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The Financial Navigator Program

The Financial Navigator Program - Optimizing Early Child Development by Facilitating Access to Financial Resources in the Neonatal Neurodevelopmental Follow-up Program

Status
Not yet recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06486272
Enrollment
40
Registered
2024-07-03
Start date
2024-09-30
Completion date
2026-09-30
Last updated
2024-07-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Financial Hardship

Keywords

Financial Services, Neonatal Neurodevelopment Follow-up Clinic

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.

Detailed description

The objective of the current proposal will be to evaluate the feasibility of the Financial Navigator Program in the NNFU. Research question: What is the feasibility of a Financial Navigator Program in the NNFU? Setting: The NNFU program follows infants who had a Neonatal Intensive Care admission. Follow-up appointments are scheduled for when the infant is 4, 8, 12, 18 and 36 months of age. We will invite all families at their first appointment in the NNFU to participate in our study. Study Procedure: Caregivers will be informed about the study at their child's first NNFU visit at 4 months. The clinical team will introduce the study and if interested, they will be approached by a Research Assistant (RA) to provide more details of the study. This can be in person at the clinic visit or in a follow-up phone call depended on families preference. If the caregiver provides consent, an appointment with the Financial Navigator will be arranged. 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.

Interventions

OTHERFinancial Navigator

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.

Sponsors

Edwin S.H. Leong Centre for Healthy Children
CollaboratorUNKNOWN
The Hospital for Sick Children
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Feasibility Pilot Study

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* 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.

Exclusion criteria

* There are no

Design outcomes

Primary

MeasureTime frameDescription
Feasibility; Measured with validated questionnaire including; Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM).14 monthsValidated Questionnaires (Weiner et al, 2017)
Demand14 monthsDemand will be evaluated by calculating the percentage of families that provided consent and the number of appointments per family with the Financial Navigator.

Secondary

MeasureTime frameDescription
Parenting Stress Index (PSI-Short Form)14 monthsValidated Questionnaire
Depression, Anxiety, Stress Scales (DASS)14 monthsValidated Questionnaire
Ages and Stages Questionnaire (ASQ)14 monthsASQ 4 months and ASQ 18 month version
Economic outcomes14 monthsStandardized report: include tax filing, receipt of social assistance, Canada Tax Benefit and provincial tax benefit take up, parental leave benefits uptake, and reported uptake of other financial supports

Countries

Canada

Contacts

Primary ContactMeta van den Heuvel, MD, PhD
mathilda.vandenheuvel@sickkids.ca+1416-813-7654

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026