Families First Edmonton (FFE)

NCT ID: NCT00705328

Last Updated: 2016-04-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2
• Total Enrollment: 2400 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2005-12-31
• Study Completion Date: 2011-06-30

Brief Summary

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

Conditions

Low-Income Population

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: FACTORIAL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: SINGLE

Study Groups

1

Group Type: EXPERIMENTAL

Primary Health Care Model (PRMHLTH)

Intervention Type: BEHAVIORAL

Primary health care service delivery

2

Group Type: EXPERIMENTAL

Recreation Coordination Model (REC)

Intervention Type: BEHAVIORAL

Recreation coordination service delivery

3

Group Type: EXPERIMENTAL

Comprehensive Model (COMP)

Intervention Type: BEHAVIORAL

a comprehensive service delivery model consisting of PRMHLTH plus REC.

Interventions

Primary Health Care Model (PRMHLTH)

Primary health care service delivery

Intervention Type: BEHAVIORAL

Recreation Coordination Model (REC)

Recreation coordination service delivery

Intervention Type: BEHAVIORAL

Comprehensive Model (COMP)

a comprehensive service delivery model consisting of PRMHLTH plus REC.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Participant families will

1. have received low-income assistance either in the form of

1. Alberta Works Income Support

2. Alberta Child Health Benefits,

3. Alberta Works Adult Health Benefits

4. participating in City of Edmonton Leisure Access Program

5. living in Capital Region Housing

2. have a child or children between 0 and 12 years of age

3. reside in city of Edmonton

4. be able to provide signed consent

Exclusion Criteria

• Potential study participants will be excluded if they refuse to give informed consent to be interviewed
• are unable to read and write English and an appropriate translator is not available
• have plans to move outside the region
• are unwilling to participate for the entire follow-up period

• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Alberta

OTHER

Sponsor Role: lead

Responsible Party

Maria Mayan

Vice Provost - Health Sciences Council; Professor - Nursing

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Jane Drummond, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Alberta

Locations

Alberta Human Resources and Employment

Edmonton, Alberta, Canada

Countries

Canada

References

Browne G, Byrne C, Roberts J, Gafni A, Whittaker S. When the bough breaks: provider-initiated comprehensive care is more effective and less expensive for sole-support parents on social assistance. Soc Sci Med. 2001 Dec;53(12):1697-710. doi: 10.1016/s0277-9536(00)00455-x.

Reference Type: BACKGROUND

PMID: 11762894 (View on PubMed)

Drummond J, Wiebe N, So S, Schnirner L, Bisanz J, Williamson DL, Mayan M, Templeton L, Fassbender K; Community-University Partnership for the Study of Children, Youth, and Families. Service-integration approaches for families with low income: a Families First Edmonton, community-based, randomized, controlled trial. Trials. 2016 Jul 22;17:343. doi: 10.1186/s13063-016-1444-8.

Reference Type: DERIVED

PMID: 27449358 (View on PubMed)

Drummond J, Schnirer L, So S, Mayan M, Williamson DL, Bisanz J, Fassbender K, Wiebe N. The protocol for the Families First Edmonton trial (FFE): a randomized community-based trial to compare four service integration approaches for families with low-income. BMC Health Serv Res. 2014 May 19;14:223. doi: 10.1186/1472-6963-14-223.

Reference Type: DERIVED

PMID: 24885729 (View on PubMed)

Other Identifiers

137444

Identifier Type: -

Identifier Source: org_study_id