Evidence map›Paper›PMID 39054946›Full record

Trial reportPediatrics2024

Early Childhood Care Coordination Through 211: A Randomized Clinical Trial.

Bergen B Nelson, Rebecca N Dudovitz, Lindsey R Thompson, Sitaram Vangala, Emilia Zevallos-Roberts, Amanda Gulsrud, Lorena Porras-Javier, John A Romley, Patricia Herrera, Irene Aceves and 1 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Observational
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.

Bergen B NelsonChildren's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia.
Rebecca N DudovitzDepartments of Pediatrics and Children's Development and Innovation Institute.
Lindsey R ThompsonMedicine Statistics Core.
Sitaram VangalaKaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California.
Emilia Zevallos-RobertsMedicine Statistics Core.
Amanda GulsrudPsychiatry, Semel Institute for Neuroscience and Human Behavior.
Lorena Porras-JavierDepartments of Pediatrics and Children's Development and Innovation Institute.
John A RomleyPrice School of Public Policy and School of Pharmacy, University of Southern California, Los Angeles, California.
Patricia HerreraCalifornia State Council on Developmental Disabilities, Sacramento, California.
Irene Aceves211 LA, Los Angeles, California.
Paul J ChungMedicine Statistics Core.

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
A Randomized, Controlled Trial of a Telephone-Based Developmental Care Coordination SystemR01HD092406 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHUNG, PAUL J · 2018 to 2022
$2.9M
NCATS NIH HHS UL1 TR001881NICHD NIH HHS R01 HD092406
6 · The paper itself

Abstract

BACKGROUND AND

objectivesEarly intervention services can improve outcomes for children with developmental delays. Health care providers, however, often struggle to ensure timely referrals and services. We tested the effectiveness of telephone-based early childhood developmental care coordination through 211 LA, a health and human services call center serving Los Angeles County, in increasing referral and enrollment in services.

methodsIn partnership with 4 clinic systems, we recruited and randomly assigned children aged 12 to 42 months with upcoming well-child visits and without a known developmental delay, to intervention versus usual care. All children received developmental screening and usual clinic care. Intervention children also received telephone connection to a 211 LA early childhood care coordinator who made referrals and conducted follow-up. Primary outcomes at a 6-month follow-up included parent-reported referral and enrollment in developmental services. Secondary outcomes included referral and enrollment in early care and education (ECE). Logistic regression models were used to estimate the odds of outcomes, adjusted for key covariates.

resultsOf 565 families (282 intervention, 283 control), 512 (90.6%) provided follow-up data. Among all participants, more intervention than control children were referred to (25% vs 16%, adjusted odds ratio [AOR] 2.25, P = .003) and enrolled in (15% vs 9%, AOR 2.35, P = .008) ≥1 service, and more intervention than control children were referred to (58% vs 15%, AOR 9.06, P < .001) and enrolled in (26% vs 10%, AOR 3.75, P < .001) ECE.

conclusionsTelephone-based care coordination through 211 LA is effective in connecting young children to developmental services and ECE, offering a potentially scalable solution for gaps and disparities.

Indexed as

Developmental DisabilitiesReferral and ConsultationChild Health ServicesChild, PreschoolEarly Intervention, EducationalFemaleFollow-Up StudiesHumansInfantLos AngelesMaleTelephone

Identifiers

PMID39054946
PMCPMC11291962

What OpenQuestion holds

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Registered trials

None linked

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.