Evidence map›Paper›PMID 28232142›Full record

Trial reportAcademic pediatrics

Well-Child Care Redesign: A Mixed Methods Analysis of Parent Experiences in the PARENT Trial.

Naomi A Mimila, Paul J Chung, Marc N Elliott, Christina D Bethell, Sandra Chacon, Christopher Biely, Sandra Contreras, Toni Chavis, Yovana Bruno, Tanesha Moss and 1 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03797898 (Well-Child Care Clinical Practice Redesign), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT03797898 nacompletednot on this map

Well-Child Care Clinical Practice Redesign: A Parent Coach-Led Model of Care for Young Children

TypeinterventionalSponsorSeattle Children's HospitalRan2019 to 2022Enrolled937ConditionsPreventive Health Services, Health PromotionArmsParent Coach
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Naomi A MimilaUCLA Children's Discovery and Innovation Institute, Mattel Children's Hospital, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Paul J ChungUCLA Children's Discovery and Innovation Institute, Mattel Children's Hospital, David Geffen School of Medicine at UCLA, Los Angeles, Calif; RAND, Santa Monica, Calif; UCLA Fielding School of Public Health, Los Angeles, Calif.
Marc N ElliottRAND, Santa Monica, Calif.
Christina D BethellJohns Hopkins Bloomberg School of Public Health, Baltimore, Md.
Sandra ChaconUCLA Children's Discovery and Innovation Institute, Mattel Children's Hospital, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Christopher BielyUCLA Children's Discovery and Innovation Institute, Mattel Children's Hospital, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Sandra ContrerasUCLA Children's Discovery and Innovation Institute, Mattel Children's Hospital, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Toni ChavisWee Care Associates, Compton, Calif.
Yovana BrunoYBPC, Duarte, Calif.
Tanesha MossUCLA Children's Discovery and Innovation Institute, Mattel Children's Hospital, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Tumaini R CokerUniversity of Washington, and Seattle Children's Research Institute, Seattle, WA. Electronic address: Tumaini.Coker@seattlechildrens.org.
Mattel Children's Hospital · USEye Care Associates · USJohns Hopkins University · USRAND Corporation · USUniversity of Washington · US

Funding

A New Model for the Delivery of Well-Child Care to Low-Income ChildrenK23HD062677 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI COKER, TUMAINI RUCKER · 2010 to 2014
$666k
NICHD NIH HHS K23 HD062677NICHD NIH HHS L40 HD074003
6 · The paper itself

Abstract

backgroundParent-focused Redesign for Encounters, Newborns to Toddlers (PARENT), is a well-child care (WCC) model that has demonstrated effectiveness in improving the receipt of comprehensive WCC services and reducing emergency department utilization for children aged 0 to 3 in low-income communities. PARENT relies on a health educator ("parent coach") to provide WCC services; it utilizes a Web-based previsit prioritization/screening tool (Well-Visit Planner) and an automated text message reminder/education service. We sought to assess intervention feasibility and acceptability among PARENT trial intervention participants.

methodsIntervention parents completed a survey after a 12-month study period; a 26% random sample of them were invited to participate in a qualitative interview. Interviews were recorded, transcribed, and analyzed using the constant comparative method of qualitative analysis; survey responses were analyzed using bivariate methods.

resultsA total of 115 intervention participants completed the 12-month survey; 30 completed a qualitative interview. Nearly all intervention participants reported meeting with the coach, found her helpful, and would recommend continuing coach-led well visits (97-99%). Parents built trusting relationships with the coach and viewed her as a distinct and important part of their WCC team. They reported that PARENT well visits more efficiently used in-clinic time and were comprehensive and family centered. Most used the Well-Visit Planner (87%), and found it easy to use (94%); a minority completed it at home before the visit (18%). Sixty-two percent reported using the text message service; most reported it as a helpful source of new information and a reinforcement of information discussed during visits.

conclusionsA parent coach-led intervention for WCC for young children is a model of WCC delivery that is both acceptable and feasible to parents in a low-income urban population.

Indexed as

Attitude to HealthChild Health ServicesProfessional-Family RelationsBlack or African AmericanChild HealthChild, PreschoolDelivery of Health CareFemaleHealth PersonnelHispanic or LatinoHumansInfantInfant, NewbornInternetInterviews as TopicMalepractice redesignpreventive carerandomized controlled trialwell-child care

Identifiers

PMID28232142
PMCPMC5555836
OpenAlexW2588838906

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.