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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

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

TitleA Parent Coach Model for Well-Child Care Among Low-Income Children: A Randomized Controlled Trial
Publication TypeJournal Article
Year of Publication2016
AuthorsCoker, TR, Chacon, S, Elliott, MN, Bruno, Y, Chavis, T, Biely, C, Bethell, CD, Contreras, S, Mimila, NA, Mercado, J, Chung, PJ
JournalPediatrics
Volume137
Pagination1-10
Date PublishedMar
ISBN Number1098-4275 (Electronic)0031-4005 (Linking)
Accession Number26908675
Abstract

OBJECTIVE: The goal of this study was to examine the effects of a new model for well-child care (WCC), the Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT), on WCC quality and health care utilization among low-income families. METHODS: PARENT includes 4 elements designed by using a stakeholder-engaged process: (1) a parent coach (ie, health educator) to provide anticipatory guidance, psychosocial screening and referral, and developmental/behavioral guidance and screening at each well-visit; (2) a Web-based tool for previsit screening; (3) an automated text message service to provide periodic, age-specific health messages to families; and (4) a brief, problem-focused encounter with the pediatric clinician. The Promoting Healthy Development Survey-PLUS was used to assess receipt of recommended WCC services at 12 months' postenrollment. Intervention effects were examined by using bivariate analyses. RESULTS: A total of 251 parents with a child aged /=2 emergency department visits over the 12-month period. There were no significant differences in WCC or sick visits/urgent care utilization. CONCLUSIONS: A parent coach-led model for WCC may improve the receipt of comprehensive WCC for low-income families, and it may potentially lead to cost savings by reducing emergency department utilization.

PMCID

PMC4771128