Impact of a Medical-Financial Partnership Intervention on Parent Mental Health, Perinatal Outcomes, and Child Developmental Risk

Официальное название

Impact of a Medical-Financial Partnership Intervention on Parent Mental Health, Perinatal Outcomes, and Child Developmental Risk: A Community-Partnered, Multi-Site Randomized Controlled Trial

Обзор

Poverty and financial stress are key social drivers of health and root causes of worse health beginning in pregnancy, continuing into childhood, and extending over the life course, but clinical tools to address the health impacts of poverty and financial stress are needed. This trial is of a multi-site medical-financial partnership intervention to examine its effect on parent, perinatal, and child outcomes, as well as health care utilization, and family financial and social risk. This pragmatic randomized clinical effectiveness trial will examine the impact of a clinic-based medical-financial partnership intervention beginning either 1) in the newborn period (Intervention Arm 1) or 2) during prenatal care (Intervention Arm 2) versus controls on parent, child, and family/household outcomes.

Вмешательства

• Поведенческое Medical-Financial Partnership Support
  The Medical-Financial Partnership (MFP) intervention will include (at minimum): 1. A relationship with a trained MFP intervention team member 2. Establishment of financial and social goals in the initial meeting, with connection to public anti-poverty programs, employment opportunities, and other income supports, among others, as tailored to participant goals 3. Establishment of an action plan to reach short, medium and long-term goals in core MFP domains 4. Co-designing with the participant to

Первичные конечные точки

• Parent Health-Related Quality of Life, including Mental Health Subscale [Срок оценки: Through 24 Months of Child Age]
• Child Developmental Risk (in Any Domain) - Ages & Stages Questionnaire (ASQ, version 3) Domain Scores [Срок оценки: Through 24 months]
• Public Benefits Program Enrollment [Срок оценки: Through 24 months of child age]

Критерии участия

Критерии включения

• Being an expectant parent (mother or father) who is either 1) receiving prenatal care or 2) their partner is receiving prenatal care at one of the study's prenatal care clinical sites during recruitment
• Intending at the time of recruitment to have their child receive primary pediatric care at one of the of the study's pediatric primary care clinical sites after birth
• Speaking English or Spanish as primary language

Критерии исключения

• Cognitive impairment or any other condition that would prevent participation in the intervention
• Foster parents
• Parent age under 18 at enrollment

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Организация здравоохранения

Центры проведения

США · 4 центра

• Lomita Family Health Center — Harbor City
• Martin Luther King, Jr. Outpatient Center — Los Angeles
• Olive View-UCLA/ERI — Sylmar
• Harbor-UCLA/Lundquist Institute — Torrance

Идентификаторы

NCT: NCT07064915 · UCLA_DHS_MFP_Evolution_2025 · 1R01HD115000-01A1

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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