Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Kaiser Permanente School of Medicine | OTHER |
Not provided
Not provided
Not provided
Not provided
Not provided
The study is a randomized controlled trial of a telephone-based care coordination system for families who experienced Adverse Childhood Events (ACEs). The investigators will conduct the study in partnership with Kaiser Permanente School of Medicine (KPSOM) and 2-1-1 Los Angeles County (211LA), part of a national network of 2-1-1 call centers covering 93% of the US population. The study will test the effectiveness of 211LA in increasing referrals and services for families who screen positive for ACEs.
The trial will enroll 200 children ages 0-11 years from the three FQHCs partner clinics, who screen positive for at least 1 ACE during their clinical encounter. The research study team will randomize children 1:1 into intervention (connection to 211LA for ACEs care coordination + usual care) or control (usual care alone).
Primary outcomes will include number of referrals to, eligibility for, and receipt of ACE-related services among intervention group participants compared to controls.
The investigators will measure these outcomes through parent reported data and 211LA data at baseline and 6 months after enrollment.
Expected findings include higher referral and service rates by six months after enrollment among intervention group participants.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Intervention + Usual Care | Experimental | Intervention group families will receive usual care and they will be connected via telephone to 211LA. |
|
| No Intervention: Usual Care | No Intervention | This group will receive usual care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Behavioral: Telephone-based ACEs care coordination | Behavioral | The 211LA care coordinator will use the agency's extensive resource directory to identify and provide appropriate referral recommendations to each family. In addition, they will develop a care coordination plan, noting these recommendations and plans for follow-up, to be provided to the family's clinical care provider. The coordinator will routinely follow-up with the family until 1) children begin receiving services, 2) families refuse services, or 3) children are deemed ineligible by service providers. |
| Measure | Description | Time Frame |
|---|---|---|
| Referrals to ACEs-related services | The percentage of children who are referred to at least one ACEs-related service, as reported on the participant survey. | 2-6 months after enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Receipt of ACEs-related services | The percentage of children who receive at least one ACEs-related service, as reported on the participant survey. | 2-6 months after enrollment |
| Number of referrals received |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Rebecca Dudovitz, MD MSHS | University of California, Los Angeles | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California Los Angeles | Los Angeles | California | 90095 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30894408 | Background | Nelson BB, Thompson LR, Herrera P, Biely C, Arriola Zarate D, Aceves I, Estrada I, Chan V, Orantes C, Chung PJ. Telephone-Based Developmental Screening and Care Coordination Through 2-1-1: A Randomized Trial. Pediatrics. 2019 Apr;143(4):e20181064. doi: 10.1542/peds.2018-1064. | |
| 41161485 | Derived | Lim Chang C, Chung PJ, Ngan H, Porras-Javier L, Vangala S, Correa-Mendoza L, Calderon K, Thompson LR, Molina D, Aceves I, Torres F, Dudovitz R. Testing a Scalable Model for Adverse Childhood Experiences-Related Care Coordination via 211 Telephone-Based Services. Acad Pediatr. 2026 Jan-Feb;26(1):103160. doi: 10.1016/j.acap.2025.103160. Epub 2025 Oct 27. |
Not provided
Not provided
De-identified individual participant data for all primary and secondary outcome measures will be shared.
Data will be shared within 2 years of study completion.
Proposals should be directed to lporras@mednet.ucla.edu. To gain access, data requestors will need to sign a data access agreement. Data are available for 5 years at a third party website, to be provided when requests are approved.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
The number of referrals made for ACEs-related services, as reported on the participant survey.
| 2-6 months after enrollment |
| Number of services received | The number of ACEs-related services received, as reported on the participant survey. | 2-6 months after enrollment |