Cost Analysis of the PARENT Trial of Community Health Workers in Early Childhood Preventive Care

The Parent-Focused Redesign for Encounters, Newborns to Toddlers (PARENT) trial intervention increased well child care visits, but was the increase associated with lower overall costs of health care, and would increasing visit attendance offset intervention costs?In this secondary analysis of data from 785 participants of the PARENT cluster-randomized clinical trial, health care (urgent care, emergency department visits, hospitalizations, and subspecialty referrals) costs were lower for intervention vs control groups.These findings suggest that the PARENT intervention decreased the cost of other health care services, and within federally qualified health centers, additional revenue due to the increased well child care visit adherence may help to fund the intervention costs.

Corresponding Author: Tumaini R. Coker, MD, MBA, 1920 Terry Ave, Seattle Children’s Research Institute, Seattle, WA 98101 (tumaini.coker@seattlechildrens.org).

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