Preschool and Me: Educational-clinical linkage to improve health equity for children with developmental delays and disabilities from historically marginalized communities
Societal and structural inequities have resulted in longstanding health care disparities among Black, Latino/a/e, and low-income preschool children with developmental delays and disabilities (PCw/DD), depriving them of educational and therapeutic services that improve future academic, economic, and...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Contemporary Clinical Trials Communications |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451865424001595 |
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| author | Tina L. Schuh Kathleen R. Diviak Sarai Coba-Rodriguez Emily Pela Raphael Kinney Michael L. Berbaum Amanda Klemas Kruti Acharya Molly Martin Reshma Shah |
| author_facet | Tina L. Schuh Kathleen R. Diviak Sarai Coba-Rodriguez Emily Pela Raphael Kinney Michael L. Berbaum Amanda Klemas Kruti Acharya Molly Martin Reshma Shah |
| author_sort | Tina L. Schuh |
| collection | DOAJ |
| description | Societal and structural inequities have resulted in longstanding health care disparities among Black, Latino/a/e, and low-income preschool children with developmental delays and disabilities (PCw/DD), depriving them of educational and therapeutic services that improve future academic, economic, and health outcomes. To address this issue, we developed Preschool and Me (PreM), a community-clinical linkage (CCL) implemented within healthcare settings serving historically marginalized communities. This novel CCL, an educational-medical linkage model, aims to increase access to school-based services for PCw/DD. Combining key components of CCLs with a personalized medical-education care plan and remote navigator support, PreM targets multiple levels of influence impacting access to school-based therapeutic and educational services. We will utilize a hybrid effectiveness-implementation approach in two models of real-world service delivery conditions. Participants (n = 320) will be randomized to either 6 months of PreM or a waitlist control arm beginning the intervention after a 6-month delay. Our specific aims are to test the effectiveness of PreM on access to school-based services as well as health service outcomes; examine mediators of intervention effects using a mixed-methods approach; and explore social determinants of health as potential moderators. We will simultaneously conduct an implementation evaluation. The results of this study have the potential to support effective implementation of CCL models within pediatric clinical settings serving historically marginalized communities which can be utilized to improve health outcomes for families and their children with a range of health conditions. |
| format | Article |
| id | doaj-art-0af9a89dbf4e42ecb7b37038f4c7cb57 |
| institution | Kabale University |
| issn | 2451-8654 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Contemporary Clinical Trials Communications |
| spelling | doaj-art-0af9a89dbf4e42ecb7b37038f4c7cb572025-01-12T05:25:30ZengElsevierContemporary Clinical Trials Communications2451-86542025-02-0143101412Preschool and Me: Educational-clinical linkage to improve health equity for children with developmental delays and disabilities from historically marginalized communitiesTina L. Schuh0Kathleen R. Diviak1Sarai Coba-Rodriguez2Emily Pela3Raphael Kinney4Michael L. Berbaum5Amanda Klemas6Kruti Acharya7Molly Martin8Reshma Shah9Institute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USAInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USADepartment of Educational Psychology, University of Illinois, Chicago, IL, 60607, USAInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USAInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USAInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USAEquip for Equality, Chicago, IL, 60602, USADepartment of Pediatrics, College of Medicine, University of Illinois, Chicago, IL, 60612, USA; Department of Disability and Human Development, University of Illinois, Chicago, IL, 60612, USAInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USA; Department of Pediatrics, College of Medicine, University of Illinois, Chicago, IL, 60612, USAInstitute of Health Research and Policy, University of Illinois, Chicago, IL, 60608, USA; Department of Pediatrics, College of Medicine, University of Illinois, Chicago, IL, 60612, USA; Corresponding author. 1747 W Roosevelt Street, Chicago, IL, 60608, USA.Societal and structural inequities have resulted in longstanding health care disparities among Black, Latino/a/e, and low-income preschool children with developmental delays and disabilities (PCw/DD), depriving them of educational and therapeutic services that improve future academic, economic, and health outcomes. To address this issue, we developed Preschool and Me (PreM), a community-clinical linkage (CCL) implemented within healthcare settings serving historically marginalized communities. This novel CCL, an educational-medical linkage model, aims to increase access to school-based services for PCw/DD. Combining key components of CCLs with a personalized medical-education care plan and remote navigator support, PreM targets multiple levels of influence impacting access to school-based therapeutic and educational services. We will utilize a hybrid effectiveness-implementation approach in two models of real-world service delivery conditions. Participants (n = 320) will be randomized to either 6 months of PreM or a waitlist control arm beginning the intervention after a 6-month delay. Our specific aims are to test the effectiveness of PreM on access to school-based services as well as health service outcomes; examine mediators of intervention effects using a mixed-methods approach; and explore social determinants of health as potential moderators. We will simultaneously conduct an implementation evaluation. The results of this study have the potential to support effective implementation of CCL models within pediatric clinical settings serving historically marginalized communities which can be utilized to improve health outcomes for families and their children with a range of health conditions.http://www.sciencedirect.com/science/article/pii/S2451865424001595Health disparityCommunity-clinical linkageDevelopmental disabilities and delaysHealthcare accessImplementation scienceSocial determinants of health |
| spellingShingle | Tina L. Schuh Kathleen R. Diviak Sarai Coba-Rodriguez Emily Pela Raphael Kinney Michael L. Berbaum Amanda Klemas Kruti Acharya Molly Martin Reshma Shah Preschool and Me: Educational-clinical linkage to improve health equity for children with developmental delays and disabilities from historically marginalized communities Contemporary Clinical Trials Communications Health disparity Community-clinical linkage Developmental disabilities and delays Healthcare access Implementation science Social determinants of health |
| title | Preschool and Me: Educational-clinical linkage to improve health equity for children with developmental delays and disabilities from historically marginalized communities |
| title_full | Preschool and Me: Educational-clinical linkage to improve health equity for children with developmental delays and disabilities from historically marginalized communities |
| title_fullStr | Preschool and Me: Educational-clinical linkage to improve health equity for children with developmental delays and disabilities from historically marginalized communities |
| title_full_unstemmed | Preschool and Me: Educational-clinical linkage to improve health equity for children with developmental delays and disabilities from historically marginalized communities |
| title_short | Preschool and Me: Educational-clinical linkage to improve health equity for children with developmental delays and disabilities from historically marginalized communities |
| title_sort | preschool and me educational clinical linkage to improve health equity for children with developmental delays and disabilities from historically marginalized communities |
| topic | Health disparity Community-clinical linkage Developmental disabilities and delays Healthcare access Implementation science Social determinants of health |
| url | http://www.sciencedirect.com/science/article/pii/S2451865424001595 |
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