Ameliorating Child Poverty Through Connecting Economic Services With Child Health Services (ACCESS): A Randomised Controlled Trial of the Healthier Wealthier Families Model in Sweden
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 31
- 试验地点
- 2
- 主要终点
- Child material and social deprivation (MSD)
研究概览
简要总结
Healthier Wealthier Families is a way of working, where child health nurses ask parents about their financial situation and connect them to a free financial help service, if needed. To test whether it helps families, the investigators will randomly select half of the families who want to take part to go to the service straight away and half around 3 months later. Both groups of parents will receive a book about parenting and finances straight away. The investigators will compare how the groups of parents answer on survey questions about meeting the costs of their children's needs, their financial knowledge, financial control, readiness to change, success on personal finance goals, mental health and financial stigma. The investigators predict that the parents who are offered the financial help service straight away will answer more positively on the survey questions. The investigators will ask all parents the survey questions again around 12 months later to see how they are doing.
详细描述
The Healthier Wealthier Families (HWF) model implements universal screening for economic hardship into child health services and creates a referral pathway to economic support services. To test this, the investigators will conduct a randomised control trial. A longitudinal follow-up with the cohort will explore whether any effects are maintained in the longer-term. The study hypotheses are that families who have received municipal budget and debt counselling services via the HWF model will report a lower rate of child material and social deprivation. Also, that the intervention arm will report greater financial knowledge, financial control, readiness for change, attainment of personal goals to improve one's financial situation, parental mental health and less financial stigma than the waitlist-control arm
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Parent / caregiver of at least one child aged 0-5 years
- •The family is listed at the participating child health care centre
- •Parent / caregiver reports at least one risk factor for economic hardship on specified screening questions
- •Parent / caregiver lives within the geographical areas served by the participating financial counselling service
- •Parent / caregiver has given informed consent
排除标准
- •Parent / caregiver does not understand the recruitment invitation.
- •Parent / caregiver is already an active user of a financial counselling service.
结局指标
主要结局
Child material and social deprivation (MSD)
时间窗: 3 months after randomisation
The European Union (EU) measure of child MSD contains 17 items; 13 child-specific items. Parents are asked to indicate whether or not they have the item. If not, they are asked if it is because they cannot afford it (enforced lack) or for another reason (simple lack). Data are collected at the household level; if one child does not have an item it is assumed that all the children in the household lack that item.
次要结局
- Financial control(3 months after randomisation)
- Readiness for change(3 months after randomisation)
- Household income and sources of income(3 months after randomisation)
- Personal goal(3 months after randomisation)
- Financial knowledge(3 months after randomisation)
- Perceived financial stigma(3 months after randomisation)
- Parental mental health(3 months after randomisation)
研究者
Anna Sarkadi
Professor
Uppsala University