Ignite Creation Date:
2024-05-06 @ 7:18 PM
Last Modification Date:
2024-10-26 @ 3:04 PM
Study NCT ID:
NCT05963763
Status:
WITHDRAWN
Last Update Posted:
2024-03-29
First Post:
2023-07-19
Brief Title:
Economic Mobility Pilot
Sponsor:
Boston Medical Center
Organization:
Boston Medical Center
Study Overview
Official Title:
Pathways to Economic Mobility Pilot
Status:
WITHDRAWN
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Due to a shift in organizational factors this study will not be conducted
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Research on economic mobility barriers consistently demonstrates that lack of access to jobs that pay living wages and to asset building opportunities coupled with cliff effects across public assistance programs families losing multiple benefits at the same time when their incomes increase traps families in a cycle of poverty and food insecurity and as a result negatively impacts their financial well-being and physical and mental health
The investigators will explore the extent to which an Economic Mobility Pilot improves the financial well-being physical and mental health and reduces the social risks of study participants Study participants will be eligible consented Boston Medical Center BMC employees
The intervention developed for this study consists of six months of coaching session offered by the Career Navigator Participant will receive support on career and financial through services such as career pathway navigation employee benefit maximization financial literacy wealth building resources and referrals
A step wedge design will be implemented with participants randomized in two groups Group 1 and Group 2 - intervention on different timeframe analysis of the difference and similarities between groups pre- and post-survey The qualitative component will include focus group of participants to provide information on the employees perception of the intervention received barriers to adherence and facilitators and semi- structured interviews of the employer leadership to help assess the barriers and facilitators of the pilot
A primary aim of this research is to monitor changes in economic mobility and financial well-being Additional aims are to investigate changes in household hardships and employee employee depressive symptoms and their childs health The investigators will examine whether the participants in the intervention group compared to those before receiving the intervention are more likely to
Increase employee retention and self-reported financial well-being
Improve self-reported food security
Improve housing stability energy security childcare access andor health care access
Improve employee self-reported physical health status andor reduce self-reported anxiety and depressive symptoms
Improve employee-reported physical health status of the employees child
Cost of delivery of the intervention
Increased family income as result of this intervention
The investigators will explore the extent to which an Economic Mobility Pilot improves the financial well-being physical and mental health and reduces the social risks of study participants Study participants will be eligible consented Boston Medical Center BMC employees
The intervention developed for this study consists of six months of coaching session offered by the Career Navigator Participant will receive support on career and financial through services such as career pathway navigation employee benefit maximization financial literacy wealth building resources and referrals
A step wedge design will be implemented with participants randomized in two groups Group 1 and Group 2 - intervention on different timeframe analysis of the difference and similarities between groups pre- and post-survey The qualitative component will include focus group of participants to provide information on the employees perception of the intervention received barriers to adherence and facilitators and semi- structured interviews of the employer leadership to help assess the barriers and facilitators of the pilot
A primary aim of this research is to monitor changes in economic mobility and financial well-being Additional aims are to investigate changes in household hardships and employee employee depressive symptoms and their childs health The investigators will examine whether the participants in the intervention group compared to those before receiving the intervention are more likely to
Increase employee retention and self-reported financial well-being
Improve self-reported food security
Improve housing stability energy security childcare access andor health care access
Improve employee self-reported physical health status andor reduce self-reported anxiety and depressive symptoms
Improve employee-reported physical health status of the employees child
Cost of delivery of the intervention
Increased family income as result of this intervention
Detailed Description:
During the COVID-19 pandemic longstanding economic inequities have been exacerbated for people with low incomes in frontline and service sector jobs These inequities are manifested downstream in the form of food insecurity FI and related health consequences Research on economic mobility barriers consistently demonstrates that lack of access to jobs that pay living wages and to asset building opportunities coupled with cliff effects across public assistance programs families losing multiple benefits at the same time when their incomes increase traps families in a cycle of poverty and economic hardships and as a result negatively impacts their physical and mental health This study proposes to explore the extent to which an Economic Mobility Pilot improves the financial well-being physical and mental health and reduces the social risks of study participants
As part of Boston Medical Center BMC commitment to advancing its mission to promote equity as an anchor institution in the community the health system seeks to identify strategies that increase employment and career building opportunities for members of marginalized communities served by BMC The Boston Collaborative plays a leading role in advancing these goals and has deeply engaged community-led organizations and members as well as local and hospital leadership to identify economic mobility pathways and place-based solutions that are responsive to the needs of specific communities
Social capital the connections to people and information increases individuals overall well-being and ability to both give and receive a range of supports that promote positive outcomes for caregivers and their children By providing social capital financial resources and benefit maximization this pilot will maximize assistance benefit improve financial well-being and job retention The participants may receive additional services which could increase quality of life
Social capital will be increased in participants through the intervention which is six months of tailored coaching session offered by the Career Navigator The Career Navigator will meet either in person or online with the participant and offer support with career planning and development employee benefit maximization financial well-being and management flex fund access and other resources
The quantitative component of this pilot will help the investigators better understand barriers and facilitators of economic mobility from the employee and employer perspectives The participant employees will help with lessons learned through the development and implementation of the pilot participant adherence and challenges The participant employer leaders will help with best practices challenges adaptation and innovations
About 60 Boston Medical Center BMC employees living in one of the following seven zip codes 02119 02121 02122 02124 02125 02126 02130 will be invited to participate in this study
Survey instruments consist of valid and reliable scales which will be used to collect information on demographics financial well-being economic mobility food security housing security health care utilization child health outcomes child development employee physical and mental health See attached survey instrument for detailed research questions
Surveys conducted after baseline will consist of questions regarding social determinants of health financial well-being and economic mobility Will not include variables such as demographics that would remain unchanged from one time to the next
The baseline survey contains questions related to demographics food security housing stability and participant physical and mental health child health childcare participation in programs financial well-being and economic mobility
Between data collection periods baseline 3 6 9 12 and 18 months of enrollment subjects will be working with the Career Navigator who will build with each participant tools and resources customized to their needs The intervention with the Career Navigator will have a total duration of 6 months for each of the study arms Group 1 and Group 2
Baseline the 6-month 12-month and the 18-month all individuals will be approached to participate in a survey At Baseline the Group 1 starts the intervention At the 6-month Group 1 finalizes intervention meanwhile Group 2 starts intervention which finalizes at 12-month At the 3- and the 9-month all participants will be approached for qualitative focus groups and a quarterly check-in At the 18-month all the individuals will be approached for the final survey
As part of Boston Medical Center BMC commitment to advancing its mission to promote equity as an anchor institution in the community the health system seeks to identify strategies that increase employment and career building opportunities for members of marginalized communities served by BMC The Boston Collaborative plays a leading role in advancing these goals and has deeply engaged community-led organizations and members as well as local and hospital leadership to identify economic mobility pathways and place-based solutions that are responsive to the needs of specific communities
Social capital the connections to people and information increases individuals overall well-being and ability to both give and receive a range of supports that promote positive outcomes for caregivers and their children By providing social capital financial resources and benefit maximization this pilot will maximize assistance benefit improve financial well-being and job retention The participants may receive additional services which could increase quality of life
Social capital will be increased in participants through the intervention which is six months of tailored coaching session offered by the Career Navigator The Career Navigator will meet either in person or online with the participant and offer support with career planning and development employee benefit maximization financial well-being and management flex fund access and other resources
The quantitative component of this pilot will help the investigators better understand barriers and facilitators of economic mobility from the employee and employer perspectives The participant employees will help with lessons learned through the development and implementation of the pilot participant adherence and challenges The participant employer leaders will help with best practices challenges adaptation and innovations
About 60 Boston Medical Center BMC employees living in one of the following seven zip codes 02119 02121 02122 02124 02125 02126 02130 will be invited to participate in this study
Survey instruments consist of valid and reliable scales which will be used to collect information on demographics financial well-being economic mobility food security housing security health care utilization child health outcomes child development employee physical and mental health See attached survey instrument for detailed research questions
Surveys conducted after baseline will consist of questions regarding social determinants of health financial well-being and economic mobility Will not include variables such as demographics that would remain unchanged from one time to the next
The baseline survey contains questions related to demographics food security housing stability and participant physical and mental health child health childcare participation in programs financial well-being and economic mobility
Between data collection periods baseline 3 6 9 12 and 18 months of enrollment subjects will be working with the Career Navigator who will build with each participant tools and resources customized to their needs The intervention with the Career Navigator will have a total duration of 6 months for each of the study arms Group 1 and Group 2
Baseline the 6-month 12-month and the 18-month all individuals will be approached to participate in a survey At Baseline the Group 1 starts the intervention At the 6-month Group 1 finalizes intervention meanwhile Group 2 starts intervention which finalizes at 12-month At the 3- and the 9-month all participants will be approached for qualitative focus groups and a quarterly check-in At the 18-month all the individuals will be approached for the final survey
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None