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
|Condition or disease||Intervention/treatment||Phase|
|Uninsured Children Eligible for Medicaid or CHIP||Behavioral: Parent Mentors||Not Applicable|
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.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||329 participants|
|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|
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
- 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.
- 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.
- 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
- Intervention Cost-Effectiveness Ratio (ICER) [ Time Frame: One year after enrollment ]The difference in total costs between the intervention group and controls
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
|United States, Connecticut|
|Connecticut Children's Medical Center|
|Hartford, Connecticut, United States, 06106|
|United States, Texas|
|Dallas, Texas, United States, 75390|
|Principal Investigator:||Glenn Flores, M.D.||Connecticut Children's Medical Center|