Behavior Problem Clinical Trial
Official title:
Targeting Child Mental Health and Household Poverty
Living in poverty has long-lasting negative effects on children's mental health and on their mental health in adulthood. Child poverty is very common, affecting 17% of Canadian children. Many low income families may not be getting all the social benefits they are entitled to receive. Increasingly, there are calls for primary care providers to ask all patients about poverty and to intervene if poverty is identified. However, it is not known if an intervention can improve children's health. This study will test the effect of having a Community Support Worker work with families of children age 2-5 years during a primary care visit to identify unmet financially related social needs (like food, housing or energy insecurity) and help families navigate the social service system. The Community Support Worker will help families complete income tax, apply for benefits and community supports to which they are entitled. The investigators will study the effect on child emotional and behavioural health, parent stress and depression and family income. Results from this study will help health care providers and policy makers understand whether this is an effective way to integrate the health and social service systems to improve child and parent health.
Status | Recruiting |
Enrollment | 30 |
Est. completion date | January 31, 2024 |
Est. primary completion date | January 31, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 2 Years to 5 Years |
Eligibility | Inclusion Criteria: - Children age 2-5y attending a routinely scheduled visit with their primary care provider. - - Parents respond affirmatively to the question "Do you ever have difficulty making ends meet at the end of the month?" - Informed parental consent. Only one child will be enrolled per family. For families with more than one child, we will enroll the youngest eligible child. Exclusion Criteria: - Child born prematurely (gestational age less than 32 weeks) - birthweight less than 2500g - Parent unable to communicate in English. - Parents without legal status in Canada. - Families already receiving support with system navigation, such as from a social worker or public health nurse. |
Country | Name | City | State |
---|---|---|---|
Canada | Queen's Family Health Team | Kingston | Ontario |
Lead Sponsor | Collaborator |
---|---|
Imaan Bayoumi | The Hospital for Sick Children |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Parenting Stress Index SF IV | A validated 36 item questionnaire in parents of children older than 1 month assessing child anxiety/mood (Internalizing Symptoms), relationships and attachment and parent, caregiver and family mental health and functioning. Scoring yields an overall stress score and sub-scores for Parental Distress, Parent-Child Dysfunctional Interaction and Difficult Child | 6 and 12 months after enrollment | |
Other | Recruitment and Retention Rate | Proportion of potential participants who are eligible and enrolled will be tracked. Proportion of individuals with complete data collection at 6 and 12 months will be determined to calculate retention rate. | 12 months after enrollment | |
Primary | Strengths and Difficulties Questionnaire, Total Difficulties Score | A validated 25 item mental health questionnaire for children 2-17 years old on 5 domains (emotional problems, conduct problems, hyperactivity/inattention, peer problems and a prosocial scale). The first 4 scales are combined to give a Total Difficulties Score. Items in the first four scales are assigned a score of 0-2 (0 indicates 'Not True', 1 indicates 'Somewhat True' and 2 indicates 'Certainly True'). Reverse scoring is used for the Prosocial scale. Subscale totals range from 0-10 and the Total Difficulties Score can range from 0-40. Higher scores reflect greater difficulties for the Difficulties scores, and greater prosocial behaviour for the Prosocial score. | 6 months after enrollment. | |
Secondary | Strengths and Difficulties Questionnaire, Total Difficulties Score | A validated 25 item mental health questionnaire for children 2-17 years old on 5 domains (emotional problems, conduct problems, hyperactivity/inattention, peer problems and a prosocial scale). The first 4 scales are combined to give a Total Difficulties Score. Items in the first four scales are assigned a score of 0-2 (0 indicates 'Not True', 1 indicates 'Somewhat True' and 2 indicates 'Certainly True'). Reverse scoring is used for the Prosocial scale. Subscale totals range from 0-10 and the Total Difficulties Score can range from 0-40. Higher scores reflect greater difficulties for the Difficulties scores, and greater prosocial behaviour for the Prosocial score. | 12 months after enrollment |
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