Community Investment for Child Health and Well-being
Trial Summary
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 data supports the effectiveness of the treatment Assigned Interventions in the Community Investment for Child Health and Well-being trial?
The research highlights the importance of structured child- and parent-reported outcome measures in identifying children at risk and improving health outcomes. Additionally, cross-sector partnerships and community-connected opportunities are emphasized as effective strategies for advancing child health equity, which may support the effectiveness of the treatment in the trial.12345
Is the treatment generally safe for humans?
How does the 'Community Investment for Child Health and Well-being' treatment differ from other treatments for child health?
This treatment is unique because it combines community gardens, nutrition workshops, and parenting workshops to improve child health and development, focusing on reducing food insecurity and language delays. Unlike traditional medical treatments, it involves community health promoters and a 'step-by-step' learning system to empower caregivers with skills in gardening, nutrition, and parenting.1112131415
What is the purpose of this trial?
Black children and adults in the United States fare worse across nearly every health indicator compared to White individuals. In Philadelphia, the location of this study, these health disparities result in a stark longevity gap, with average life expectancies in poor, predominantly Black neighborhoods being 20 years lower than in nearby affluent, predominantly White neighborhoods. The investigators will conduct a cluster randomized controlled trial (RCT) of a suite of place- based and financial-wellbeing interventions at the community, organization, and individual/household levels that address the social determinants of racial health disparities. At the community level, the investigators address underinvestment in Black neighborhoods by implementing vacant lot greening, abandoned house remediation, tree planting, and trash cleanup. At the organization level, the investigators partner with community-based financial empowerment providers to develop cross-organizational infrastructure to increase reach and maximize efficiency. At the individual/household levels, the investigators increase access to public benefits, financial counseling and tax preparation services, and emergency cash assistance. The investigators will test this "big push" intervention in 60 Black neighborhood micro-clusters, with a total of 480 children. The investigators hypothesize that this "big push" intervention will have significant impact on children's health and wellbeing.
Research Team
Aditi Vasan, MD, MSHP
Principal Investigator
Children's Hospital of Philadelphia
Atheendar Venkataramani, MD, PhD
Principal Investigator
University of Pennsylvania
Eugenia South, MD, MSHP
Principal Investigator
University of Pennsylvania
Eligibility Criteria
This trial is for Black children aged 3-17 and their caregivers who are knowledgeable about household finances, can text message, and communicate in English. The child must be a permanent resident of the home within the study area. Families planning to move soon or unable to consent fully are excluded.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Participants in the intervention arm receive place-based and financial well-being interventions, including tax preparation, access to public benefits, financial counseling, microgrants, abandoned house remediation, trash cleanup, vacant lot greening, and tree planting.
Follow-up
Participants are monitored for safety and effectiveness after the intervention, focusing on various health and well-being measures.
Treatment Details
Interventions
- Assigned Interventions
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Pennsylvania
Lead Sponsor
Children's Hospital of Philadelphia
Collaborator