Increasing Financial and Health Equity Among Low Income Black Youth and Young Adults
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Proportion of Participants Reporting Investments in the future
研究概览
简要总结
The primary goal is to understand the potential impacts of Guaranteed Income (GI) on Black youth and young adults' financial, emotional, and physical well-being. The main question it aims to answer is: What are the impacts of GI on Black young adults' investments in their future, mental health and unmet mental and sexual/reproductive health service needs? Participants will receive guaranteed income for 12 months and will be offered enrollment in financial capability programs.
详细描述
The BEEM project is a randomized controlled crossover trial in which 300 low-income Black Emerging Adults (BEA) (aged 18-24) are allocated to receive a $500/month Guaranteed Income (GI) either during the first twelve months of follow-up (phase I) or to receive GI in the second 12 months of a total of 24 months follow-up (phase II). All participants will be offered enrollment in financial capability programs (including peer learning circles and individual financial coaching) to bolster GI effectiveness and will also receive a periodic cell phone-based text messages to ensure that BEA with unmet health service needs receive referrals. The investigators hypothesize that this intervention will increase BEA's investment in their future (education, employment training), improve mental health (depression, anxiety), and reduce unmet mental health and sexual/reproductive health service needs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Prevention
- 盲法
- Double (Investigator, Outcomes Assessor)
盲法说明
Masking the study personnel to randomization group is not possible given that staff need to discuss the randomization with participants upon enrollment. Staff responsible for the financial capability services can not be masked to randomization arm as the participants are free to discuss their experience in the program, including whether and when they are receiving payments.
The investigators and the senior biostatistician running the final model will be masked to treatment arm.
入排标准
- 年龄范围
- 18 Years 至 24 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Between 18-24 years of age at enrollment
- •Self-Identify as African American or Black
- •Live in a low-income housing tax credit (LIHTC) qualified census tract (QCT) in San Francisco or Oakland. Youth who are homeless or marginally housed in San Francisco and Oakland are also eligible; those who are marginally housed will need a letter from a youth agency that can affirm their marginal housing status.
- •Must not be currently enrolled in another GI project
- •Must have lived in the US for at least 3 years.
- •Must provide informed consent
排除标准
- •Participation in another GI program at the time of enrollment
- •Lived in the United States for less than 3 years
- •Have plans to permanently leave the Bay Area
- •Being under the influence of alcohol or other substances at the time of enrollment.
研究组 & 干预措施
Cash now
Participants allocated to the "cash now" arm will receive a $500/month Guaranteed Income (GI) during the first twelve months of follow-up (Phase 1) and no GI in the second twelve months of follow-up (Phase 2).
干预措施: Guaranteed Income (Other)
Cash now
Participants allocated to the "cash now" arm will receive a $500/month Guaranteed Income (GI) during the first twelve months of follow-up (Phase 1) and no GI in the second twelve months of follow-up (Phase 2).
干预措施: Financial coaching (Behavioral)
Cash in a year
Participants allocated to the "cash in a year" arm will receive no Guaranteed Income (GI) during the first twelve months of follow-up (Phase 1) but will receive a $500/month GI in the second twelve months of follow-up (Phase 2).
干预措施: Guaranteed Income (Other)
Cash in a year
Participants allocated to the "cash in a year" arm will receive no Guaranteed Income (GI) during the first twelve months of follow-up (Phase 1) but will receive a $500/month GI in the second twelve months of follow-up (Phase 2).
干预措施: Peer learning circles (Behavioral)
Cash in a year
Participants allocated to the "cash in a year" arm will receive no Guaranteed Income (GI) during the first twelve months of follow-up (Phase 1) but will receive a $500/month GI in the second twelve months of follow-up (Phase 2).
干预措施: Financial coaching (Behavioral)
Cash now
Participants allocated to the "cash now" arm will receive a $500/month Guaranteed Income (GI) during the first twelve months of follow-up (Phase 1) and no GI in the second twelve months of follow-up (Phase 2).
干预措施: Peer learning circles (Behavioral)
结局指标
主要结局
Proportion of Participants Reporting Investments in the future
时间窗: 12 months of follow-up
Indication of enrollment in education, certification, or employment training programs. The analysis plan includes use of repeated measures to estimate the difference in investments in the future at 12 months between study arms relative to baseline proportion.
Unmet Sexual and Reproductive Health Service Needs
时间窗: 12 months of follow-up
Defined as the absence of receiving sexual and reproductive health services when needed, including STI testing and family planning. This will be measured as self-reported need for SRH (having symptoms of an STI, unprotected sex, or being at risk of unwanted pregnancy) and not reporting that SRH services were utilized. Service utilization is based on self-report as stating "no" to having accessed any SRH service from any kind of health professional. The analysis plan includes the use of repeated measures to estimate the difference in unmet sexual and reproductive health service needs between study arms.
Proportion of Participants with Unmet Mental Health Service Needs
时间窗: 12 months of follow-up
Defined as the absence of receiving mental health care when needed. Unmet mental health need will be assessed by possible, probably or major depressive episode per the CESDR-10 or ≥ 10 on the brief Generalized Anxiety Disorder scale (GAD-7), and not reporting that care was utilized. Service utilization is based on self-report as stating "no" to having accessed any MH service from any kind of health professional. The analysis plan includes the use of repeated measures to estimate the difference in unmet mental health service needs between study arms.
Proportion of Participants with a Possible Major, Probable Major, or Major Depressive Episode
时间窗: 12 months of follow-up
Using the Center for Epidemiologic Studies Depression Scale Revised (CESDR-10), a 'major depressive episode' is defined as 1) presence of anhedonia (inability to feel pleasure), dysphoria (generalized dissatisfaction with life), or irritability 'all the time' or 5-7 days for the past week and 2) at least 4 additional symptoms occurring 'all the time' or 5-7 days in the past week. A 'probable major depressive episode' is defined as 1) presence of anhedonia, dysphoria or irritability nearly every day for the past week, and 2) an additional 3 symptoms occurring 'all the time' or 5-7 days in the past week. A 'possible major depressive episode' is defined as 1) presence of anhedonia, dysphoria or irritability nearly every day for the past week, and 2) an additional 2 symptoms occurring 5-7 days in the past week. The analysis plan includes use of repeated measures to estimate the difference in depressive symptoms at 12 months between study arms relative to baseline proportion.
次要结局
- Financial Capability Score(Baseline and 12 months)
- Proportion of Participants with Debt(Baseline and 12 months)
- Credit score(Baseline and 12 months)
- Savings: Proportion of participants with saving to cover a $400 expense(Baseline and 12 months)
- Proportion of participants with Generalized Anxiety(12 months of follow-up)
- Hope for the future(Baseline and 12 months)