Trial reportPediatrics2015
Medical-Legal Strategies to Improve Infant Health Care: A Randomized Trial.
Trial report in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01343940 (Project Dulce), which is not on this map. Cited by 57 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Project Dulce: Developmental Understanding and Legal Collaboration for Everyone
Who cites it
57 citing papers in PubMed, 4 syntheses or guidelines pooled it, 127 citations in OpenAlex.
- Collecting and using social needs data in health settings: a systematic review of the literature on health service utilization and costs.BMC health services research · 2025Pooled it
- Screening and Referral Care Delivery Services and Unmet Health-Related Social Needs: A Systematic Review.Preventing chronic disease · 2021Pooled it
- Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review.Annals of family medicine · 2019Pooled it
- Face-to-face interventions for informing or educating parents about early childhood vaccination.The Cochrane database of systematic reviews · 2018Pooled it
- Low-Intensity Social Care and Child Acute Health Care Utilization: A Randomized Clinical Trial.JAMA pediatrics · 2025Trial
- Effects of In-Person Navigation to Address Family Social Needs on Child Health Care Utilization: A Randomized Clinical Trial.JAMA network open · 2020Trial
- Effects of In-Person Assistance vs Personalized Written Resources About Social Services on Household Social Risks and Child and Caregiver Health: A Randomized Clinical Trial.JAMA network open · 2020Trial
- An Investigation of the Factors Reducing the Use of Hospital Services: A Systematic Review.Health science reports · 2026Review
- Barriers to Implementing Medical-Legal Partnerships for Survivors of Intimate Partner Violence: Qualitative Perspectives from the Veterans Health Administration.Journal of general internal medicine · 2026Article
- ASSIST: Refinement of a Benefits Navigator Intervention Among Low-Income Pediatric Oncology Families.Pediatric blood & cancer · 2026Article
- Dental-Legal Partnerships: Extending the Medical-Legal Partnership Model to Dentistry.Journal of public health dentistry · 2026Review
- Health-harming legal needs in a perinatal medical-legal partnership.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Continuum of care for patients through medical-legal partnership: improving the transition from NICU stay to home.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Evaluating potential determinants of health system implementation of a virtual oncology financial and legal navigation intervention to address cancer-related financial toxicity.Implementation science communications · 2025Article
- Efficacy of Medical-Legal Partnerships to Address Health-Harming Legal Needs: A Systematic Review of Experimental Studies in the Field.American journal of lifestyle medicine · 2025Review
- Medical-Legal Partnerships for women in the United States: a systematic review protocol.Systematic reviews · 2025Article
- Gaps, Successes, and Opportunities Related to Social Drivers of Health from the Perspectives of Black Preterm Infant Caregivers: A Qualitative Study.The Journal of pediatrics · 2025Article
- Nationwide Analysis of Legal Barriers to Cancer Care.JAMA network open · 2025Article
- Examination of Social Determinants of Health Characteristics Influencing Maternal Postpartum Symptom Experiences.Journal of racial and ethnic health disparities · 2025Article
- The State of Healthy Parenting in Primary Care Interventions in Advancing Health Equity.NAM perspectives · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundChanges in health care delivery create opportunities to improve systems to better meet the needs of low-income families while achieving quality benchmarks.
methodsFamilies of healthy newborns receiving primary care at a single large urban safety-net hospital participated. Intervention families were randomly assigned a family specialist who provided support until the 6-month routine health care visit. The Developmental Understanding and Legal Collaboration for Everyone (DULCE) intervention is based on the Strengthening Families approach and incorporated components of the Healthy Steps and Medical-Legal Partnership models. Medical record reviews determined use of preventive and emergency care. Surveys conducted at baseline, postintervention (6 months), and follow-up (12 months) were used to determine hardship and attainment of concrete supports.
resultsThree hundred thirty families participated in the study. At baseline, 73% of families reported economic hardships. Intervention parents had an average of 14 contacts with the family specialist, and 5 hours of total contact time. Intervention infants were more likely to have completed their 6-month immunization schedule by age 7 months (77% vs 63%, P < .005) and by 8 months (88% vs 77%, P < .01). Intervention infants were more likely to have 5 or more routine preventive care visits by age 1 year (78% vs 67%, P < .01) and were less likely to have visited the emergency department by age 6 months (37% vs 49.7%, P < .03). The DULCE intervention accelerated access to concrete resources (P = .029).
conclusionsAssignment to the Project DULCE intervention led to improvements in preventive health care delivery and utilization and accelerated access to concrete supports among low-income families.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.