Design, methods, and baseline characteristics of the Kids' Health Insurance by Educating Lots of Parents (Kids' HELP) trial: a randomized, controlled trial of the effectiveness of parent mentors in insuring uninsured minority children.
Design, methods, and baseline characteristics of the Kids' Health Insurance by Educating Lots of Parents (Kids' HELP) trial: a randomized, controlled trial of the effectiveness of parent mentors in insuring uninsured minority children.
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“教育大量家长的儿童健康保险”（Kids HELP）试验的设计、方法和基线特征：一项随机对照试验，旨在评估家长导师为未参保少数族裔儿童提供保险的有效性。
DOI：
10.1016/j.cct.2014.11.015
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发表时间：
2015
影响因子：
2.2
通讯作者：
Portillo,Alberto
中科院分区：
文献类型：
--
作者：
Flores,Glenn;Walker,Candy;Lin,Hua;Lee,Michael;Fierro,Marco;Henry,Monica;Massey,Kenneth;Portillo,Alberto
背景与目的美国有600万儿童没有医疗保险，存在着严重的种族/民族差异。介绍了儿童健康保险(Kids‘s Help)的设计、方法和基线特征，这是第一个关于父母导师(PM)在为未参保的少数民族儿童提供保险方面有效性的随机临床试验。方法与研究设计符合条件但未参加Medicaid/CHIP的拉丁裔和非裔美国儿童被随机分配到PM组，或接受传统Medicaid/CHIP外展的对照组。经前综合症是有经验的父母，有≥1医疗补助/芯片覆盖的孩子。PMS接受了两天的培训，为干预家庭提供有关医疗补助/芯片资格的信息，帮助提交申请，并帮助维持覆盖范围。主要结果包括获得医疗保险、获得保险的时间间隔和父母满意度。盲人评估员在一年的时间里每月联系受试者以监测结果。结果在49,361名候选人中，有329人符合资格标准并被随机分组。儿童的平均年龄为7岁，照顾者的平均年龄为32岁；三分之二是拉丁裔，三分之一是非洲裔美国人，平均家庭年收入为21,857美元。一半的照顾者不知道他们没有保险的孩子符合医疗补助/芯片的条件，95%的没有保险的儿童之前有保险。15名PM完成了为期两天的培训课程。所有的PM都是女性和少数民族，60%的人失业，平均家庭年收入为20913美元。PM培训后，总体知识/技能测试分数显著提高，100%的人表示对培训非常满意/满意。结论儿童的帮助成功地接触到了目标人群，达到了参与者的招募目标，并招募和培训了PM。
Background & objectives Six million US children have no health insurance, and substantial racial/ethnic disparities exist. The design, methods, and baseline characteristics are described for Kids' Health Insurance by Educating Lots of P arents (Kids' HELP), the first randomized, clinical trial of the effectiveness of Parent Mentors (PMs) in insuring uninsured minority children. Methods & research design Latino and African-American children eligible for but not enrolled in Medicaid/CHIP were randomized to PMs, or a control group receiving traditional Medicaid/CHIP outreach. PMs are experienced parents with≥ 1 Medicaid/CHIP-covered children. PMs received two days of training, and provide intervention families with information on Medicaid/CHIP eligibility, assistance with application submission, and help maintaining coverage. Primary outcomes include obtaining health insurance, time interval to obtain coverage, and parental satisfaction. A blinded assessor contacts subjects monthly for one year to monitor outcomes. Results Of 49,361 candidates screened, 329 fulfilled eligibility criteria and were randomized. The mean age is seven years for children and 32 years for caregivers; 2/3 are Latino, 1/3 are African-American, and the mean annual family income is $21,857. Half of caregivers were unaware that their uninsured child is Medicaid/CHIP eligible, and 95% of uninsured children had prior insurance. Fifteen PMs completed two-day training sessions. All PMs are female and minority, 60% are unemployed, and the mean annual family income is $20,913. Post-PM-training, overall knowledge/skills test scores significantly increased, and 100% reported being very satisfied/satisfied with the training. Conclusions Kids' HELP successfully reached target populations, met participant enrollment goals, and recruited and trained PMs.