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Family Navigation to Reduce Disparities in Early Intervention Services: A Randomized Controlled Trial.

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Family navigation programs improved early intervention (EI) referral completion and service initiation for low-income, diverse children. However, the program did not impact EI service duration or child development outcomes.

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Area of Science:

  • Pediatric Health
  • Public Health
  • Health Services Research

Background:

  • Disparities in early intervention (EI) service utilization persist for underserved populations.
  • Low-income, minority children with developmental delays face significant barriers to accessing EI services.

Purpose of the Study:

  • To evaluate the impact of family navigation (FN) on EI service use and child development.
  • To assess FN's effectiveness in reducing disparities for low-income, racially diverse children.

Main Methods:

  • Randomized controlled trial involving 358 children under 30 months with suspected developmental delays.
  • Comparison of family navigation (FN) versus usual care over 12 months.
  • Outcomes included multidisciplinary evaluation completion, EI service initiation/duration, and Bayley-3 developmental scores.

Main Results:

  • Children receiving FN showed significantly higher rates of multidisciplinary evaluation completion (aOR=2.1) and EI service initiation (64.4% vs 54.7%).
  • No significant differences were observed in EI service duration or Bayley-3 developmental scores between FN and usual care groups.
  • The study population was predominantly Black with family incomes below $55,000.

Conclusions:

  • Family navigation effectively improved access to early intervention services for a vulnerable population.
  • FN programs hold promise for mitigating disparities in EI access among minoritized communities.
  • Further research is needed to explore FN's impact on long-term developmental outcomes.