Hospital for Sick Children
Toronto, Ontario, M5G1X8, Canada
NCT Number: NCT06486272
Over one third of caregivers with a child admitted to the Hospital for Sick Children (SickKids) reported having difficulty making ends meet. The SickKids Medical-Financial Partnership (MFP) working group conducted in-depth interviews exploring financial needs and supports with selected caregivers in the Neonatal Neurodevelopmental Follow-up Program (NNFU). Results identified financial stress (including difficulties with employment, high cost of living, poverty, food insecurity, inaccessible supports, benefit time lines, costs of therapy) as a major theme. Caregivers generally supported the idea of hospital-based financial services. In this feasibility study we will trial a Financial Navigator Program in the NNFU.
Trial opening soon.
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Interventional
Not applicable
Toronto, Ontario, M5G1X8, Canada
The objective of the current proposal will be to evaluate the feasibility of the Financial Navigator Program in the NNFU.
Research question: What is the feasibility of a Financial Navigator Program in the NNFU?
Setting: The NNFU program follows infants who had a Neonatal Intensive Care admission. Follow-up appointments are scheduled for when the infant is 4, 8, 12, 18 and 36 months of age. We will invite all families at their first appointment in the NNFU to participate in our study.
Study Procedure: Caregivers will be informed about the study at their child's first NNFU visit at 4 months. The clinical team will introduce the study and if interested, they will be approached by a Research Assistant (RA) to provide more details of the study. This can be in person at the clinic visit or in a follow-up phone call depended on families preference. If the caregiver provides consent, an appointment with the Financial Navigator will be arranged.
Intervention: "Access to a Financial Navigator" We anticipate the Financial Navigator will meet at least 2 times and up to 2 additional visits, at a time convenient for the family. Examples of financial services that will likely be offered by the Financial Navigator are tax filing, applying for benefits and financial counseling. The program will be flexible and family centered. Families can choose if they would like to meet the Financial Navigator in person at the NNFU appointment, during another medical appointment, or at another time during a virtual visit. The Financial Navigator will be integrated into the existing SickKids Resource Navigation Service. At the 18-month NNFU visit the study will be completed.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Intervention: "Access to a Financial Navigator" We anticipate the Financial Navigator will meet at least 2 times and up to 2 additional visits, at a time convenient for the family. Examples of financial services that will likely be offered by the Financial Navigator are tax filing, applying for benefits and financial counseling. The program will be flexible and family centered. Families can choose if they would like to meet the Financial Navigator in person at the NNFU appointment, during another medical appointment, or at another time during a virtual visit. The Financial Navigator will be integrated into the existing SickKids Resource Navigation Service. At the 18-month NNFU visit the study will be completed.
Time frame: 14 months
Validated Questionnaires (Weiner et al, 2017)
Time frame: 14 months
Demand will be evaluated by calculating the percentage of families that provided consent and the number of appointments per family with the Financial Navigator.
Time frame: 14 months
Validated Questionnaire
Time frame: 14 months
Validated Questionnaire
Time frame: 14 months
ASQ 4 months and ASQ 18 month version
Time frame: 14 months
Standardized report: include tax filing, receipt of social assistance, Canada Tax Benefit and provincial tax benefit take up, parental leave benefits uptake, and reported uptake of other financial supports
Contact information is provided by the study sponsor or research team.
The Hospital for Sick Children
Other
The Financial Navigator Program - Optimizing Early Child Development by Facilitating Access to Financial Resources in the Neonatal Neurodevelopmental Follow-up Program
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