Data analysis was conducted from January 1, 2019, to January 20, 2020. Following standardized social risk assessment, caregivers were randomly assigned to receive either written information regarding relevant government and community social services resources or comparable written information plus in-person assistance and follow-up focused on service access. Caregiver-reported number of social risk factors and child health 6 months after enrollment. Among 611 caregiver-child dyads enrolled in the study, 302 dyads were randomized to the written resources group and 309 dyads were randomized to the written resources plus in-person assistance group. The mean (SD) age of children was 6.1 (5.0) years; 483 childre...Continue Reading

Associated Clinical Trials

References

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Citations

Sep 26, 2020·Pediatric Research·Amy A Hunter, Glenn Flores
Jun 1, 2021·Journal of Primary Care & Community Health·Sahil SandhuJanet Prvu Bettger
May 17, 2021·Preventive Medicine·Alexa M CurtAmanda M Stewart
Jun 15, 2021·Journal of Primary Care & Community Health·Tyler LianConnor Drake
Aug 9, 2021·Academic Pediatrics·Ingrid L TablazonKimberly G Montez
Sep 2, 2021·JAMA : the Journal of the American Medical Association·Michelle EderJennifer S Lin
Oct 11, 2021·Public Health Nursing·Nancie BechtelJodi L Ford

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