Clinic-Based Financial Coaching and Family Health and Development

NCT03736590 | Active Not Recruiting

• 1 other identifier: UCLAHarborSchickedanzMFP
• Study Type: interventional
• Target: 400
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Economic Problems; Development, Child; Quality of Life

Outcome Measures

Primary Outcomes (3)

• Health-Related Quality of Life (HRQOL) - Patient Reported Outcome Measurement Information System Global Health Short Form 10-Item Scale (PROMIS-10)

  Health-related quality of life will be measured at baseline and regular intervals using the Patient-Reported Outcomes Measurement Information System Global Health Short Form 10 (PROMIS 10). This will be the primary outcome for parents in the study. The PROMIS-10 measures overall health, physical health, mental health and social functioning and is scored on a T-scored range with 50 as the mean and 10 as the standard deviation. Higher scores indicate better HRQOL.

  Interval change in PROMIS-10 HRQOL will be assessed over up to a 5 year period.

• Developmental Risk - Ages and Stages Questionnaires

  Parent report of child developmental risk via clinic-based developmental questionnaires (Ages and Stages Questionnaires, ASQ) will be used to measure developmental risk. The ASQ measure contains sub-scales for each developmental domain (gross motor, fine motor, problem solving, communication, problem-solving, personal-social). Parent-reported ASQ items yield a score from 0-60 with cutoffs determining children at risk for developmental delay. Higher scores indicate less risk of developmental delay.

  Interval change in developmental risk will be assessed over up to a 5 year period.

• Presence of Any Social Need - Accountable Health Communities Social Needs Screening Items

  Family social needs to be assessed at baseline and regular intervals include food insecurity, housing insecurity, transportation problems, utilities problems, and legal issues. All of these social needs are measured using the Accountable Health Communities Social Needs Screener and the presence of any of the above social needs will be interpreted as the presence of a social need. Social needs resource use will also be measured.

  Interval change in presence of any social need will be assessed over up to a 5 year period.

Secondary Outcomes (3)

• Economic Stress - Family Economic Strain Scale.

  Interval change in FESS will be assessed over up to a 5 year period.

• Parenting Self-Efficacy - Parenting Sense of Competence Scale

  Interval change in PSOC will be assessed over up to a 5 year period.

• Pediatric Primary Care Visit Adherence

  Interval change in pediatric primary care visit adherence will be assessed over up to a 5 year period.

Other Outcomes (4)

• Financial Measures - Income

  Interval change in financial measures will be assessed over up to a 5 year period.

• Financial Measures - Savings

  Interval change in financial measures will be assessed over up to a 5 year period.

• Financial Measures - Debt

  Interval change in financial measures will be assessed over up to a 5 year period.

Study Arms (2)

Intervention - Financial Coaching Plus Social Needs Screening

EXPERIMENTAL

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

Behavioral: Financial coaching and services

Control - Social Needs Screening and Referral

ACTIVE COMPARATOR

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

Behavioral: Financial coaching and services

Interventions

Financial coaching and services BEHAVIORAL

The intervention will consist of clinic-based financial coaching that focuses on improving financial stability through longitudinal visits with financial services professionals to address financial goals.

Control - Social Needs Screening and Referral; Intervention - Financial Coaching Plus Social Needs Screening

Eligibility Criteria

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

You may qualify if:

• Parents/caregivers in families with children 4 months or under at enrollment receiving care at Harbor-UCLA medical center clinic.

You may not qualify if:

• Cognitive impairment or not speaking English or Spanish.

Sponsors & Collaborators

• University of California, Los Angeles: lead

Study Sites (1)

Adam Schickedanz

Los Angeles, California, 90024, United States

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Pediatricians and outcomes assessors will not be aware of study arm.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Pediatrics

Model Details: Randomized controlled trial

Study Record Dates

• First Submitted: November 7, 2018
• First Posted: November 9, 2018
• Study Start: November 7, 2018
• Primary Completion (Estimated): December 31, 2029
• Study Completion (Estimated): July 31, 2030
• Last Updated: July 10, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)