The Impact of Family Financial Support on Cognition

Study Overview
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Brief Summary
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The investigators have partnered with financial coaching organizations to establish what the investigators have termed a Medical-Financial Partnership (MFP) that offers financial coaching to improve financial and mental health. The investigators will evaluate the MFP's impact on cognition using the Patient Reported Outcomes Measurement Information System (PROMIS) Cognition Short form 8a.

Detailed Description
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Financial coaching is a new tool in the field of community development, but it has already demonstrated significant financial impact in a number of studies, including one randomized trial conducted by the Urban Institute. Financial coaching improves participant financial literacy, budgeting, saving for financial emergencies, and debt level. The investigators' project will help clinicians and the field of community economic development understand health and well-being through a new economic lens and assess the health-related impacts of the emerging field of financial coaching. The investigators have partnered with financial coaching organizations to establish what they have termed a Medical-Financial Partnership (MFP) that offers financial coaching to improve financial and mental health. The investigators will evaluate the MFP's impact on cognition using the Patient Reported Outcomes Measurement Information System (PROMIS) Cognitive Abilities Short Form. Community-based participants will be recruited from South Los Angeles and randomized to receive either monthly financial coaching plus access to referral for social services (intervention) or access to referral for social services alone (control). Inclusion criteria include having dependents under age 18, having some form of income, and having a tax identification number (social security number or Individual tax identification number). Participants will be surveyed quarterly regarding their cognition using the PROMIS Cognitive Abilities Short Form 8-item survey.

Official Title
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The Impact of Family Financial Support on Cognition

Conditions
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Impaired Cognition

Intervention / Treatment
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* Behavioral: Financial Coaching
* Behavioral: Access to Referrals to Social Services


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants will be included if they are caregivers/parents of one or more dependents, have some form of income, and have a tax identification number. Exclusion Criteria: Inability to take part in financial coaching due to disability or primary language other than English or Spanish.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Financia Coaching & Social Services Referrals<br>Enrollment in one-to-one financial coaching intervention to support savings, income, and credit while reducing debt using available tools in the community development field. | Behavioral: Financial Coaching<br>* One-to-one financial coaching intervention to support savings, income, and credit while reducing debt using available tools in the community development field.<br>Behavioral: Access to Referrals to Social Services<br> <br> |
| Active Comparator: Social Services<br>Enrollment in the control arm offers access to social services referrals. | Behavioral: Access to Referrals to Social Services<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cognition | Cognitive abilities will be assessed using the PROMIS Cognitive Abilities Survey short form 8a | Up to one year (if possible) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cognition, Financial Coaching, Social Determinants of Health, Socioeconomic Status