Healing Experiences of Adversity Among Latinos (HEALthy4You)
Stress, Childhood Obesity
About this trial
This is an interventional treatment trial for Stress focused on measuring ACEs, Obesity, Adverse Childhood Experiences, 2x2 Factorial Study, Behavioral Intervention, Health Education, Healthy Together, Parenting, Protective Factors, Precision Medicine, Federally Qualified Health Centers, Latino, Hispanic, Pediatric, Whole Child Wellness
Eligibility Criteria
Inclusion Criteria: Child Currently a patient at Family Health Centers of San Diego Age 5-11 years old BMI ≥ 85th percentile to 99.9th percentile Social determination or risk for ACE determined as being a patient receiving care at an FQHC (confirmed via provider) Parent Parent or guardian (including non-biological parent or relative) willing to participate Self-identification as Hispanic or Latino 18 years or older English or Spanish speaking Willingness to commit to 6 months of the program Exclusion Criteria: Serious Developmental Disability (parent or child) Serious Mental Health Illness (parent or child)
Sites / Locations
- Family Health Centers of San DiegoRecruiting
- Jessica ChapmanRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Other
Active Comparator
Active Comparator
Active Comparator
Healthy Together (includes Streetwyze) (Control/Standardized Care)
Healthy Together + Promotora support
Healthy Together + Parenting training
Healthy Togethers + Parenting Training + Promotora support
Control - standardized Healthy Together program: The Healthy Together Program is not standard of care at Family Health Centers (FHC). Instead, it was originally developed by FHC clinicians interested in addressing childhood obesity and has been implemented by a limited number of clinicians at FHC. UCSD has been working in partnership with FHC to create standardized protocols and to incorporate additional research-oriented tools into this standardized protocol, which will be used as our experimental control.
In addition to the basic program described above, those randomized to this intervention will receive Promotora support. Families assigned to a promotora will receive 30-60 minutes of phone-based support weekly, with more frequent interactions that will taper starting at month 3 of the intervention. Promotoras may also provide home-visit support up to 4 times during the 6 months, based on family interest and needs. The wellness coach will try to minimize in-person meetings with FHC professionals each week and space out visits to reduce burden on families. For families in this condition, they will be asked to engage in at least 30 minutes of additional sessions per week with the promotora beyond the 1- hour allotted time working with FHC professionals.
In addition to the basic program described above, those randomized to this intervention will attend Parenting Training sessions with the mental health provider at FHC. Families assigned to parenting training will receive 10-12 sessions. Sessions will focus on topics like strategies to support the child's physical, social, and emotional growth. The wellness coach will try to minimize in-person meetings with FHC professionals each week and space out visits to reduce burden on families.
Those randomized to this intervention will receive all components described above including the Healthy Together Program, Parenting Training and Promotora support. The wellness coach will try to minimize in-person meetings with FHC professionals each week and space out visits to reduce burden on families.. Families in this group will also be asked to engage in at least 30-60 minutes of additional sessions per week including up to 4 home visits.