Clinical trial

Evaluating Care Integration Between Pediatric Primary Care Providers and WIC Nutritionists

Opening soon · Not applicable · 1 countries · Registry ID NCT07494097

Opening soonNot applicableInterventional

What this study is about

This study looks at whether using secure digital systems to share information between pediatric health care providers (during regular well-child visits) and social care providers (during regular visits with WIC nutritionists) can help mothers receive consistent guidance on responsive parenting to support healthy child growth and development. Responsive parenting means learning how to respond to a baby's needs in ways that support healthy eating, sleep, activity, and emotion regulation habits. The main questions this study aims to answer are: 1. Does using secure digital systems to share information between pediatric health care providers and social care providers help mothers receive consistent guidance on responsive parenting to support healthy growth from birth to 24 months? 2. Does using secure digital systems to share information between pediatric health care providers and social care providers help mothers receive consistent guidance on responsive parenting, improve responsive parenting practices and child diet quality? The investigators will compare the group that receives secure digital systems for sharing information on responsive parenting to a group that receives standard care (does not receive this) to see if secure digital systems for sharing information on responsive parenting work to support healthy child growth and development. The goal is to see if this approach can improve early health behaviors and reduce health disparities for families in rural, low-income communities.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age18 Years to 40 Years

SexAll

Healthy volunteersAccepted

ConditionWeight Gain Trajectory, BMI, Responsive Parenting, Diet Quality, Implementation

Full registry criteria

Inclusion Criteria: * People who are a) pregnant and \>34 weeks' gestation or b) who have an infant \<2 months old * 18-40 years old * English and/or Spanish speaking and reading * Access to a smartphone or internet-connected device * Not planning to move out of Pennsylvania within 2 years * Not planning to change health care providers outside of Geisinger within 2 years * Custody of and lives with (or will live with) the child enrolled in the study * Child must have a Geisinger PCP and be a WIC participant or eligible for WIC at enrollment Exclusion Criteria: * Mother is not interested (or willing) to enroll in WIC * Child has a genetic or developmental disorder (e.g., cleft palate) that impacts weight or feeding * Child has a terminal condition

Treatments and study arms

Data integration around responsive parenting

Behavioral

The integrated PCP-WIC nutritionist care intervention group will receive 1) behavioral risk screening using a patient-reported outcome measure that is completed in the child's electronic health record; 2) an evidence-based responsive parenting curriculum ; 3) electronic integration and coordination between care settings to document and inform patient-centered messaging; and 4) telehealth coaching sessions and online educational modules to reinforce responsive parenting messaging at home.

Standard Care (in control arm)

Behavioral

Standard siloed care from PCPs and WIC nutritionists

Primary outcomes

Infant Weight GainFrom birth to age 6 months

Change in weight-for-age z-score (WAZ) from birth to 6 months, with positive conditional weight gain scores indicating rapid or faster than average infant weight gain and negative scores indicating slower than average infant weight gain.

Child Body Mass IndexAt child age 24 months (end of the study)

Body mass index z-scores at child age 24 months, calculated using WHO Child Growth Standards.

Study locations

1 locations were listed when this page was built. The first 40 are shown.

The Pennsylvania State University🇺🇸 University Park, Pennsylvania, United States

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