Ignite Creation Date:
2024-05-05 @ 4:52 PM
Last Modification Date:
2024-10-26 @ 9:25 AM
Study NCT ID:
NCT00339027
Status:
COMPLETED
Last Update Posted:
2021-08-11
First Post:
2006-06-16
Brief Title:
HealthSpark Health Access for Children in Federally-Subsidized Child Care
Sponsor:
University of Miami
Organization:
University of Miami
Study Overview
Official Title:
HealthSpark Health Access for Children in Federally-Subsidized Child Care
Status:
COMPLETED
Status Verified Date:
2021-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
HealthSpark is a community-based research network of childcare centers designed to improve the health of children in Miami-Dade County HealthSpark is the health component of SPARK Supporting Partnerships to Assure Ready Kids a community coalition led by the Early Childhood Initiative Foundation to improve school readiness in AllapattahModel City and HomesteadFlorida City two underserved Miami-Dade County communities The goal of HealthSpark I is to identify the health and healthcare needs of preschool children then help translate evidence-based intervention into community programs
Detailed Description:
Preschool children are at risk for developing health problems that affect school readiness and that lead to significant health conditions through adulthood Several decades of research have demonstrated that early identification and intervention is the best approach to ensuring healthy successful children and adults Despite advancements in our understanding of child health large gaps in services continue especially for children in poverty and for ethnicracial minorities National data supports the persistence of health disparities among children
In May 2004 the HealthSpark team began to collect data from the parents child care center directors and local pediatricians in the two targeted communities The HealthSpark I sample included 681 assessments of parents with children ages three or four years old 53 child care center directors and 30 primary care pediatricians The parent assessments were conducted in person at the child care center Additionally in September 2004 four focus groups were conducted in the three primary languages of the communities English Spanish and Creole A content analysis was done on these sessions to determine the most prominent issues in each location
Prevalence rates for obesity 380 and asthma 293 among the children the team surveyed were well above the national averages 20 and 74 Despite high rates of health problems roughly 10 of families reported not being able to get medical care for their child when they needed it compared to the national average of 17 and a state of Florida average of 30 HealthSpark also discovered that 209 of children are not properly restrained in motor vehicles This statistic raises particularly high concern due to the fact that motor vehicle accidents are a leading cause of death among children and proper restraint in a vehicle is one step towards overcoming this statistic
Access to health care is especially important for children with special health care needs Of the total population 87 need or use more medical care mental health or educational services than the average child While this is low in comparison to the national average 128 it still accounts for a significant portion of the population and demonstrates the need to ensure all children have appropriate access to care Even though the majority of the children HealthSpark surveyed had some form of health insurance 113 did not have any This number is higher than the national average 95 and raises concern over why specific barriers to access healthcare have not been broken down During focus group sessions parents described what specific issues were preventing them from either accessing medical care or not getting their children enrolled in the proper insurance program these problems varied by region Families located in the AllapattahModel City region have access to Jackson Memorial Hospital and clinics but described long waiting times before they were able to see a physician In contrast families in HomesteadFlorida City had more prevalence of uninsured children and are limited by their lack of access to transportation Few families have cars and many described having to walk several miles in order to use public transportation Many parents are not satisfied with the quality of healthcare their children are receiving especially for families in the HomesteadFlorida City area Among the 43 healthcare professionals who deliver most of the pediatric primary care in these communities 429 are not board-certified and only 262 are members of the American Academy of Pediatrics
In HealthSpark I we discovered child health issues existed in large part because of the lack of care and resources families in Miami-Dade County are receiving However even if every family had access to a high quality pediatrician the health of children in these two areas would not immediately improve Interventions with a high level of collaboration among child care centers pediatricians and health educators will be the first step to improving the health of children within these two communities In HealthSpark II the intent is to demonstrate that improved coordination and cooperation among professionals and families will improve child health The resources already exist in each community In the initial HealthSpark survey a network of child care centers and pediatricians interested in improving the health environment of the children in their community were identified The HealthSpark team plans on helping these professionals come together and form a relationship that will improve and address the health needs of families
In May 2004 the HealthSpark team began to collect data from the parents child care center directors and local pediatricians in the two targeted communities The HealthSpark I sample included 681 assessments of parents with children ages three or four years old 53 child care center directors and 30 primary care pediatricians The parent assessments were conducted in person at the child care center Additionally in September 2004 four focus groups were conducted in the three primary languages of the communities English Spanish and Creole A content analysis was done on these sessions to determine the most prominent issues in each location
Prevalence rates for obesity 380 and asthma 293 among the children the team surveyed were well above the national averages 20 and 74 Despite high rates of health problems roughly 10 of families reported not being able to get medical care for their child when they needed it compared to the national average of 17 and a state of Florida average of 30 HealthSpark also discovered that 209 of children are not properly restrained in motor vehicles This statistic raises particularly high concern due to the fact that motor vehicle accidents are a leading cause of death among children and proper restraint in a vehicle is one step towards overcoming this statistic
Access to health care is especially important for children with special health care needs Of the total population 87 need or use more medical care mental health or educational services than the average child While this is low in comparison to the national average 128 it still accounts for a significant portion of the population and demonstrates the need to ensure all children have appropriate access to care Even though the majority of the children HealthSpark surveyed had some form of health insurance 113 did not have any This number is higher than the national average 95 and raises concern over why specific barriers to access healthcare have not been broken down During focus group sessions parents described what specific issues were preventing them from either accessing medical care or not getting their children enrolled in the proper insurance program these problems varied by region Families located in the AllapattahModel City region have access to Jackson Memorial Hospital and clinics but described long waiting times before they were able to see a physician In contrast families in HomesteadFlorida City had more prevalence of uninsured children and are limited by their lack of access to transportation Few families have cars and many described having to walk several miles in order to use public transportation Many parents are not satisfied with the quality of healthcare their children are receiving especially for families in the HomesteadFlorida City area Among the 43 healthcare professionals who deliver most of the pediatric primary care in these communities 429 are not board-certified and only 262 are members of the American Academy of Pediatrics
In HealthSpark I we discovered child health issues existed in large part because of the lack of care and resources families in Miami-Dade County are receiving However even if every family had access to a high quality pediatrician the health of children in these two areas would not immediately improve Interventions with a high level of collaboration among child care centers pediatricians and health educators will be the first step to improving the health of children within these two communities In HealthSpark II the intent is to demonstrate that improved coordination and cooperation among professionals and families will improve child health The resources already exist in each community In the initial HealthSpark survey a network of child care centers and pediatricians interested in improving the health environment of the children in their community were identified The HealthSpark team plans on helping these professionals come together and form a relationship that will improve and address the health needs of families
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None