Evidence map›Paper›PMID 39759566›Full record

ArticleContemporary clinical trials communications2025

Preschool and Me: Educational-clinical linkage to improve health equity for children with developmental delays and disabilities from historically marginalized communities.

Tina L Schuh, Kathleen R Diviak, Sarai Coba-Rodriguez, Emily Pela, Raphael Kinney, Michael L Berbaum, Amanda Klemas, Kruti Acharya, Molly Martin, Reshma Shah

Abstract read
In one paragraph

Article in Contemporary clinical trials communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Tina L SchuhInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USA.
Kathleen R DiviakInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USA.
Sarai Coba-RodriguezDepartment of Educational Psychology, University of Illinois, Chicago, IL, 60607, USA.
Emily PelaInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USA.
Raphael KinneyInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USA.
Michael L BerbaumInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USA.
Amanda KlemasEquip for Equality, Chicago, IL, 60602, USA.
Kruti AcharyaDepartment of Pediatrics, College of Medicine, University of Illinois, Chicago, IL, 60612, USA.
Molly MartinInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USA.
Reshma ShahInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USA.

Funding

Strengthening Stakeholder Engagement in Human Research Protections.UL1TR002003 · NCATS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KARNIK, NIRANJAN SUBHASH, MERMELSTEIN, ROBIN J. · 2016 to 2024
$33.7M
Educational-Clinical Linkage to Improve Health Outcomes for Children with Developmental Delays and DisabilitiesR01NR021155 · NINR · UNIVERSITY OF ILLINOIS AT CHICAGO · PI Reshma Shah · 2023 to 2026
$2.9M
NCATS NIH HHS UL1 TR002003NINR NIH HHS R01 NR021155
6 · The paper itself

Abstract

Societal and structural inequities have resulted in longstanding health care disparities among Black, Latino/a/e, and low-income preschool children with developmental delays and disabilities (PCw/DD), depriving them of educational and therapeutic services that improve future academic, economic, and health outcomes. To address this issue, we developed Preschool and Me (PreM), a community-clinical linkage (CCL) implemented within healthcare settings serving historically marginalized communities. This novel CCL, an educational-medical linkage model, aims to increase access to school-based services for PCw/DD. Combining key components of CCLs with a personalized medical-education care plan and remote navigator support, PreM targets multiple levels of influence impacting access to school-based therapeutic and educational services. We will utilize a hybrid effectiveness-implementation approach in two models of real-world service delivery conditions. Participants (n = 320) will be randomized to either 6 months of PreM or a waitlist control arm beginning the intervention after a 6-month delay. Our specific aims are to test the effectiveness of PreM on access to school-based services as well as health service outcomes; examine mediators of intervention effects using a mixed-methods approach; and explore social determinants of health as potential moderators. We will simultaneously conduct an implementation evaluation. The results of this study have the potential to support effective implementation of CCL models within pediatric clinical settings serving historically marginalized communities which can be utilized to improve health outcomes for families and their children with a range of health conditions.

Indexed as

Community-clinical linkageDevelopmental disabilities and delaysHealthcare accessHealth disparityImplementation scienceSocial determinants of health

Identifiers

PMID39759566
PMCPMC11699437

What OpenQuestion holds

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LicenceCC BY-NC
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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.