Screening for Poverty And Related Social Determinants to Improve Knowledge of and Links to Resources (SPARK)

NCT ID: NCT04461080

Last Updated: 2024-06-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-31

Study Completion Date

2025-12-31

Brief Summary

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The SPARK RCT will test the impact of engagement with a Community Health Worker who is embedded in interprofessional primary care teams on change in estimated annual income at 6 months for people living in poverty.

Detailed Description

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Population: Patients seen by interprofessional primary care teams who are living on estimated annual incomes that are below the Canadian Low-Income Cut-Off (LICO)

Intervention: A Community Health Worker who implements an intervention that addresses a number of social needs, including improving income security, access to prescription medications, access to housing, reducing social isolation, paying for utilities and access to transportation

Control: Information on community resources on social needs

Outcome: Change in estimated annual income between baseline and at 6 months

Conditions

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Poverty

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

parallel, two-arm 1:1 individual participant allocation randomized controlled trial
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Integrated care promoter

Patients who are randomized to the intervention group will be connected with a trained Community Health Worker (CHW). The CHW is a peer with lived-experience of system navigation that could have a background in social work, health promotion or community work. All CHWs will receive 2 weeks of training to assist participants with social needs.

Group Type EXPERIMENTAL

Community Health Worker

Intervention Type BEHAVIORAL

Trained Community Health Worker

Information on community resources

Patients randomized to the control group will receive a list of tailored written information.

Group Type ACTIVE_COMPARATOR

Community Health Worker

Intervention Type BEHAVIORAL

Trained Community Health Worker

Interventions

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Community Health Worker

Trained Community Health Worker

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 18+ years old AND live in a household with an income below the Low-Income Cut-OFF AND agree to receive assistance with social needs

Exclusion Criteria

* Has worked with a similar CHW or intervention in the past 1 year.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Memorial University of Newfoundland

OTHER

Sponsor Role collaborator

Dalhousie University

OTHER

Sponsor Role collaborator

University of Manitoba

OTHER

Sponsor Role collaborator

University of Saskatchewan

OTHER

Sponsor Role collaborator

Unity Health Toronto

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Andrew D Pinto, MD MSc

Role: PRINCIPAL_INVESTIGATOR

University of Toronto

Central Contacts

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Antonio Cassano, BA

Role: CONTACT

416-864-6060 ext. 40218

Sabrina Aimola, MPH

Role: CONTACT

416-864-6060 ext. 7819

Related Links

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https://upstreamlab.org/project/spark/

Website for the SPARK Study

Other Identifiers

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UpstreamLab2020-1

Identifier Type: -

Identifier Source: org_study_id

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