The Financial Navigator Program

NCT06486272 | Not Yet Recruiting

• 1 other identifier: 1000081699
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Over one third of caregivers with a child admitted to the Hospital for Sick Children (SickKids) reported having difficulty making ends meet. The SickKids Medical-Financial Partnership (MFP) working group conducted in-depth interviews exploring financial needs and supports with selected caregivers in the Neonatal Neurodevelopmental Follow-up Program (NNFU). Results identified financial stress (including difficulties with employment, high cost of living, poverty, food insecurity, inaccessible supports, benefit time lines, costs of therapy) as a major theme. Caregivers generally supported the idea of hospital-based financial services. In this feasibility study we will trial a Financial Navigator Program in the NNFU.

Conditions

Financial Hardship

Keywords

Financial Services; Neonatal Neurodevelopment Follow-up Clinic

Outcome Measures

Primary Outcomes (2)

• Feasibility; Measured with validated questionnaire including; Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM).

  Validated Questionnaires (Weiner et al, 2017)

  14 months

• Demand

  Demand will be evaluated by calculating the percentage of families that provided consent and the number of appointments per family with the Financial Navigator.

  14 months

Secondary Outcomes (4)

• Parenting Stress Index (PSI-Short Form)

  14 months

• Depression, Anxiety, Stress Scales (DASS)

  14 months

• Ages and Stages Questionnaire (ASQ)

  14 months

• Economic outcomes

  14 months

Study Arms (1)

Financial Navigator Intervention

EXPERIMENTAL

Other: Financial Navigator

Interventions

Financial Navigator OTHER

Intervention: "Access to a Financial Navigator" We anticipate the Financial Navigator will meet at least 2 times and up to 2 additional visits, at a time convenient for the family. Examples of financial services that will likely be offered by the Financial Navigator are tax filing, applying for benefits and financial counseling. The program will be flexible and family centered. Families can choose if they would like to meet the Financial Navigator in person at the NNFU appointment, during another medical appointment, or at another time during a virtual visit. The Financial Navigator will be integrated into the existing SickKids Resource Navigation Service. At the 18-month NNFU visit the study will be completed.

Financial Navigator Intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Caregivers with a child followed in the NNFU in SickKids will be invited to participate in our study.
• Caregiver needs to attend 4-month NNFU appointment.

Sponsors & Collaborators

• The Hospital for Sick Children: lead
• Edwin S.H. Leong Centre for Healthy Children: collaborator

Study Sites (1)

Hospital for Sick Children

Toronto, Ontario, M5G1X8, Canada

Location

MeSH Terms

Conditions

Financial Stress

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior

Central Study Contacts

Meta van den Heuvel, MD, PhD

CONTACT

+1416-813-7654; mathilda.vandenheuvel@sickkids.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Staff Pediatrician, Project Investigator, Associate Professor UofT

Model Details: Feasibility Pilot Study

Study Record Dates

• First Submitted: June 19, 2024
• First Posted: July 3, 2024
• Study Start: September 1, 2024
• Primary Completion: January 1, 2026
• Study Completion (Estimated): September 1, 2026
• Last Updated: July 3, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)