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NCT Number: NCT06486272

The Financial Navigator Program

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.

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Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hospital for Sick Children

Toronto, Ontario, M5G1X8, Canada

Location contact

Meta van den Heuvel, MD PhD

CONTACT

[email protected]

+1416-813-7654 ext. 422814

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Caregivers with a child followed in the NNFU in SickKids will be invited to participate in our study.
  • Caregiver needs to attend 4-month NNFU appointment.

Exclusion criteria

  • There are no exclusion criteria.

Treatment and study plan

Financial Navigator

Other

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.

Primary outcomes

  1. Feasibility; Measured with validated questionnaire including; Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM).

    Time frame: 14 months

    Validated Questionnaires (Weiner et al, 2017)

  2. Demand

    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.

Secondary outcomes

  1. Parenting Stress Index (PSI-Short Form)

    Time frame: 14 months

    Validated Questionnaire

  2. Depression, Anxiety, Stress Scales (DASS)

    Time frame: 14 months

    Validated Questionnaire

  3. Ages and Stages Questionnaire (ASQ)

    Time frame: 14 months

    ASQ 4 months and ASQ 18 month version

  4. Economic outcomes

    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

Study contacts

Contact information is provided by the study sponsor or research team.

Meta van den Heuvel, MD, PhD

CONTACT

[email protected]

+1416-813-7654 ext. 422814

Sponsors and collaborators

Lead sponsor

The Hospital for Sick Children

Other

Collaborators

  • Edwin S.H. Leong Centre for Healthy Children

Registry information

Official study title

The Financial Navigator Program - Optimizing Early Child Development by Facilitating Access to Financial Resources in the Neonatal Neurodevelopmental Follow-up Program

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Jul 3, 2024
Registry last updated
Jul 3, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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