HSRProj will be retired on September 14, 2021, no updates will be made to HSRProj after this date.
Detailed information about this transition can be found on the June 3, 2021 Technical Bulletin post.
If you have questions or suggestions, please contact NLM Customer Service.
Information about ongoing health services research and public health projects
|Using telehealth to deliver developmental, behavioral, and mental health services in primary care settings for children in underserved areas|
|Investigator (PI):||Coker, Tumaini|
|Performing Organization (PO):||
(Current): Seattle Children's Hospital, Seattle Children's Research Institute, Center for Child Health, Behavior and Development / (206) 884-8269
(Past): UCLA/RAND Center for Adolescent Health Promotion / (310) 794-3569
|Supporting Agency (SA):||Patient-Centered Outcomes Research Institute (PCORI)|
|Record Source/Award ID:||PCORI/IH-12-11-4168-IC ; PCORI/IH-12-11-4168|
|Funding:||Total Award Amount: $1,715,453|
|Award Information:||PCORI: More information and project results (when completed)|
|Abstract:||Background: Primary care clinicians should provide comprehensive, family-centered care that addresses unmet developmental, behavioral, and mental health (DB/MH) needs. However, data indicate that most children who need DB/MH services do not receive them. Access to DB/MH services is often severely limited, while a lack of communication and coordination between specialty and primary care providers often prevents optimal outcomes even for those with DB/MH access. A patient-centered model for telehealth has the potential to transform DB/MH services by integrating them into primary care. If DB/MH specialty providers are able to deliver services remotely to many sites from a central location, large numbers of children across multiple small, but conveniently located, primary care clinics can gain ready and sustainable access to DB/MH providers. Objective: The objective of this study is to integrate developmental, behavioral, and mental health services into pediatric primary care using a telehealth model that will be tested with children in low-income, urban communities. Methods: In partnership with a multisite, Los Angeles-area community clinic consortium, North East Valley Health Corporation (NEVHC), we will use telehealth to integrate DB/MH services into primary care for low-income, publicly insured children. During project year 1, we will conduct and analyze interviews with parents, clinicians, and staff at NEVHC to assess their perspectives on the delivery of child DB/MH services and on a potential telehealth-based system for providing DB/MH specialty care in primary care settings to children ages 5-12. These data will be used in a stakeholder-engaged process to customize a telehealth-based delivery system for child DB/MH services that can be integrated into primary care settings. During project years 2-3, we will compare this customized telehealth-based system to the usual in-person referral system at NEVHC in 400 children ages 5-12 who require DB/MH specialty referral. This study will examine whether a telehealth DB/MH delivery model can be an effective, efficient, and family-centered way to provide integrated DB/MH services to children in low-income communities. Patient outcomes: Patient outcomes are (1) access; (2) quality (timeliness, family-centeredness, coordination, parent experiences of care); (3) parent satisfaction; (4) child DB/MH clinical outcomes; and (5) child's quality of life.|
|Country:||United States || United States|
|State:||Washington || California|
|Zip Code:||90024 / 98121|
|Record History:||('2017: Project extended to 2018, and changed PO and PI email address.',) ('Start date changed to 2016 per PCORI due to institutional change, 2/14/2020',)|