Telephone-Based Developmental Screening and Care Coordination Through 2-1-1: A Randomized Trial
| Autor: | Cynthia Orantes, Christopher Biely, Damaris Arriola Zarate, Patricia Herrera, Lindsey R. Thompson, Bergen B. Nelson, Vincent Chan, Irene Aceves, Ingrid Estrada, Paul J. Chung |
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| Rok vydání: | 2019 |
| Předmět: |
Program evaluation
Male Comparative Effectiveness Research Developmental Disabilities Psychological intervention Ambulatory Care Facilities Medical and Health Sciences Pediatrics Patient Care Planning California law.invention 0302 clinical medicine Randomized controlled trial 7.1 Individual care needs law Reference Values Medicine Mass Screening Early childhood Program Development Child Pediatric Incidence Articles Health Services Child Preschool Female Risk assessment medicine.medical_specialty Clinical Trials and Supportive Activities MEDLINE Risk Assessment 03 medical and health sciences Community health center Clinical Research 030225 pediatrics Intervention (counseling) Early Medical Intervention Behavioral and Social Science Humans Preschool business.industry Prevention Psychology and Cognitive Sciences Infant Telephone Family medicine Pediatrics Perinatology and Child Health Management of diseases and conditions business Program Evaluation |
| Zdroj: | Pediatrics, vol 143, iss 4 |
| Popis: | BACKGROUND AND OBJECTIVES: Despite professional guidelines to conduct universal early childhood developmental screening, primary care providers often struggle with early identification of developmental delays, referrals to interventions, and connecting families to services. In this study, we tested the efficacy of telephone-based developmental screening and care coordination through 2-1-1 Los Angeles County, which is part of a national network of call centers, compared with usual care alone. METHODS: Children ages 12 to 42 months old who receive well-child care at a community health center serving predominantly Hispanic families were recruited and randomly assigned to intervention and control groups. Families in the intervention group were connected with 2-1-1, in which a trained care coordinator conducted developmental screening over the phone using the Parental Evaluation of Development Status Online system and made referrals to intervention services on the basis of developmental risk. The 2-1-1 care coordinator then followed-up with families to assist with connections to evaluations and services. After 6 months, primary outcomes included the following: (1) percentage of children referred for developmental evaluation and intervention services and (2) percentage of children actually receiving services. RESULTS: One hundred and fifty-two children were randomly assigned to intervention (n = 77) and control (n = 75) groups. On the basis of intention-to-treat analyses, significantly more children assigned to the intervention group were referred (32% vs 9%; P = .001) and were receiving services (16% vs 1%; P = .002) within 6 months compared with children assigned to usual care alone. CONCLUSIONS: Telephone-based developmental screening and care coordination through 2-1-1 appears to be an effective approach for increasing the numbers of young children referred to, and receiving, intervention services for developmental delays. |
| Databáze: | OpenAIRE |
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