Financial Coaching for Family Health and Development

Overseen By Chris Laybourn

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of California, Los Angeles

Disqualifiers: Cognitive impairment, Non-English/Spanish speakers

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

400 Participants Needed

Trial Summary

What is the purpose of this trial?

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.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Financial coaching and services, Financial Counseling, Money Coaching, Debt Coaching?

Research on group health coaching shows promise in improving health and well-being by increasing patient engagement and providing cost-effective access to support. Additionally, medical-financial partnerships are being studied for their potential to improve both financial and health outcomes, suggesting that financial coaching could have positive effects when integrated with healthcare services. ^{1 2 3 4 5}

How does the treatment 'Financial Coaching for Family Health and Development' differ from other treatments for financial stress?

This treatment is unique because it combines financial education and coaching to address financial stress, which is a root cause of many health issues. Unlike traditional treatments that focus on specific health problems, this approach aims to improve overall economic stability, which can lead to better health outcomes and lifestyle changes. ^{6 7 8 9 10}

Eligibility Criteria

This trial is for parents or caregivers with children aged 4 months or younger who are patients at the Harbor-UCLA medical center clinic. Participants must be able to speak English or Spanish and should not have cognitive impairments.

Inclusion Criteria

I am a parent/caregiver of a child 4 months old or younger receiving care at Harbor-UCLA.

Exclusion Criteria

You have difficulty thinking or communicating in English or Spanish.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Families receive financial coaching at each well child visit, along with social needs screening and referral

2 years

Regular well child visits

Control

Families receive social needs screening and referral to community resources

2 years

Regular well child visits

Follow-up

Participants are monitored for changes in social needs, health-related quality of life, and developmental risk

Up to 5 years

Treatment Details

Interventions

• Financial coaching and services

Trial Overview The study is testing whether financial coaching provided in a clinic can improve the quality of life for parents, aid child development, and address family social needs within Los Angeles County's safety net healthcare system.

Participant Groups

Group I: Intervention - Financial Coaching Plus Social Needs Screening Experimental Treatment 1 Intervention

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

Group II: Control - Social Needs Screening and Referral Active Control 1 Intervention

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

Who Is Running the Clinical Trial?

University of California, Los Angeles

Lead Sponsor

Trials

1,594

Recruited

10,430,000+

Findings from Research

The combination of a clinical model and financial incentives in nursing facilities led to a 4.1 percentage point reduction in the risk of all-cause transfers among residents, indicating improved care management.

Certain resident characteristics, such as being aged 95 or older and having advanced cognitive impairment, were associated with a lower risk of potentially avoidable hospitalizations, highlighting the importance of tailored care approaches.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Facility and resident characteristics associated with variation in nursing home transfers: evidence from the OPTIMISTIC demonstration project. Blackburn, J., Balio, CP., Carnahan, JL., et al.[2021]

To secure funding and support for clinical programs, it's crucial to clearly demonstrate their effectiveness in improving financial and clinical outcomes, as well as patient satisfaction.

Experts suggest presenting a comprehensive overview of cost-containment successes and using visual data displays to effectively communicate clinical effectiveness to stakeholders and physicians.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

How can you show your CM efforts' effectiveness? [2004]

Group health and wellness coaching is emerging as a cost-effective method to enhance patient engagement and improve health outcomes, allowing access to more clients compared to traditional one-on-one coaching.

Various group coaching initiatives across the U.S. utilize both telephonic and in-person formats, facilitated by trained professionals, highlighting the potential benefits of group support while also identifying challenges that need to be addressed for effective implementation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Group health coaching: strengths, challenges, and next steps. Armstrong, C., Wolever, RQ., Manning, L., et al.[2021]

Patient coaching is an effective process that helps individuals achieve their health goals, whether for preventive measures or chronic treatment.

By creating a supportive environment for open communication, coaching can lead to quicker and more efficient improvements in health outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Coaching and diabetes]. Roca, JM.[2011]

This systematic review aims to evaluate the extent and quality of research on Money-Focused Programs (MFP) that integrate financial services within healthcare settings.

The review will assess both the financial outcomes and health-related outcomes of these embedded financial services, providing insights into their overall effectiveness.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

PROTOCOL: Medical-financial partnerships for improving financial and health outcomes for lower-income Americans: A systematic review. Birkenmaier, J., Maynard, B., Shanks, H., et al.[2023]

The Financial Counseling Service offers crucial financial relief and resources to patients and families during crises, highlighting its role in supporting those in need.

This service exemplifies effective collaboration between government and private organizations to enhance patient care, especially in times of limited resources.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Financial counseling service (outstationed eligibility). Wegner, BA.[2000]

Financial stress significantly contributes to health disparities, leading individuals to adopt unhealthy behaviors such as smoking, poor diet, and lack of exercise.

Financial education and coaching may help alleviate financial stress, potentially improving healthy lifestyle choices and overall health outcomes, as suggested by preliminary data from a randomized controlled trial.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Financial Education and Coaching: A Lifestyle Medicine Approach to Addressing Financial Stress. White, ND., Packard, K., Kalkowski, J.[2023]

This study introduces financial health as a crucial social determinant of health, emphasizing its importance in managing daily living expenses and overall well-being, particularly among low-income caregivers of young children.

Strong associations were found between financial health and both physical and mental health outcomes, suggesting that improving financial health could lead to better health results in vulnerable populations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Financial health as a measurable social determinant of health. Weida, EB., Phojanakong, P., Patel, F., et al.[2020]

Family Coaching is an innovative approach to delivering evidence-based prevention programs (EBPPs) that focuses on integrating multiple risk factors and behavior changes, making it a versatile option for families.

This method leverages trained community members to provide goal-oriented support, helping families set personalized goals and develop problem-solving skills, which can enhance the effectiveness and acceptance of health promotion interventions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Family Coaching as a delivery modality for evidence-based prevention programs. Rotheram-Borus, MJ., Swendeman, D., Rotheram-Fuller, E., et al.[2019]

Financial counselling and income-maximisation services can potentially improve family finances, with studies showing average annual gains of £1661 and £1919 for families referred to these services in Scotland and the UK, respectively.

While some studies indicated small to moderate benefits in child health and well-being, the overall evidence is limited and biased, highlighting the need for more rigorous randomized controlled trials to better assess the effectiveness of these healthcare-income maximisation models.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Connecting Healthcare with Income Maximisation Services: A Systematic Review on the Health, Wellbeing and Financial Impacts for Families with Young Children. Burley, J., Samir, N., Price, A., et al.[2022]

References

1. England pubmed.ncbi.nlm.nih.gov

Facility and resident characteristics associated with variation in nursing home transfers: evidence from the OPTIMISTIC demonstration project. [2021]

2. United States pubmed.ncbi.nlm.nih.gov

How can you show your CM efforts' effectiveness? [2004]

3. United States pubmed.ncbi.nlm.nih.gov

Group health coaching: strengths, challenges, and next steps. [2021]

4. Spain pubmed.ncbi.nlm.nih.gov

[Coaching and diabetes]. [2011]

5. United States pubmed.ncbi.nlm.nih.gov

PROTOCOL: Medical-financial partnerships for improving financial and health outcomes for lower-income Americans: A systematic review. [2023]

6. United States pubmed.ncbi.nlm.nih.gov

Financial counseling service (outstationed eligibility). [2000]

7. United States pubmed.ncbi.nlm.nih.gov

Financial Education and Coaching: A Lifestyle Medicine Approach to Addressing Financial Stress. [2023]

8. United States pubmed.ncbi.nlm.nih.gov

Financial health as a measurable social determinant of health. [2020]

9. England pubmed.ncbi.nlm.nih.gov

Family Coaching as a delivery modality for evidence-based prevention programs. [2019]

10. Switzerland pubmed.ncbi.nlm.nih.gov

Connecting Healthcare with Income Maximisation Services: A Systematic Review on the Health, Wellbeing and Financial Impacts for Families with Young Children. [2022]