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Cited by 126Child and Adolescent HealthMaternal and Neonatal HealthcareInfant Development and Preterm Care

The DOI matches its Crossref record; 48 of the 49 references it cites were found in a registry or an index.

Medical-Legal Strategies to Improve Infant Health Care: A Randomized Trial

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Sege, Robert, Preer, Genevieve, Morton, Samantha J., Cabral, Howard, Morakinyo, Oluwatomisin, Lee, Vonne, Abreu, Catarina, De Vos, Edward, Kaplan-Sanoff, Margot·2015·Pediatrics
DOI 10.1542/peds.2014-2955PMC PMC9923600
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Abstract

BACKGROUND: Changes in health care delivery create opportunities to improve systems to better meet the needs of low-income families while achieving quality benchmarks. METHODS: Families of healthy newborns receiving primary care at a single large urban safety-net hospital participated. Intervention families were randomly assigned a family specialist who provided support until the 6-month routine health care visit. The Developmental Understanding and Legal Collaboration for Everyone (DULCE) intervention is based on the Strengthening Families approach and incorporated components of the Healthy Steps and Medical-Legal Partnership models. Medical record reviews determined use of preventive and emergency care. Surveys conducted at baseline, postintervention (6 months), and follow-up (12 months) were used to determine hardship and attainment of concrete supports. RESULTS: Three hundred thirty families participated in the study. At baseline, 73% of families reported economic hardships. Intervention parents had an average of 14 contacts with the family specialist, and 5 hours of total contact time. Intervention infants were more likely to have completed their 6-month immunization schedule by age 7 months (77% vs 63%, P < .005) and by 8 months (88% vs 77%, P < .01). Intervention infants were more likely to have 5 or more routine preventive care visits by age 1 year (78% vs 67%, P < .01) and were less likely to have visited the emergency department by age 6 months (37% vs 49.7%, P < .03). The DULCE intervention accelerated access to concrete resources (P = .029). CONCLUSIONS: Assignment to the Project DULCE intervention led to improvements in preventive health care delivery and utilization and accelerated access to concrete supports among low-income families.

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  1. Hagan, 2008, Bright Futures: Guidelines for Health Supervision

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Metadata

Authors
Sege, R., Preer, G., Morton, S. J., Cabral, H., Morakinyo, O., Lee, V., Abreu, C., De Vos, E., & Kaplan-Sanoff, M.
Affiliations
  • Boston University (US)
  • Medical-Legal Partnership | Boston, Boston, Massachusetts; and
  • William James College (formerly the Massachusetts School of Professional Psychology), Newton, Massachusetts
ORCID
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
2015-07-01
Volume
136
Issue
1
Pages
97-106
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2014-2955
PMC
PMC9923600
OpenAlex
W1942593987
Cited by
126
References
49
Citations by year
2026: 8 · 2025: 19 · 2024: 20 · 2023: 17 · 2022: 12 · 2021: 16 · 2020: 11 · 2019: 5 · 2018: 7 · 2017: 8 · 2016: 3
FWCI
10.97
Type
journal article
Language
en
Open access
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Cancer Institute (90CA1763)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords
medical-legal partnerships, infant health care, low-income households, preventive medicine, immunization, emergency department visits, economic hardship, concrete support, safety-net hospitals, primary care
MeSH terms
Adolescent, Adult, Child, Child Health Services, Delivery of Health Care, Female, Health Promotion, Health Services Needs and Demand, Humans, Infant, Infant Care, Infant Welfare, Infant, Newborn, Male, Parents, Poverty, Primary Health Care, Young Adult

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