Three-Tier Support Model for Adverse Childhood Experiences
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new support model, the Three-Tier Model, to assist children aged 3 to 11 who have experienced adverse childhood experiences (ACEs). The goal is to determine if a combined effort by pediatricians, community health workers, and parenting educators can improve children's health and reduce stress from difficult early life events. Participating families will receive extra support and follow-up assessments over a year. Ideal candidates for this trial are children who have recently had a well-child visit and have faced challenging early experiences. As an unphased trial, this study offers families the chance to contribute to innovative research that could shape future support systems for children facing similar challenges.
Will I have to stop taking my current medications?
The trial information does not specify whether participants need to stop taking their current medications.
What prior data suggests that this Three-Tier Model is safe for children with ACEs?
Research has shown that programs like the Three-Tier Model can improve the health of children who have faced difficult experiences. This model involves a team of doctors, community health workers, and parenting educators who collaborate to provide families with essential resources and support.
Regarding safety, the program does not involve medications, so risks remain very low. It focuses on offering education and support, which is generally safe and well-received. Families receive guidance and information to help them manage better, with little risk of harm.
Similar studies have not reported any major negative effects from these types of programs. They primarily aim to enhance the well-being of children and families. While staying informed and asking questions is always important, current research suggests the program's safety is reassuring.12345Why are researchers excited about this trial?
Researchers are excited about the Three-Tier Support Model for Adverse Childhood Experiences (ACEs) because it offers a structured, early intervention approach that prioritizes the holistic well-being of children. Unlike standard well-child care, this model involves training providers to specifically address and mitigate the impacts of ACEs on children, potentially reducing long-term negative health outcomes. By focusing on personalized care and early support, this model aims to break the cycle of trauma and foster resilience, setting it apart from traditional methods that may not directly target the root causes of behavioral and emotional challenges stemming from ACEs.
What evidence suggests that the Three-Tier Model is effective for improving health outcomes in children with ACEs?
This trial will evaluate the effectiveness of the Three-Tier Model in supporting children with adverse childhood experiences (ACEs). Research has shown that building resilience in children can significantly improve their mental health, particularly for those with challenging backgrounds. Studies have found that focusing on resilience can reduce the long-term negative effects of these experiences, such as mental health issues and ongoing health problems. Key factors include effective emotion management and having supportive individuals around. Previous evidence suggests that combining community support, like assistance from doctors and teachers, effectively strengthens these protective factors. This approach aims to reduce stress and enhance the overall health of children facing these challenges.26789
Who Is on the Research Team?
Ariane Marie-Mitchell, MD, PhD, MPH
Principal Investigator
Loma Linda University
Are You a Good Fit for This Trial?
This trial is for children aged 3-11 who have experienced adverse childhood events (ACEs) and are generally healthy. They must have recently had a well-child visit at a participating clinic. Children with significant congenital medical issues, those outside the age range, siblings already in the study, or those enrolled in a parenting program within the last year cannot participate.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline Assessment
Initial assessment of Child-ACE scores and biomarkers of toxic stress
Intervention
Multi-component intervention involving pediatricians, community health workers, and parenting educators
Follow-up
Participants are monitored for changes in toxic stress and health outcomes
What Are the Treatments Tested in This Trial?
Interventions
- Three-Tier Model
Find a Clinic Near You
Who Is Running the Clinical Trial?
Loma Linda University
Lead Sponsor