Trial reportPediatrics2025
Sustained Effectiveness of a 211 Call Center With Early Childhood Care Coordination.
Trial report in Pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- What Does Care Coordination Do? Profiling a Large Telephone-based 211 Program Serving Young Children.Academic pediatrics · 2026Observational
- Staff perspectives on a novel pediatric developmental screening and referral program in a community health center.Frontiers in pediatrics · 2026Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
BACKGROUND AND
objectivesEarly identification of developmental disabilities and timely services can improve outcomes, yet delays and disparities persist. The Los Angeles (LA) County 2-1-1 call center implemented early childhood care coordination that we tested in a randomized trial with demonstrated effectiveness in increasing referrals to and receipt of services after 6 months. This study followed the sample for 24 months to investigate whether gains were sustained and whether children in intervention received earlier services.
methodsChildren aged 11 to 42 months without developmental delays were recruited from 4 clinic systems, screened for developmental risk, and randomized to intervention (care coordination with the Information and Referral Federation of Los Angeles County [211LA]) or control (usual care alone). At 12 and 24 months, families were asked whether referrals were made, whether children received services, and starting dates. Mixed effects logistic regression models were used to estimate odds of referrals and receipt of services, adjusting for covariates. Survival analyses estimated the time-to-service receipt difference between groups.
resultsAmong 565 children randomized (282 intervention, 283 control), 521 (92%; 260 intervention, 261 control) were observed up to 24 months. More children assigned to intervention were referred to (43% vs 35%) and enrolled in (28% vs 20%) services by 24 months. Higher enrollment in services was driven by children with moderate to high developmental needs (54% vs 37.5%), and survival analyses demonstrated earlier service receipt for intervention children.
conclusionsUp to 24 months after baseline, care coordination through 211LA resulted in more referrals and services compared with usual care, and intervention group children were connected to services earlier.
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Registered trials
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