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- Title
A Randomized Controlled Trial of Group Well-Child Care: Improved Attendance and Vaccination Timeliness.
- Authors
Fenick, Ada M.; Leventhal, John M.; Gilliam, Walter; Rosenthal, Marjorie S.
- Abstract
Well-child care has suboptimal outcomes regarding adherence to appointments and recall of guidance, especially among families facing structural barriers to health. Group well-child care (GWCC) aims to improve these outcomes by enhancing anticipatory guidance discussions and peer education. We conducted a randomized controlled trial, comparing GWCC with traditional, individual well-child care (IWCC) and assessed health care utilization, immunization timeliness, recall of anticipatory guidance, and family-centered care. Ninety-seven mother-infant dyads were randomized to GWCC or IWCC. Compared with IWCC infants, GWCC infants attended more of the 6 preventive health visits (5.41 vs 4.87, P <.05) and received more timely immunization at 6 months and 1 year but did not differ in emergency or hospital admission rates. There were no differences in mothers' reports of anticipatory guidance received or family-centered care. As primary care is redesigned for value-based care and structural vulnerabilities are considered, GWCC may be a key option to consider.
- Subjects
HOSPITAL care evaluation; CHILD care; CHILD health services; FAMILY medicine; HOSPITAL emergency services; IMMUNIZATION; MEDICAL appointments; MEDICAL care use; MOTHERS; TIME; RANDOMIZED controlled trials
- Publication
Clinical Pediatrics, 2020, Vol 59, Issue 7, p686
- ISSN
0009-9228
- Publication type
Article
- DOI
10.1177/0009922820908582