Table 1 Outcome definitions across five elements
Domain | Specific measurement | Specific metric | Method of aggregation | Time points |
|---|---|---|---|---|
Health services utilization | EHR record review of encounter for behavioral health service need | Time to event: total number of days between randomization and first service encounter related to behavioral health need | Proportion with an event | Continuous days from –T1 to T2 |
Engagement in behavioral healthcare | Documentation of FP visit dates and EHR record review of behavioral health service appointment dates and provider recommendations | ≥ 4 visits with a behavioral health provider within 90 days of first FP visit, or resolution of service need as determined by behavioral health provider | Mean | T1 |
Child functioning (children aged 5.5 years and older)a | Pediatric Symptom Checklist-17 | Total score summed from 17 items | Proportion above clinical cutoff | –T1, T4 |
Child functioning (children under 5.5 years of age)a | The Survey of Well-being of Young Children (SWYC) Preschool Pediatric Symptom Checklist | Total score summed from 18 items | Proportion above clinical cutoff | –T1, T4 |
Satisfaction with health services | Client Satisfaction Questionnaire 8 (CSQ-8) | Total score summed from 8 items | Mean | T2 |
Interpersonal relationship with Family Partner | Interpersonal Relationship with Navigator (PSN-I) | Total score summed from 9 items | Mean | T2 |
Parent attitudes | Parental Attitudes Toward Psychological Services Inventory (PATPSI) | Total score summed from 21 items | Mean | –T1, T2, T4 |
Parental mental healtha | Patient Health Questionnaire-2 (PHQ-2) | Total score summed from 2 items | Proportion above clinical cutoff | –T1, T4 |
Access to community resources | Family Resource Scale (FRS) | Total score summed from 30 items | Mean | –T1, T2, T4 |
Structural barriers | Tool for Health and Resilience in Vulnerable Environments (THRIVE) survey | Total number of social needs reported across 8 possible areas | Mean | –T1, T2, T4 |
Service use | EHR record review | Among scheduled visits, percentage of visits that were completed (i.e., show rate) | Mean percentage | Monthly reports |