Clinic-Based Financial Coaching and Family Health and Development

University of California, Los Angeles (UCLA)

Status: Active, not recruiting

Conditions: Development, Child; Quality of Life; Economic Problems

Treatments: Behavioral: Financial coaching and services

Study type: Interventional

Funder types: Other

Identifiers

NCT03736590

UCLAHarborSchickedanzMFP

Details and patient eligibility

About

This study will examine the impact of clinic-based financial coaching on parent health-related quality of life and child development measures, as well as family social needs for families with young children receiving pediatric care at a primary care practice in the Los Angeles County safety net.

Full description

With an expert group of researchers, financial coaches, and implementation scientists, we will study the impact of clinic-based financial coaching on parent health-related quality of life, child developmental risk, and social needs.We will conduct a clinical randomized controlled trial of financial coaching for low-income families. Parents of infants in a large pediatric primary care safety-net clinic will receive either 1) financial coaching from trained coaches plus social needs screening and resource navigation at all well child visits (intervention) or 2) social needs screening and navigation alone (active control) and will be followed for five years. Aims include:

1a) Examine parent outcomes of overall health-related quality of life (primary parent outcome);

1b) Examine child outcomes of developmental risk scores (primary child outcome) and well-child visit adherence;

1c) Examine family social needs outcomes, including incidence of any food insecurity, housing instability, transportation or utilities interruptions (primary family outcome any one or more) and resource use; and financial metrics.

Enrollment: 400 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Parents/caregivers in families with children 4 months or under at enrollment receiving care at Harbor-UCLA medical center clinic.

Exclusion criteria

• Cognitive impairment or not speaking English or Spanish.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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400 participants in 2 patient groups

Intervention - Financial Coaching Plus Social Needs Screening

Experimental group

Description:

Families in this intervention arm will receive financial coaching at each well child visit, in addition to clinic-based social needs screening and referral.

Treatment:

Behavioral: Financial coaching and services

Control - Social Needs Screening and Referral

Active Comparator group

Description:

Families in this active control arm will receive social needs screening and referral to community resources to address identified social needs.

Treatment:

Behavioral: Financial coaching and services