Training for ACEs and study procedures for Development, Child

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Mercy Care Chamblee, Chamblee, GA
Development, Child
Training for ACEs and study procedures - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether a discussion about ACEs with a provider can improve child health.

See full description

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether Training for ACEs and study procedures will improve 3 primary outcomes and 11 secondary outcomes in patients with Development, Child. Measurement will happen over the course of Baseline.

18 months post-intervention
Attendance at well child check (WCC) visits at 18 months post-intervention
Number of emergency department (ED) visits documented in chart at 18 months post-intervention
Number of medical visits at Mercy Care at 18 months post-intervention
Number or urgent care (UC) visits documented in chart at 18 months post-intervention
Rate of clinic-based social worker visits at 18 months post-intervention
Rate of referrals to Division of Family and Child Services (DFACS) at 18 months post-intervention
Rate of referrals to non-DFACS services at 18 months post-intervention
Baseline
Subjective experience of caregiver ACEs screening on clinic staff at baseline
Month 18
Change in Primary Care PTSD score for DSM-5 from Baseline Caregiver's PTSD symptoms due to ACEs screening
Change in Primary Care PTSD score for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) from Baseline Caregiver's PTSD symptoms due to ACEs screening
Month 18
Change in 13-item warmth subscale (PQ-warmth) score from Baseline
Change in Brief Resilience Scale score from baseline
Change in Brief Resilience score from baseline
Change in Parenting Questionnaire (PQ) warmth subscale (PQ-warmth) score from Baseline

Trial Safety

Safety Estimate

1 of 3

Trial Design

2 Treatment Groups

Standard of Care Arm
1 of 2
Intervention Arm
1 of 2
Active Control
Experimental Treatment

This trial requires 840 total participants across 2 different treatment groups

This trial involves 2 different treatments. Training For ACEs And Study Procedures is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Intervention Arm
Behavioral
Intervention providers will undergo training for ACEs screening and discussion. Eligible families will be enrolled into the study at the intake of their child's 4-month, 6-month, 9-month, 15-month, or 18-month well child check. Caregivers will complete the intake surveys including demographics, caregiver ACEs, resilience, warmth, PTSD, and depression. The providers will lead a discussion regarding the impact of caregiver ACEs. Patients will be contacted 1-week, 6-months, and 18-months following their enrollment to obtain repeat measures of the survey instruments. At the 18-month time point, the electronic medical record (EMR) will be queried to obtain outcome measures.
Standard of Care Arm
Behavioral
During the study period, standard of care providers will continue to provide standard of care treatment(s); however, families receiving care from the standard of care providers will complete all study surveys. Instead of ACEs training, standard of care providers will undergo training on study procedures including obtaining survey instruments from caregivers and proper storage of survey instruments. This training will stress the importance of not reviewing caregiver ACE scores and minimizing possible treatment contamination. However, standard of care providers will still be able to provide resources to the families as part of standard of care.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline, 1 week post-intervention, 6 months follow up, 18 months follow up
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly baseline, 1 week post-intervention, 6 months follow up, 18 months follow up for reporting.

Who is running the study

Principal Investigator
A. L.
Prof. Abigail Lott, Assistant Professor
Emory University

Closest Location

Mercy Care Chamblee - Chamblee, GA

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There is one eligibility criterion to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Caregivers will be eligible to enroll in the study if they bring children to the MCC for either a 4-month, 6-month, 9-month, 15-month, or 18-month WCC. Notably, we anticipate the majority of participants to be of Hispanic origin and many to be exclusively Spanish-speaking. All Research Assistants (RAs) working directly with caregivers will be bilingual according to Emory Spanish fluency testing. We will solicit expert opinion from faculty that work with these communities and the staff of MCC that work with these patients on a regular basis.

Patient Q&A Section

Can development, child be cured?

"Developmental disability and/or anxiety symptoms can be highly reduced with effective care during the childhood and adolescence and/or preventive care. In our experience, children with significant development disability or anxiety can be cured of these problems using the proposed care options." - Anonymous Online Contributor

Unverified Answer

What are common treatments for development, child?

"The most common treatments for Developmental disabilities and child include: Speech/language therapy, occupational therapy, and behavioral therapies. Attention to the need for a holistic approach to treatment is suggested, and education regarding proper nutrition, social environment, and family dynamics are helpful. \n" - Anonymous Online Contributor

Unverified Answer

What are the signs of development, child?

"Findings from a recent study identified many signs, many of them indicative of brain lesions including headache, behavioural problems and tiredness. It is recommended that all paediatricians and parents should report signs of development in children that may predict intellectual impairment. The signs of brain damage were found to be present in children with developmental delay and/or learning difficulties." - Anonymous Online Contributor

Unverified Answer

How many people get development, child a year in the United States?

"At least 30 million children (about half the population) will be born in the USA each year. Children will be born throughout the country, with the highest number residing in the South. The overall burden of child poverty persists even after accounting for the effects of family income and other social variables." - Anonymous Online Contributor

Unverified Answer

What causes development, child?

"Developmental psychology is used when the focus is on 'what builds the child up', or on 'what the child doesn't have'. Developmentally, children have been seen to have many problems, especially in terms of behavioural behaviour. The focus of this section is on what 'the child doesn't have'. This can be seen in children who experience social deprivation or abuse. There are many ways in which children can experience negative consequences and effects, for example, children who have experienced abuse or neglect are subjected to greater distress and social isolation. Children who suffer from neglect and abuse would have difficulties in developing appropriately. There is debate on whether children benefit from development programmes, including educational and social services." - Anonymous Online Contributor

Unverified Answer

What is development, child?

"Development of children is a complex process with multiple inputs. There are 5 key elements that play a major role in development: (i) environment or context, (ii) physiology, (iii) heredity, (iv) socialisation, and (v) education." - Anonymous Online Contributor

Unverified Answer

How does training for aces and study procedures work?

"This pilot study shows that even for a relatively complex skill as performing procedural skill training in a clinical setting, the effectiveness of the procedure has not been assessed yet." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets development, child?

"Recent findings has revealed that the average age for children to reach 3, 5 and 9 years of age was 19, 20 and 21 months and that for 9 or 10-year-olds is 21 and 22 months. This illustrates that child development progresses at a faster rate than some other physical developments (i.e. puberty). This is important for health and educational planning." - Anonymous Online Contributor

Unverified Answer

What are the latest developments in training for aces and study procedures for therapeutic use?

"Results from a recent clinical trial of this systematic review suggest that high-quality evidence confirms that cognitive deficits are associated with functional deficits in older people. However, further research is needed to evaluate whether such therapies can achieve positive rehabilitative gains on cognition, functional skills, and psychosocial outcomes over time." - Anonymous Online Contributor

Unverified Answer

What is the primary cause of development, child?

"Babies with severe prematurity have a higher risk of severe RDE at 8 weeks PMA. To reduce RDE, we have begun to use the baby hatches designed for premature sleep. In the present study, we found that there was a significantly lower incidence of RDE with the use of these baby hatsches (P =.04) than with traditional baby caps." - Anonymous Online Contributor

Unverified Answer

What is training for aces and study procedures?

"Training aces is a matter of experience and personal style; therefore there is no 'correct' training. Appropriate training is crucial to preventing AGEs when used with study protocols which are tailored to the participant's expertise. More training and consideration of the appropriateness of the study procedures in the training programme is required." - Anonymous Online Contributor

Unverified Answer

What are the common side effects of training for aces and study procedures?

"While common side effects may vary to some extent dependent on individual parameters, as many as 50% of the participants in the study reported that the procedure was “fairly” or “very painful” (VAS pain score of > or =6). Furthermore, the study and the procedure appear to have a considerable negative impact on the physical and psychological well-being of the young adults. Therefore, we strongly encourage participants to take part in future research into the most appropriate and effective techniques of physical activity in childhood, physical activity participation in the adolescent and the physical activity for rehabilitation of young adults with CP. The same considerations are also highlighted for those who may participate in the study as participants within the study." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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