Families First Edmonton (FFE)

NCT00705328 | Completed Phase 2

• 1 other identifier: 137444
• Study Type: interventional
• Target: 2,400
• Locations: 1 country
• Sites: 1

Brief Summary

This study is designed to provide clear evidence for health and social policymakers about the influence of alternate service-delivery models and practices on enhancing and sustaining low-income family linkages to available services. A challenge faced by Canadian health and social service providers is to promote health for low-income families in a proactive and cost-effective manner. Families with low incomes experience an array of health and social barriers that compromise their resilience, lead to negative family outcomes, and act as barriers to available services. Family barriers are compounded by service delivery barriers and result in reduced opportunities for effective, primary-level services and in increased use of secondary-level services (e.g., emergency room visits, emergency intervention, police involvement), with the obvious increase in costs. Randomized-controlled trials are rare in community-based intervention research. This Families First Edmonton randomized-controlled trial (RCT) will enable testing of innovative service-delivery models and provide an opportunity for evidence-based decision making for Canadian policy makers. Critical information will be provided about

1. 1.optimizing cost effectiveness for public systems
2. 2.the long-term effects on the health of low-income family members
3. 3.mechanisms that intervene between the interventions and their effect on the health of low-income family members
4. 4.building on previous research and on community-based initiatives
5. 5.promoting knowledge transfer

Conditions

Low-Income Population

Keywords

low-income families; children; recreation; family healthy lifestyle; linkages to community resources; Families with low incomes; working poor; welfare recipients

Outcome Measures

Primary Outcomes (1)

• Increased linkages between low income families and established services in their communities

  Baseline, 12-month, 24-month, 36-month follow-up

Study Arms (3)

1

EXPERIMENTAL

Behavioral: Primary Health Care Model (PRMHLTH)

2

EXPERIMENTAL

Behavioral: Recreation Coordination Model (REC)

3

EXPERIMENTAL

Behavioral: Comprehensive Model (COMP)

Interventions

Primary Health Care Model (PRMHLTH) BEHAVIORAL

Primary health care service delivery

1

Recreation Coordination Model (REC) BEHAVIORAL

Recreation coordination service delivery

2

Comprehensive Model (COMP) BEHAVIORAL

a comprehensive service delivery model consisting of PRMHLTH plus REC.

3

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Participant families will
• have received low-income assistance either in the form of
• Alberta Works Income Support
• Alberta Child Health Benefits,
• Alberta Works Adult Health Benefits
• participating in City of Edmonton Leisure Access Program
• living in Capital Region Housing
• have a child or children between 0 and 12 years of age
• reside in city of Edmonton
• be able to provide signed consent

You may not qualify if:

• Potential study participants will be excluded if they refuse to give informed consent to be interviewed
• are unable to read and write English and an appropriate translator is not available
• have plans to move outside the region
• are unwilling to participate for the entire follow-up period

Sponsors & Collaborators

• University of Alberta: lead

Study Sites (1)

Alberta Human Resources and Employment

Edmonton, Alberta, T5A 1C6, Canada

Location

Related Publications (3)

• Browne G, Byrne C, Roberts J, Gafni A, Whittaker S. When the bough breaks: provider-initiated comprehensive care is more effective and less expensive for sole-support parents on social assistance. Soc Sci Med. 2001 Dec;53(12):1697-710. doi: 10.1016/s0277-9536(00)00455-x.

  PMID: 11762894 BACKGROUND

• Drummond J, Wiebe N, So S, Schnirner L, Bisanz J, Williamson DL, Mayan M, Templeton L, Fassbender K; Community-University Partnership for the Study of Children, Youth, and Families. Service-integration approaches for families with low income: a Families First Edmonton, community-based, randomized, controlled trial. Trials. 2016 Jul 22;17:343. doi: 10.1186/s13063-016-1444-8.

  PMID: 27449358 DERIVED

• Drummond J, Schnirer L, So S, Mayan M, Williamson DL, Bisanz J, Fassbender K, Wiebe N. The protocol for the Families First Edmonton trial (FFE): a randomized community-based trial to compare four service integration approaches for families with low-income. BMC Health Serv Res. 2014 May 19;14:223. doi: 10.1186/1472-6963-14-223.

  PMID: 24885729 DERIVED

Study Officials

• Jane Drummond, PhD

  University of Alberta

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Vice Provost - Health Sciences Council; Professor - Nursing

Study Record Dates

• First Submitted: June 24, 2008
• First Posted: June 26, 2008
• Study Start: December 1, 2005
• Primary Completion: June 1, 2011
• Study Completion: June 1, 2011
• Last Updated: April 21, 2016

Record last verified: 2016-04

Locations

CA (1)