Evidence map›Paper›PMID 40956380›Full record

Trial reportJournal of racial and ethnic health disparities2026

Feasibility, Acceptability, and Preliminary Effectiveness of Family Navigation for Low-income Ethnoracially Diverse Preschoolers with Developmental Concern.

Teresa Smith, Karen Burkett, Rita Pickler, Katherine Bowers, Stephanie Weber, Elizabeth Trenkamp, Anna Heeman, Tina Stanton-Chapman, Kristen Copeland, Tanya Froehlich

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03499405 (CIN001-HeadStart Navigator Intervention), which is not on this map. Not yet cited in PubMed.

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

NCT03499405 nacompletednot on this map

CIN001-HeadStart Navigator Intervention

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2017 to 2018Enrolled36ConditionsDevelopmental DelayArmsFamily Navigator Intervention
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Teresa SmithDivision of Developmental and Behavioral Pediatrics, Division of Behavior Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. teresa.smith@cchmc.org.ORCID 0000-0002-0368-9849
Karen BurkettDivision of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, College of Nursing, University of Cincinnati, Cincinnati, OH, USA.ORCID 0000-0001-9494-8553
Rita PicklerFAAN College of Nursing, Ohio State University, Columbus, OH, USA.ORCID 0000-0001-9299-5583
Katherine BowersBiostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati, Cincinnati, OH, USA.ORCID 0000-0001-6711-4334
Stephanie WeberDivision of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati, Cincinnati, OH, USA.ORCID 0000-0001-8516-3551
Elizabeth TrenkampDivision of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Anna HeemanFormerly Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Tina Stanton-ChapmanEarly Childhood Education and Human Development, University of Cincinnati, Cincinnati, OH, USA.ORCID 0000-0002-1789-2856
Kristen CopelandGeneral and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati, Cincinnati, OH, USA.ORCID 0000-0001-7178-0321
Tanya FroehlichDivision of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati, Cincinnati, OH, USA.ORCID 0000-0002-4471-289X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess for feasibility, acceptability, and preliminary effectiveness of an ethnoracially-matched family navigation intervention aimed at reducing barriers to developmental evaluations for preschoolers with developmental concern attending Head Start.

methodsFifty-eight parents of Head Start preschoolers who were identified as at risk for developmental delay were assigned using stratified block random sampling to the family navigation intervention (n = 28) and 30 controls (usual care). Key outcomes included the percentage of children who completed the planned intervention visits, satisfaction with the intervention, and the proportion of children guided by family navigators who completed developmental evaluations.

resultsOf the 28 families, 21 parents completed the family navigation intervention visits. The intervention sample was diverse, including 57% Black, 24% White, and 19% Latino(a) parents. Ninety percent of Head Start educators (n = 18) and 100% of healthcare providers (n = 6) were satisfied with the intervention. Parents qualitatively reported that they valued the advocacy support from the family navigators and navigators (n = 7) valued their role in "giving back." Sixty-six percent of the intervention group were seen by a healthcare provider to discuss developmental concerns showing preliminary effectiveness for completion of healthcare evaluations. However, there was no significant difference between those in the intervention and control group completing Head Start recommended evaluations, and over half of all participants were not referred for educational evaluations.

conclusionResults support the feasibility, acceptability, and preliminary effectiveness of an ethnoracially matched family navigation intervention to reduce barriers to developmental healthcare evaluations for preschoolers at risk for developmental delays.

trial registrationClinicalTrials.gov Identifier: NCT03499405; Date of Registration: April 9, 2018.

Indexed as

Developmental DisabilitiesEarly Intervention, EducationalParentsPatient NavigationPovertyChild, PreschoolFeasibility StudiesFemaleHispanic or LatinoHumansMaleDevelopmental delayEarly interventionFamily navigation

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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.