Health Equity and Rural Education (HERE!) Clinical Trial
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: School-Based Community Health Worker (SB-CHW) intervention, Enhanced Usual Care (EUC) Methods.
- Who it may be relevant to
- Registry conditions: Behavioral Symptoms, Community Health Workers, Social Determinants of Health, Educational Problems. Basic parameters: from 12 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Health Equity and Rural Education (HERE!) Clinical Trial: A Healthcare-Community Partnership Leveraging School-Based Community Health Workers to Improve Student Attendance
Overview
The goal of this community-engaged research is two-fold. The first goal is to gather stakeholder feedback to inform a school-based community health worker intervention with youth with poor school attendance and an enhanced usual care condition. The second goal is to evaluate the feasibility of implementing the school-based community health worker intervention and enhanced usual care approach within rural schools. The main question it aims to answer is whether it is feasibile to recruit children with poor school attendance and their families to the intervention, to complete the trauma-informed intervention, and to complete the associated study measures of meeting social determinants of health/mental health needs, school-based health center utilization, and behavioral helath symptoms. At least 38 rural students in grades 6-12 with poor school attendance and their parents/guardians will meet with the school-based community health worker for support around social determinants of health needs that may be barriers to attendance. Researchers will also assess the feasibility of recruiting at least 10 rural students and their parents/guardians to complete the study measures in an enhanced usual care condition in which the school-based health center without a school-based community health worker is reminded of the availability of an online social services directory.
Detailed description
The HERE pilot study will consist of two phases to strengthen and finalize the HERE school-based community health worker (SB-CHW) intervention. The 6-month Phase I will provide broad stakeholder feedback on the proposed model and rationale, the SB-CHW intervention, the associated domains and measures, and the evaluation. The following 18-month Phase II will align with the school year and provide a feasibility test of the training, intervention, data collection, and analyses.
Interventions
- Behavioral School-Based Community Health Worker (SB-CHW) intervention
The school-based community health worker will support students with chronic poor attendance and their parent/guardian for a minimum of two 30-minute encounters focused on addressing social determinants needs, understanding the range/student encounter varies greatly due to the intensity of the social need(s) (e.g., crisis/noncrisis) and the number of needs being jointly addressed. The SB-CHW will build relationships across encounters and apply trauma-informed best practices. - Behavioral Enhanced Usual Care (EUC) Methods
The network of school-based health centers without school-based community health workers will receive reminders of the the existing online social services directory.
Primary outcome measures
- School Based Health Services Utilization [Time frame: At study completion (an average of 10 months/1 school year)]
- School Attendance [Time frame: At study completion (an average of 10 months/1 school year)]
Secondary outcome measures (5)
- Parent & Child Self-Sufficiency and Needs [Time frame: At enrollment, at study completion (an average of 10 months/1 school year)]
- Child and Adolescent Needs and Strengths [Time frame: At enrollment, at study completion (an average of 10 months/1 school year)]
- Family Engagement [Time frame: At enrollment, at study completion (an average of 10 months/1 school year)]
- School-Based Community Health Worker Interactions [Time frame: At study completion (an average of 10 months/1 school year)]
- Process for Enhanced Usual Care [Time frame: At enrollment, at study completion (an average of 10 months/1 school year)]
Eligibility criteria
Phase I Stakeholder Interviews (nonintervention):
Inclusion criteria
- A member of the program's Community Advisory Board, including community health workers;
- Caregiver of a child ages 12-18 from the Southeast Kansas region; or
- Student at least 12 years in age.
Phase II Feasibility Pilot- SB-CHW Intervention and Enhanced Usual Care Conditions
Inclusion criteria
- Children ages 12-18 and their parents/guardians from the Southeast Kansas region
- Student with or at risk for chronic poor attendance (missing 10% or more of the days that school has been in session at any point in the school year)
Exclusion criteria
- Parents/guardians or youth with profound intellectual/cognitive disability will be excluded.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Non-randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 1 center
- University of Kansas Medical Center — Kansas City
Identifiers
NCT: NCT06460116 · STUDY00151155 · 1R56NR021161-01