Clinical trial NCT05609188: Black Economic Equity Movement
Official title: Increasing Financial and Health Equity Among Low Income Black Youth and Young Adults
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Mental Health Wellness 1
Health Care Utilization
Financial Hardship
Education, Professional
Lead sponsor: University of California, San Francisco
Sponsor class: OTHER
Collaborators: name: Oregon Health and Science University
name: MyPath
name: National Institutes of Health (NIH)
First posted: 2022-11-08
Enrollment: 300
Sex: ALL
Minimum age (years): 18
Maximum age (years): 24
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: The BEEM project is a randomized controlled crossover trial in which 300 low-income Black Emerging Adults (BEA) (aged 18-24) are allocated to receive a $500/month Guaranteed Income (GI) either during the first twelve months of follow-up (phase I) or to receive GI in the second 12 months of a total of 24 months follow-up (phase II). Throughout the study all participants will be offered enrollment in financial capability programs (i.e., peer learning circles and financial coaching) to bolster GI effectiveness.
Primary purpose: PREVENTION

Brief summary: The primary goal is to understand the potential impacts of Guaranteed Income (GI) on Black youth and young adults' financial, emotional, and physical well-being. The main question it aims to answer is: What are the impacts of GI on Black young adults' investments in their future, mental health and unmet mental and sexual/reproductive health service needs? Participants will receive guaranteed income for 12 months and will be offered enrollment in financial capability programs.

Detailed description: The BEEM project is a randomized controlled crossover trial in which 300 low-income Black Emerging Adults (BEA) (aged 18-24) are allocated to receive a $500/month Guaranteed Income (GI) either during the first twelve months of follow-up (phase I) or to receive GI in the second 12 months of a total of 24 months follow-up (phase II). All participants will be offered enrollment in financial capability programs (including peer learning circles and individual financial coaching) to bolster GI effectiveness and will also receive a periodic cell phone-based text messages to ensure that BEA with unmet health service needs receive referrals. The investigators hypothesize that this intervention will increase BEA's investment in their future (education, employment training), improve mental health (depression, anxiety), and reduce unmet mental health and sexual/reproductive health service needs.

Eligibility criteria: Inclusion Criteria:

* Between 18-24 years of age at enrollment
* Self-Identify as African American or Black
* Live in a low-income housing tax credit (LIHTC) qualified census tract (QCT) in San Francisco or Oakland. Youth who are homeless or marginally housed in San Francisco and Oakland are also eligible; those who are marginally housed will need a letter from a youth agency that can affirm their marginal housing status.
* Must not be currently enrolled in another GI project
* Must have lived in the US for at least 3 years.
* Must provide informed consent

Exclusion Criteria:

* Participation in another GI program at the time of enrollment
* Lived in the United States for less than 3 years
* Have plans to permanently leave the Bay Area
* Being under the influence of alcohol or other substances at the time of enrollment.

Primary outcomes:
measure: Proportion of Participants with a Major or Probable Major Depressive Episode
timeFrame: 12 months of follow-up
measure: Proportion of Participants Reporting Investments in the future
timeFrame: 12 months of follow-up
measure: Proportion of Participants with Unmet Mental Health Service Needs
timeFrame: 12 months of follow-up
measure: Unmet Sexual and Reproductive Health Service Needs
timeFrame: 12 months of follow-up
Secondary outcomes:
measure: Savings: Proportion of participants with saving to cover a $400 expense
timeFrame: Baseline and 12 months
measure: Proportion of Participants with Debt
timeFrame: Baseline and 12 months
measure: Credit score
timeFrame: Baseline and 12 months
measure: Proportion of participants with Generalized Anxiety
timeFrame: 12 months of follow-up
measure: Hope for the future
timeFrame: Baseline and 12 months
measure: Financial Capability Score
timeFrame: Baseline and 12 months
Other outcomes:
Locations:
city: San Francisco
country: United States
facility: University of California San Francisco
state: California
Study officials:
affiliation: University of California, San Francisco
name: Sheri A Lippman, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Oregon Health & Science University-Portland State University School of Public Health
name: Marguerita Lightfoot, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: MyPath
name: Margaret Libby, MSW
role: PRINCIPAL_INVESTIGATOR
References: