NCT02816294

Brief Summary

Housing Prescriptions as Health Care is a research project studying the effects of an innovative intervention that combines services across the health, housing, social and legal service sectors in order to improve housing stability and child health outcomes among participants. The housing intervention developed for this study specifically addresses issues including families who are: paying more than 50 percent of income on rent or utilities, moving frequently, experiencing homelessness, but are not eligible for shelter through the Department of Housing and Community Development's Emergency Assistance program, or were unable to pay rent on time in the past year. This research explores how coordinated and comprehensive housing services offered through intensive case management improves housing stability and health outcomes for families of young children.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
78

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Oct 2016

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 22, 2016

Completed
6 days until next milestone

First Posted

Study publicly available on registry

June 28, 2016

Completed
3 months until next milestone

Study Start

First participant enrolled

October 1, 2016

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 30, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 30, 2021

Completed
Last Updated

April 2, 2021

Status Verified

March 1, 2021

Enrollment Period

4.5 years

First QC Date

June 22, 2016

Last Update Submit

March 31, 2021

Conditions

Housing InstabilityHigh Emergency Department UtilizationMedical Complexity

Outcome Measures

Primary Outcomes (1)

  • Change in housing stability

    Measured using self-report data on frequency of moves, risk of eviction, and rent affordability. Data collected at baseline, six months, and twelve months to assess change in housing stability from baseline at each time point.

    baseline, six months, twelve months, 18 months, 24 months

Secondary Outcomes (7)

  • Emergency Department utilization

    baseline, six months, twelve months, 18 months, 24 months

  • Adherence to well-child visits schedule

    one year, two years

  • Adherence to immunization schedule

    one year, two years

  • Caregiver mental health

    baseline, six months, twelve months, 18 months, 24 months

  • Food security

    baseline, six months, twelve months, 18 months, 24 months

  • +2 more secondary outcomes

Study Arms (2)

Housing Prescription

EXPERIMENTAL

Participants in the intervention group will be referred to the Care Coordinator at Project Hope, who will conduct case management with the family to stabilize their housing. The Care Coordinator will refer families all families to benefit maximization services and complete Problem Solving Education. The Care Coordinator will also refer families as necessary to Medical-Legal Partnership Boston for pro-bono legal services and/or the Boston Housing Authority for priority on a subsidized housing waitlist.

Behavioral: Housing Prescription

Resource List

NO INTERVENTION

At present, for families facing housing insecurity, Children's HealthWatch offers paper resources with contact information for local social service agencies that may assist with housing stability.

Interventions

Housing PrescriptionBEHAVIORAL
Housing Prescription

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Caregiver of family experiencing housing instability
  • One or more family members in the household must have had \>= 3 emergency room visits in the past year or child with medical complexity enrolled in comprehensive clinical case management program
  • Caregiver of child \<11 years, who receives primary care at Boston Medical Center

You may not qualify if:

  • None of the members of the household have had \>=3 emergency room visits in the past year nor medically complex child enrolled in case management.
  • Family in stable housing
  • Index child not a primary care patient at Boston Medical Center
  • All children in household \>11 years

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Boston Medical Center

Boston, Massachusetts, 02118, United States

Location

Related Publications (1)

  • Cutts DB, Meyers AF, Black MM, Casey PH, Chilton M, Cook JT, Geppert J, Ettinger de Cuba S, Heeren T, Coleman S, Rose-Jacobs R, Frank DA. US Housing insecurity and the health of very young children. Am J Public Health. 2011 Aug;101(8):1508-14. doi: 10.2105/AJPH.2011.300139. Epub 2011 Jun 16.

    PMID: 21680929BACKGROUND

Related Links

Study Officials

  • Megan Sandel, MD, MPH

    Boston Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 22, 2016

First Posted

June 28, 2016

Study Start

October 1, 2016

Primary Completion

March 30, 2021

Study Completion

March 30, 2021

Last Updated

April 2, 2021

Record last verified: 2021-03

Data Sharing

IPD Sharing
Will not share

Locations

US(1)