Low-Income Population Clinical Trial
Official title:
Families First Edmonton: The Comparative Effects and Expense of Four Models of Augmenting Services for Low-income Families
This study is designed to provide clear evidence for health and social policymakers about
the influence of alternate service-delivery models and practices on enhancing and sustaining
low-income family linkages to available services. A challenge faced by Canadian health and
social service providers is to promote health for low-income families in a proactive and
cost-effective manner. Families with low incomes experience an array of health and social
barriers that compromise their resilience, lead to negative family outcomes, and act as
barriers to available services. Family barriers are compounded by service delivery barriers
and result in reduced opportunities for effective, primary-level services and in increased
use of secondary-level services (e.g., emergency room visits, emergency intervention, police
involvement), with the obvious increase in costs. Randomized-controlled trials are rare in
community-based intervention research.
This Families First Edmonton randomized-controlled trial (RCT) will enable testing of
innovative service-delivery models and provide an opportunity for evidence-based decision
making for Canadian policy makers. Critical information will be provided about
1. optimizing cost effectiveness for public systems
2. the long-term effects on the health of low-income family members
3. mechanisms that intervene between the interventions and their effect on the health of
low-income family members
4. building on previous research and on community-based initiatives
5. promoting knowledge transfer
n/a
Allocation: Randomized, Intervention Model: Factorial Assignment, Masking: Single Blind (Investigator), Primary Purpose: Health Services Research
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