Comprehensive Follow-up of Low Income Families. A Cluster-randomized Study

NCT ID: NCT03102775

Last Updated: 2022-09-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 884 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2016-01-01
• Study Completion Date: 2021-12-30

Brief Summary

In a cluster-randomized design, the study evaluates the effectiveness of a skill- training program for social work professionals with the aim of improving the follow-up of low income families within Norwegian labor and welfare services. While the Norwegian Labor and Welfare Administration are responsible for developing and implementing the program, researchers at Oslo and Akershus University College are conducting an independent evaluation of its effectiveness. By close follow up and better coordination of existing services the model aims to improve the financial and housing situation of the family, labor market attachment among the parents and the social inclusion of children. The cluster-randomized field experiment will take place over a 40-month period, involving 29 labor and welfare offices, 58 family coordinators and, based on estimations, 650 families. The research is funded by the Norwegian Labor and Welfare Administration.

The project is financed by Labour and Welfare Administration and led by Ira Malmberg-Heimonen, Faculty of Social Sciences. Participants in the project are: Ira Malmberg-Heimonen (project leader), Anne Grete Tøge, Krisztina Gyüre, Knut Fossestøl, Marianne Rugkåsa, Berit Bergheim and Tone Liodden.

Detailed Description

Comprehensive follow up of low-income families. A cluster-randomised study. Start 1.1 2016, Finnish 31.5 2019 Funding: Norwegian Labour and Welfare Administration

Collaboration:

Norwegian Labour and Welfare Administration

Labour and Welfare offices:

NAV Alna, NAV Asker, NAV Bergenhus, NAV Bjerke, NAV Bodø, NAV Bærum, NAV Elverum, NAV Fana, NAV Frogner, NAV Gamle Oslo, NAV Gjøvik, NAV Grunerløkka, NAV Halden, NAV Harstad, NAV Haugesund, NAV Horten, NAV Larvik, NAV Lerkendal, NAV Lillehammer, NAV Malda, NAV Moss, NAV Nordstrand, NAV Rana, NAV Ringsaker, NAV Sandefjord, NAV Sandnes, NAV Skedsmo, NAV St.Hanshaugen, NAV Værnes

International collaborators:

Professor Jukka Vuori, Finnish Institute of Occupational Health, Finland Professor Richard Price, University of Michigan, US Senior researcher Gayle Hamilton, MDRC New York, US Professor Bruce Thyer, Florida State University, US

The Norwegian Labour and Welfare Administration has developed a comprehensive model in order to improve the follow-up of low income families, and thereby decrease poverty and its consequences. By close follow up and better coordination of existing services the model aims to improve the financial and housing situation of the family, labour market attachment among the parents and the social inclusion of children.

Oslo and Akershus University College has been commissioned to evaluate the effects of the model between 2016 to 2019, with long-term follow-ups until 2021. The evaluation is conducted as a cluster-randomized controlled trial, where 29 labor and welfare offices have been randomly assigned to the experimental and control group. All 29 offices receive funding two family coordinators each in order to work with low-income families. While the experimental group offices implement the HOLF-model for the follow-up of low income families, the control group offices implement locally developed models.

Prior to randomization, a baseline questionnaire was collected from office leaders and family-coordinators, while baseline information on families is collected based on administrative data prior to randomization and questionnaire data after randomization, but prior taking part in family projects. Shorter-term effects will be measured + 12 months after baseline for families, and long-term effects will be measured based on administrative data fup to four years after baseline.

Researchers at Oslo and Akershus University College analyses the implementation processes and effects of the implementation through questionnaires, administrative data, observational data, qualitative interviews with leaders, family coordinators and families.

The project will contribute to increased knowledge about measures to improve the follow up of low income families. It will generate knowledge of whether the HOLF-model is more effective than locally developed follow-up models, knowledge important for the discussion of evidence-informed vs practice-based interventions.

The project is financed by Labor and Welfare Administration and led by Ira Malmberg-Heimonen, Faculty of Social Sciences.

Participants in the project are: Ira Malmberg-Heimonen (project leader), Anne Grete Tøge, Krisztina Gyüre, Knut Fossestøl, Marianne Rugkåsa, Berit Bergheim and Tone Liodden.

Conditions

Poverty

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Comprehensive follow-up program

15 offices have been randomized to experimental group. Experimental group offices implement the HOLF model developed by the Labor and Welfare Administration

Group Type: EXPERIMENTAL

Comprehensive follow-up program for low-income families

Intervention Type: OTHER

The main follow-up areas within the HOLF-program is to improve employment, housing, financial situation of the children. Beside manuals, family coordinators participate in five seminars with home-based tasks in between. Alo a comprehensive supervision structure is implemented that follow the train the trainer model. Coordinators ought to work directly with th families, but also with other actors important to the family, such as child-welfare and school. Coordinators should use specific tools improving the quality of the meetings, such as forms for preparation of meetings, being goal-focused and empowering.

Local family projects

14 offices have been randomized to control group. these implement local family projects. These are developed based on local practice needs

Group Type: ACTIVE_COMPARATOR

local family projects

Intervention Type: OTHER

The control group offices will develop local family projects, depending on local needs. they will also recruit and follow-up families.

Interventions

Comprehensive follow-up program for low-income families

The main follow-up areas within the HOLF-program is to improve employment, housing, financial situation of the children. Beside manuals, family coordinators participate in five seminars with home-based tasks in between. Alo a comprehensive supervision structure is implemented that follow the train the trainer model. Coordinators ought to work directly with th families, but also with other actors important to the family, such as child-welfare and school. Coordinators should use specific tools improving the quality of the meetings, such as forms for preparation of meetings, being goal-focused and empowering.

Intervention Type: OTHER

local family projects

The control group offices will develop local family projects, depending on local needs. they will also recruit and follow-up families.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

Each of the 29 offices identified a target group of families prior to randomization based on the following characteristics:

• reliance on social assistance as a main source of income at least for six of the latest 12 months, or
• received social assistance in addition to other types of welfare support at least for six of the latest 12 months, and
• have up to four children under the age of 16. Based on these criteria offices identified a total of 3201 families.

Exclusion Criteria

Families were excluded from participation in the project if:

• they participate in other comprehensive family projects
• one or both parents/caregivers are under treatment because of heavy substance abuse and/or serious mental disorders
• the child or the children are temporary placed in child welfare institutions or living with relatives or other caregivers.
• the family is under investigation by child welfare authorities, due to suspected child neglect or that a placement to new caregivers is in process.

Based on these criteria 320 families were excluded.

• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Norwegian Labour and Welfare Administration

OTHER

Sponsor Role: collaborator

Oslo Metropolitan University

OTHER

Sponsor Role: lead

Responsible Party

Ira Malmberg-Heimonen

Professor, Soc Sci dr.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

NAV Asker

Asker, , Norway

NAV Bærum

Baerum, , Norway

NAV Bergenhus

Bergen, , Norway

NAV Fana

Bergen, , Norway

NAV Bodø

Bodø, , Norway

NAV Elverum

Elverum, , Norway

NAV Gjøvik

Gjøvik, , Norway

NAV Halden

Halden, , Norway

NAV Harstad

Harstad, , Norway

NAV Haugesund

Haugesund, , Norway

NAV Horten

Horten, , Norway

NAV Larvik

Larvik, , Norway

NAV Lillehammer

Lillehammer, , Norway

NAV Skjedsmo

Lillestrøm, , Norway

NAV Rana

Mo i Rana, , Norway

NAV Moss

Moss, , Norway

NAV Alna

Oslo, , Norway

NAV Bjerke

Oslo, , Norway

NAV Frogner

Oslo, , Norway

NAV Gamle Oslo

Oslo, , Norway

NAV Gruneløkka

Oslo, , Norway

NAV Nordstrand

Oslo, , Norway

NAV St. Hanshaugen

Oslo, , Norway

NAV Ringsaker

Ringsaker, , Norway

NAV Sandefjord

Sandefjord, , Norway

NAV Sandnes

Sandnes, , Norway

NAV Madla

Stavanger, , Norway

NAV Lerkendal

Trondheim, , Norway

NAV Værnes

Værnes, , Norway

Countries

Norway

Study Documents

Document Type: final report (Norwegian)

View Document

Related Links

https://www.oslomet.no/forskning/forskningsprosjekter/holf-prosjektet

homepage for the study

Other Identifiers

48510 (nsd)

Identifier Type: -

Identifier Source: org_study_id