Community Support + Basic Income for Child Development
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores how community support, with or without additional income, helps families with young children thrive. It examines whether a community health worker (a trained individual who provides health and social support) can improve the use of social and health services and enhance child development in low-income families. Some families will also receive monthly income support to determine if it makes a greater impact. Families in San Mateo County with children aged 0-3 who are enrolled in Medicaid and plan to stay in the county might be suitable participants. Both the child and the parent will participate in the trial. As an unphased trial, this study offers families a unique opportunity to contribute to research that could enhance community support systems and improve child development outcomes.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It focuses on community support and income for child development, so it's best to ask the trial coordinators for more details.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research shows that community health workers (CHWs) are generally well-liked and safe for families. Studies have found that families working with CHWs often experience less stress and improved mental health. Children's health and development also improve, indicating that this approach is well-accepted.
For those considering adding guaranteed basic income alongside CHW support, the safety appears promising as well. Research finds that guaranteed income programs can enhance financial stability and reduce stress. These changes can lead to better outcomes for children, such as improved safety and health.
Joining this trial means both the child and the parent can benefit from these supportive services. Existing evidence supports the safety and potential benefits of these interventions.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it explores innovative ways to boost child development through community support and financial stability. Unlike typical interventions that might focus solely on healthcare or education, this trial combines coordinated care from a Community Health Worker with a Guaranteed Basic Income. The unique aspect is the integration of financial support, which could alleviate economic stress and create a more stable environment for children. By examining how these elements work together, researchers hope to discover new ways to enhance developmental outcomes over a three-year period.
What evidence suggests that this trial's treatments could be effective for child development?
Research shows that Community Health Worker (CHW) programs can improve health and early childhood development. Studies have found that children in low-income areas benefit significantly from CHW support, experiencing better development and increased access to basic healthcare. In this trial, participants in Group A will receive coordinated services through a Community Health Worker.
Group B participants will receive the same coordinated services as Group A, plus Guaranteed Basic Income. When CHWs collaborate with Guaranteed Basic Income programs, the benefits can increase. These programs have been linked to more stable housing, better access to food, and improved early education. This combination aims to strengthen community support, potentially leading to more positive long-term outcomes for families.
Children and parents in these programs may experience enhanced well-being and more opportunities for development.678910Who Is on the Research Team?
Lisa Chamberlain, MD, MPH
Principal Investigator
Stanford University
Are You a Good Fit for This Trial?
This trial is for low-income families with children aged 0-3, focusing on those who are Hispanic or Latino. It's designed to help improve child development and healthcare utilization. Both the child and parent will be enrolled in the study. Families must be seeking assistance from social services, have health insurance issues, or face challenges related to poverty.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Enrollment
Child and parent are enrolled in the trial
Treatment
Participants receive coordinated services via a Community Health Worker for 3 years, with some receiving additional monthly income support
Follow-up
Participants are monitored for changes in health and social service utilization, child development, and financial well-being
What Are the Treatments Tested in This Trial?
Interventions
- Community Health Worker
- Community Health Worker + Guaranteed Basic Income
Trial Overview
The study tests two approaches: one group receives support from community health workers (CHWs), while another gets both CHW support and a guaranteed basic income. The goal is to see if these interventions can enhance family outcomes in areas like pediatric health and access to care.
How Is the Trial Designed?
3
Treatment groups
Experimental Treatment
Active Control
Participants will receive the same coordinated services as in group A in addition to guaranteed basic income for 36 months.
Participants will receive coordinated Services via a Community Health Worker for 3 years in a hybrid format.
Participants in this group and will receive no treatment or intervention.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Stanford University
Lead Sponsor
Silicon Valley Community Foundation
Collaborator
Health Plan of San Mateo
Collaborator
The Fidelity Charitable Trust
Collaborator
First 5 San Mateo County
Collaborator
The Jackie Speier Foundation
Collaborator
San Mateo County Health
Collaborator
Valhalla Foundation
Collaborator
Citations
Outcomes of community health worker interventions - PMC
Some studies suggested that CHW interventions can result in greater improvements in participant behavior and health outcomes when compared with various ...
a longitudinal study in a low-income setting
This analysis aimed to determine the value-added, or relative effectiveness, of CHWs and communities on ECD outcomes within a home-visiting trial.
Community Health Workers: Evidence of Their Effectiveness
Increased likelihood of obtaining primary care, increased mental health improvements, and reduced likelihood of multiple 30-day readmissions from 40% to 15.2%.
4.
bmcpublichealth.biomedcentral.com
bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-14239-wCommunity health worker intervention improves early ...
This retrospective study evaluates the effectiveness of the HSP intervention by comparing early childhood immunization outcomes among children ...
a longitudinal study in a low-income setting
Results showed that CHWs and community factors influenced children's developmental progress, with better outcomes linked to CHWs with additional ...
The Role of an Early Childhood Community Health Worker ...
This study demonstrated the need for, and potential impact of an EC-CHW in addressing psychosocial and mental health needs in the perinatal period, and in a ...
Evaluating Implementation and Outcomes of an Early ...
Medicaid claims analyses showed that children in the program were 15.7 percentage points (pp) more likely to have an EI evaluation and 9.7 pp ...
Outcomes of Community Health Worker Interventions
The reports and assessments provide organizations with comprehensive, science-based information on common, costly medical conditions and new health care ...
9.
chcf.org
chcf.org/wp-content/uploads/2021/04/CHWPsMediCalRsrcPkg3DataCollectionOutcomeMgmtDRAFT.pdfResource Package #3: The CHW/P Role in Data Collection ...
CHWs into maternal and child health care delivery to effectively address a range of health care concerns and conditions for children and families. Return on ...
How can community health workers support early ... - Thrive
The RCT examines the effects of these interventions on parenting practice and child development outcomes. It is being implemented in Dodoma Region and involves.
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