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A Randomized Trial of Effects of Parent Mentors on Insuring Minority Children

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ClinicalTrials.gov Identifier: NCT01264718
Recruitment Status : Completed
First Posted : December 22, 2010
Results First Posted : April 19, 2019
Last Update Posted : April 19, 2019
Sponsor:
Information provided by (Responsible Party):
Glenn Flores, MD, Connecticut Children's Medical Center

Brief Summary:
The Kids' HELP trial rigorously documented that a Parent Mentor intervention results in multiple benefits: more children are insured faster, children's access to healthcare and parental satisfaction improve, quality of well-child care is enhanced, thousands of dollars are saved per child, jobs are created, disparities are eliminated, and the intervention potentially could save our nation billions of dollars.

Condition or disease Intervention/treatment Phase
Uninsured Children Eligible for Medicaid or CHIP Behavioral: Parent Mentors Not Applicable

Detailed Description:

Background: Six million US children are uninsured, despite two-thirds being eligible for Medicaid/Children's Health Insurance Program (CHIP), and minority children are at especially high risk. The most effective way to insure uninsured children, however, is unclear.

Methods: We conducted a randomized trial of the effects of parent mentors (PMs) on insuring uninsured minority children. PMs were experienced parents with >=1 Medicaid/CHIP-covered child who received 2 days of training, then assisted families for 1 year with insurance applications, retaining coverage, medical homes, and social needs; controls received traditional Medicaid/CHIP outreach. The primary outcome was obtaining insurance 1 year post-enrollment.


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 329 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: A Randomized Trial of Effects of Parent Mentors on Insuring Minority Children
Study Start Date : December 2010
Actual Primary Completion Date : May 31, 2016
Actual Study Completion Date : May 31, 2016

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Medicaid

Arm Intervention/treatment
No Intervention: Control
After randomization to the control group, minority low-income parents of uninsured, Medicaid/CHIP-eligible children received only traditional Medicaid/Children's Health Insurance Program (CHIP) outreach and enrollment.
Experimental: Parent Mentors
After randomization to the Parent Mentor group, minority low-income parents of uninsured Medicaid/CHIP-eligible children received face-to-face instruction and guidance from Parent Mentors on obtaining and keeping Medicaid/CHIP for their child; getting a doctor, dentist, and pharmacist; and addressing social determinants of health.
Behavioral: Parent Mentors
After random assignment to the Parent Mentor group, minority low-income parents of Medicaid/CHIP eligible children met with Parent Mentors to receive instruction and help on completing, submitting applications for, and maintaining Medicaid/CHIP coverage for their child.
Other Name: Kids' HELP




Primary Outcome Measures :
  1. Number of Children With Health Insurance [ Time Frame: One year after enrollment ]
    A study child is considered insured once official written notification of insurance is confirmed, either through an electronic or hard copy of the state coverage letter, or via verification from the Texas Health and Human Services Center.


Secondary Outcome Measures :
  1. Number of Days From Study Enrollment to Obtaining Coverage [ Time Frame: One year after enrollment ]
    Zero time (the point at which the maneuver is imposed) is the data and time of study enrollment. Occurrence of the main outcome event is the date and time of official notification that the child is insured.

  2. Parental Satisfaction With the Process of Obtaining Coverage for Child [ Time Frame: One year after enrollment ]
    Parental satisfaction is assessed both using a five-point Likert-scale and open-ended questions

  3. Intervention Cost-Effectiveness Ratio (ICER) [ Time Frame: One year after enrollment ]
    The difference in total costs between the intervention group and controls



Information from the National Library of Medicine

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Ages Eligible for Study:   up to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. The parent/guardian is a primary caretaker of a least one child 0-18 years old who currently has no health insurance
  2. The parent/guardian self-identifies the uninsured child as Hispanic/Latino, African-American/Black, or both
  3. The uninsured child is eligible for either Medicaid or CHIP
  4. The parent/guardian is willing to be contacted monthly by telephone, or in the form of a home visit (if no functioning telephone is present in the household).

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01264718


Locations
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United States, Connecticut
Connecticut Children's Medical Center
Hartford, Connecticut, United States, 06106
United States, Texas
UT Southwestern
Dallas, Texas, United States, 75390
Sponsors and Collaborators
University of Texas Southwestern Medical Center
Investigators
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Principal Investigator: Glenn Flores, M.D. Connecticut Children's Medical Center

Additional Information:
Publications:

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Responsible Party: Glenn Flores, MD, Professor, Chief Research Officer, and Associate Chair of Research, Connecticut Children's Medical Center
ClinicalTrials.gov Identifier: NCT01264718     History of Changes
Other Study ID Numbers: 082010-138
First Posted: December 22, 2010    Key Record Dates
Results First Posted: April 19, 2019
Last Update Posted: April 19, 2019
Last Verified: January 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Glenn Flores, MD, Connecticut Children's Medical Center:
minority health
child
Medicaid