Social Determinants of Health Clinical Trial
— IGNITEOfficial title:
IGNITE (addressInG iNcome securITy in Primary carE) Study: A Pragmatic Randomized Controlled Trial
Verified date | September 2021 |
Source | Unity Health Toronto |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Social processes that impact the health of individuals have been labeled the social determinants of health (SDOH). These are "the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels". Perhaps the most important SDOH is income security, a person's actual, perceived and expected income. Our objective is to carry out a pragmatic randomized controlled trial that evaluates the impact of an income-focused health promoter.
Status | Active, not recruiting |
Enrollment | 284 |
Est. completion date | January 31, 2022 |
Est. primary completion date | July 9, 2021 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Age =18 - Lives within the Metropolitan catchment areas - Lives in a postal code that is in the lowest income quintile, or has had a billing code specific to social assistance forms billed ever billed, or has been identified as low income based on reported family income and number of people supported by income on the "Health Equity Data" - Patient of the Family Health team including those that are: rostered, non-rostered, refugee claimants (IFH) or uninsured seen in the FHT. - Verified by the patient's family physician as living in poverty, a good candidate for the intervention, and the patient's family physician agrees to have a letter submitted with his/her name attached. Exclusion Criteria: - Patients who have previously worked with the Income Security Health Promoter, or are part of households of people who have previously worked with the Income Security Health Promoter. - Patients who have no available contact information for mailing. - Patients of any member of the investigative team. |
Country | Name | City | State |
---|---|---|---|
Canada | St. Michael's Hospital | Toronto | Ontario |
Lead Sponsor | Collaborator |
---|---|
Unity Health Toronto |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in monthly income from baseline to 6 months after intervention | Change in monthly income from baseline to 6 months after intervention | 6 months | |
Secondary | quality of life: Change in scores on the WHO QoL-BREF and EQ-5D-5L | Change in scores on the WHO QoL-BREF and EQ-5D-5L | 12 months | |
Secondary | quality of life (overall health, mental health, physical health): change in units on a measured scale of EQ VAS | changes in units on a measured scale | 12 months | |
Secondary | community integration: Change in scores on the Community Integration Scale | Change in scores on the Community Integration Scale | 12 months | |
Secondary | financial literacy: Change in scores on the Canadian Centre for Financial Literacy Personal Financial Literacy Quiz | Change in scores on the Canadian Centre for Financial Literacy Personal Financial Literacy Quiz | 12 months | |
Secondary | co-morbidities and medication access | changes to scores relating to comorbidities and medication access | 12 months | |
Secondary | other social determinants | changes scores relating to housing and employment | 12 months | |
Secondary | food security | changes in scores on Health Canada food security module | 12 months |
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