[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT07687238":3,"trial-entities:NCT07687238":158,"trial-summary:NCT07687238":161},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":25,"study_type":33,"primary_purpose":34,"phases":35,"enrollment_info":37,"interventions":40,"primary_outcomes":49,"secondary_outcomes":54,"sex":65,"minimum_age":66,"maximum_age":66,"healthy_volunteers":67,"eligibility_criteria":68,"std_ages":72,"locations":76,"central_contacts":145,"overall_officials":153,"references":156,"see_also_links":157},"NCT07687238","25-45380","The Social Needs Assistance for Hospitalized Kids Trial","Comparing Two Social Needs Assistance Interventions to Improve Health Among Hospitalized Children","NOT_YET_RECRUITING","2030-09","2026-07","2026-07-07","2026-09","University of California, San Francisco","OTHER",true,"The goal of this clinical trial is to determine the best way to help families access social and economic support services in order to improve children's health for hospitalized children and their families\u002Fcaregivers.\n\nThe main question it aims to answer is, does providing active assistance from navigators to connect families to social\u002Feconomic resources lead to greater improvements in child global health compared to providing passive referrals to resources among hospitalized children?\n\nAll families will receive a tailored information sheet with referrals to community resources to address their social\u002Feconomic needs and an introduction to how to search for resources using an online program. Researchers will compare families who receive these resources with families who also receive support from trained navigators, people with knowledge about local resources trained to connect families with resources. The study will examine whether the addition of navigator support improves families' access to services and children's health outcomes.","This multi-center randomized clinical trial (RCT) will compare the effectiveness of two interventions that help families connect with community-based resources to address social and economic needs (e.g., food insecurity, housing instability) on the health of hospitalized children: 1) passive referral (providing information to families about community-based organizations \\[CBOs\\] that can help address their social\u002Feconomic needs and an introduction to an online resource to search for resources; vs. 2) active assistance by navigators -additionally providing the support of trained navigators to help connect families to CBOs both during and after enrollment.\n\nThe study's Specific Aims are:\n\nAIM 1 (RCT): Conduct a multicenter, pragmatic, RCT among hospitalized children to determine the comparative effectiveness of passive referral versus active assistance by navigators on long-term, child health outcomes.\n\nH1: Both interventions will lead to improvements, but active assistance by navigator (the higher intensity intervention) will lead to significantly more improvement in health among hospitalized children.\n\nAim 1B: Explore how intervention effects vary by child and family characteristics using heterogeneity of treatment (HTE) effect analyses HTE hypothesis: Children with high social needs will experience greater benefit with active assistance by navigators.\n\nAIM 2 (Qualitative Interviews): Conduct interviews with caregivers who received resources and CBOs to identify barriers, facilitators, and mechanisms involved in connecting caregivers to CBOs and improving child health outcomes.\n\nH1: Navigators' local knowledge of CBOs will be a key facilitator in addressing social needs.\n\nH2: When social needs\u002Fcompeting demands are reduced, caregivers can focus more on their child's health.\n\nFor Aim 1, research staff will identify potentially eligible hospitalized patients through the electronic health record (EHR) and approach their caregivers about participation. Participants will first complete an eligibility screener and identify any social risks factors (e.g., food insecurity). If caregivers are deemed eligible, study staff will obtain informed consent from interested caregivers. All participating families will receive a tailored list of community resources to address their social needs informed by Findhelp, a web-based platform that helps individuals identify and connect with resources to address their social needs based on zip code. Families will also receive information on how to access and use Findhelp. Families will be randomly assigned to either: 1) the passive referral arm, for which no additional intervention activities will be provided, or 2) the active assistance by navigators arm, for which families will additionally receive hands-on support from a navigator, including follow-up contact every two weeks for three months, to help assist families in connecting with resources. The study will support both English- and Spanish-speaking families. Caregivers and their children will be followed over a 12-month period to assess health and social outcomes, with the primary outcome being assessed at 6 months after enrollment.\n\nAim 2 will involve interviewing a subset of caregivers who participated in Aim 1 and staff from CBOs serving recruitment site areas. Staff will conduct semi-structured interviews to explore perspectives on barriers and facilitators of connecting to CBOs to address social needs and mechanisms through which the interventions influence child health outcomes.",[19,20,21,22,23,24],"Social Needs","Health-Related Social Needs","Social Determinants of Health (SDOH)","Social Needs Status","Conditions Influencing Health Status","Navigation",[26,27,28,29,30,31,32],"Comparative Effectiveness Research","Randomized Control Trial","Social Determinants of Health","Child, Hospitalized","Hospital Medicine","Patient Navigation","Pediatrics","INTERVENTIONAL","HEALTH_SERVICES_RESEARCH",[36],"NA",{"count":38,"type":39},1880,"ESTIMATED",[41,45],{"type":14,"name":42,"description":43,"armGroupLabels":44},"Active Assistance by Navigators","Participants will receive the same resources as in the passive referral group as well as support from navigators for up to 3 months after enrollment. Navigators will review resources with caregivers, assist with completion of intake applications when applicable, and provide support related to accessing social services.",[42],{"type":14,"name":46,"description":47,"armGroupLabels":48},"Passive Referral","Participants in this group will receive a list of local resources to address social needs based on the social risks for which they screen positive and where they live. Research staff will use Findhelp, an online platform that helps identify social resources (e.g., food assistance, housing support) based on zip code, to inform creation of the lists. In addition, families will receive a brief introduction on how to access and use Findhelp.",[46],[50],{"measure":51,"description":52,"timeFrame":53},"Mean Change in Caregiver-rated Child Global Health using the National Survey of Children's Health Health Status Measure","Child global health will be assessed using the caregiver-rated child health status item from the National Survey of Children's Health. Caregivers rate the child's overall health on a 5-point ordinal scale: Excellent, Very Good, Good, Fair, or Poor. Responses will be assigned numeric values from 1 to 5 for analysis (Excellent = 1, Very Good = 2, Good = 3, Fair = 4, Poor = 5). Scores range from 1 to 5, with lower scores indicating better child global health and higher scores indicating worse child global health. Mean change from baseline to 6 months will be reported.","Baseline and 6 months after recruitment",[55,58,62],{"measure":56,"description":57,"timeFrame":53},"Mean Change in Caregiver-rated Child Quality of Life using the Pediatric Quality of Life Inventory (PedsQL)\u002FPedsQL Short Form","Child quality of life will be assessed using caregiver-rated child quality of life measures from the Pediatric Quality of Life Inventory (PedsQL)\u002FPedsQL Short For. The PedsQL includes 4 domains with 5-point Likert items that are averaged to create a single score for each domain: physical functioning, emotional functioning, social functioning, and cognitive\u002Fschool functioning. It has versions that vary by age group (0-12 months, 13-23 months, 2-4 years, 5-7 years, 8-12 years, and 13-18 years). We will use the Short Form for age groups for which it is available. Mean change from baseline to 6 months will be reported for each domain.",{"measure":59,"description":60,"timeFrame":61},"Rate of emergency department (ED) visits or readmissions","Whether child had an emergency department visit or readmission after discharge between baseline and follow-up.","Between baseline and 6 months after recruitment",{"measure":63,"description":64,"timeFrame":61},"Change in number of social risks","Change in the number of caregiver-endorsed social risk factors between baseline and follow-up.","ALL",null,false,{"inclusion":69,"exclusion":70,"raw_text":71},[],[],"INCLUSION CRITERIA:\n\nAim 1 - Caregiver-Child Dyads Sample\n\nCaregiver-child dyads will be eligible to participate in the study if they meet the following criteria assessed during the recruitment and enrollment process:\n\n1. children are hospitalized on the general pediatric\u002Fpediatric hospital medicine (PHM) team\u002Fservice\n2. the child is between the ages of 0-17\n3. the child's caregiver is \\>17 years-old\n4. the caregiver speaks English or Spanish\n5. the family lives in the same county as the hospital or in a neighboring county to the hospital\n6. the child is not in Child Protective Services custody\n7. the family has not previously been enrolled in the study\n8. the caregiver screens positive for \\>=1 of the following social risks: food insecurity, housing instability, housing quality concerns, transportation needs, utilities needs, child care needs, or financial strain\n9. the family is not enrolled in another social needs assistance-related research study (e.g., another social needs navigation study)\n\nAim 2 - Caregiver and Community-based Organization (CBO) Qualitative Interviews Sample Caregivers of children enrolled in Aim 1 will be eligible for study interviews.\n\nCBO staff will be eligible to participate if they are:\n\n1. \\> 17 years old\n2. speak English or Spanish\n3. work at a CBO serving the area in which patients at the study sites live\n\nEXCLUSION CRITERIA:\n\nAim 1 - Caregiver-Child Dyads Sample\n\nParticipants will be excluded from participation if they are:\n\n1. not hospitalized or hospitalized outside of general\u002FPHM SERVICE\n2. children are 18 years of age or older\n3. caregiver\u002Fguardians are under the age of 18 years of age\n4. caregivers are do not speak English or Spanish\n5. the family does not live in the same or neighboring county of the recruitment hospital\n6. the child is under the care of Child Protective Services custody\n7. the family has already been previously enrolled in the study\n8. the caregiver does not screen positive for any of the following social risks: food insecurity, housing instability, housing quality concerns, transportation needs, utilities needs, child care needs, or financial strain\n9. the family is already enrolled in a social needs assistance-related research study (e.g., another social needs navigation study)\n\nAim 2 - Caregiver and CBO qualitative interviews Caregivers of children not enrolled in Aim 1 will not be eligible to participate study interviews.\n\nCBO staff will not be eligible to participate if they are:\n\n1. under 18 years of age\n2. do not speak English or Spanish\n3. do not work at a CBO serving the recruitment site areas",[73,74,75],"CHILD","ADULT","OLDER_ADULT",[77,91,102,110,122,134],{"facility":78,"city":79,"state":80,"zip":81,"country":82,"contacts":83,"geoPoint":88},"UCSF Benioff Children's Hospital - Oakland","Oakland","California","94609","United States",[84],{"name":85,"role":86,"email":87},"Bella Doshi, MD","CONTACT","Bella.Doshi@ucsf.edu",{"lat":89,"lon":90},37.80437,-122.2708,{"facility":92,"city":93,"state":80,"zip":94,"country":82,"contacts":95,"geoPoint":99},"UCSF Benioff Children's Hospital - San Francisco","San Francisco","49158",[96],{"name":97,"role":86,"email":98},"Nora Pfaff, MD","Nora.Pfaff@ucsf.edu",{"lat":100,"lon":101},37.77493,-122.41942,{"facility":103,"city":93,"state":80,"zip":104,"country":82,"contacts":105,"geoPoint":109},"Zuckerberg San Francisco General Hospital and Trauma Center","94110",[106],{"name":107,"role":86,"email":108},"Mabel Chan, MD","Mabel.Chan@ucsf.edu",{"lat":100,"lon":101},{"facility":111,"city":112,"state":113,"zip":114,"country":82,"contacts":115,"geoPoint":119},"Children's Hospital of Philadelphia","Philadelphia","Pennsylvania","19104",[116],{"name":117,"role":86,"email":118},"Aditi Vasan, MD, MSHP","vasana@chop.edu",{"lat":120,"lon":121},39.95238,-75.16362,{"facility":123,"city":124,"state":125,"zip":126,"country":82,"contacts":127,"geoPoint":131},"Children's Memorial Hermann Hospital","Houston","Texas","77030",[128],{"name":129,"role":86,"email":130},"Sheela Gavvala, DO","sheela.gavvala@uth.tmc.edu",{"lat":132,"lon":133},29.76328,-95.36327,{"facility":135,"city":124,"state":125,"zip":136,"country":82,"contacts":137,"geoPoint":144},"Texas Children's Hospital - West Campus","77094",[138,141],{"name":139,"role":86,"email":140},"Marina Masciale, MD, MPH","marina.masciale@bcm.edu",{"name":142,"role":86,"email":143},"Michelle Lopez, MD, MPH, MEd","malopez@texaschildrens.org",{"lat":132,"lon":133},[146,150],{"name":147,"role":86,"phone":148,"email":149},"Holly Wing, MA","510-205-7891","holly.wing@ucsf.edu",{"name":151,"role":86,"email":152},"Matthew S Pantell, MD, MS","matt.pantell@ucsf.edu",[154],{"name":151,"affiliation":13,"role":155},"PRINCIPAL_INVESTIGATOR",[],[],{"nct_id":4,"conditions":159,"biomarkers":160},[19],[],{"nct_id":4,"found":15,"summary":162,"prompt_version":172},{"design":163,"status":164,"heading":165,"summary":166,"follow_up":167,"word_count":168,"commitments":169,"compensation":170,"drugs_mentioned":171},"This is a multi-center randomized clinical trial with a planned enrollment of 1880 participants. It compares two different ways of connecting families to community resources.","completed","Social Needs Assistance for Hospitalized Kids Trial","This study is looking for the best way to help families of hospitalized children get social and economic support. It compares two approaches: \"Passive Referral,\" where you receive a list of local resources, and \"Active Assistance by Navigators,\" where you get the same resources plus help from a navigator for up to three months. The goal is to see if active assistance leads to better overall health for children. Researchers will measure changes in your child's health six months after you join. Children aged 0-17 who are hospitalized on a general pediatric service can participate. The study is currently unclear on its recruitment status.","Your child's health will be measured 6 months after you join the study.",104,"Participants will receive either a list of resources or a list of resources plus support from navigators for up to 3 months. Your child's health will be measured at the start and again 6 months after joining.","Not stated in the trial record.",[42,46],"v2"]