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N/A N=357 Randomized Single-blind Health Services Research

The Opening Doors to Early Intervention Study

Development Delay · Development, Child

Enrolled (actual)
357
Serious AEs
0.0%
Results posted
Feb 2025
Primary outcome: Primary: Evaluation of the Child's Cognitive Functioning (i.e., Sensorimotor Development, Problem Solving Skills) — 83.50; 81.94 score on a scale — p=0.30

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Family Navigator (FN) (Behavioral)
Age
Pediatric
Sex
All
Sponsor
Children's Hospital of Philadelphia
Primary completion
Sep 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Evaluation of the Child's Cognitive Functioning (i.e., Sensorimotor Development, Problem Solving Skills)
83.50; 81.94 0.30
PRIMARY
Early Intervention Referral Completion
114; 143; 56; 34 .004 sig
PRIMARY
Early Intervention Services Initiation
88; 107; 5; 7 .82
PRIMARY
Evaluation of the Child's Overall Language Functioning (Receptive and Expressive Language Skills and Abilities)
79.39; 78.71 0.69
SECONDARY
Public Policy Changes
60; 65; 0; 0; 0; 0

Summary

Poor urban minority children often experience delays in their early development leading to health disparities. Publicly funded early intervention services are available to improve child development among these children in Philadelphia, but few children access and complete these services. This can be due to parents misunderstanding what the services include or may be due to difficulties parents experience in overcoming barriers to participating. This study will test the effectiveness of the Opening Doors to Early Intervention Program, a patient navigation intervention designed to improve families' engagement with early intervention services and overcome barriers to access these services, on early child development.

Eligibility Criteria

Inclusion Criteria

  • Child is 35 weeks estimated gestational age
  • Parent-child dyad reside in Philadelphia and present at a Children's Hospital of Philadelphia (CHOP) primary care practice located in Philadelphia
  • Parents are English or Spanish speaking
  • Child has recently been referred to the Philadelphia Infant Toddler Early Intervention Program in Philadelphia County

Exclusion Criteria

  • Child moves outside of Philadelphia County
  • Child has received EI services in the past 2 weeks
  • Child has congenital anomalies, genetic syndromes, or human immunodeficiency virus (HIV) that place them at risk of developmental delays
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03625115). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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