Choosing Healthful Interventions
|First Received Date ICMJE||September 28, 2007|
|Last Updated Date||April 5, 2012|
|Start Date ICMJE||September 2007|
|Primary Completion Date||Not Provided|
|Current Primary Outcome Measures ICMJE||Not Provided|
|Original Primary Outcome Measures ICMJE||Not Provided|
|Change History||Complete list of historical versions of study NCT00537706 on ClinicalTrials.gov Archive Site|
|Current Secondary Outcome Measures ICMJE||Not Provided|
|Original Secondary Outcome Measures ICMJE||Not Provided|
|Current Other Outcome Measures ICMJE||Not Provided|
|Original Other Outcome Measures ICMJE||Not Provided|
|Brief Title ICMJE||Choosing Healthful Interventions|
|Official Title ICMJE||Engaging Low-Income Urban Residents in Prioritizing Interventions to Address Socio-Economic Determinants of Health|
This study will identify what programs, along with traditional healthcare, low-income urban residents would choose to improve their health. The information is intended as a step toward designing public policies aimed at improving the health of low-income populations in the United States.
Residents of Washington, D.C., who are between 18 and 64 years of age and are in a specified income bracket may be eligible for this study.
Participants take part in audio-taped group discussions led by a trained facilitator. During a 3 hour session, participants engage in 4 cycles of choosing benefits. Participants select benefits as follows:
There is a growing recognition that health status is only partially a function of health care. Socio-economic determinants of health, particularly income status and education, have significant effects on health status and outcomes. In light of these socio-economic determinants, several governments in the Organization for Economic Cooperation and Development (OECD) are adopting evidence-based policy recommendations for improving the health of their populations. Britain has conducted research that has been path breaking in identifying these determinants of health and in planning to address them. Canada has similar plans.
The goal of this project is to explore the possibility of designing public policies aimed at improving the health of urban low-income populations in the US. Toward this end, this project will engage health policy experts and low-income residents in an exploratory exercise aimed at designing an affordable, evidence-based intervention program targeted at addressing socio-economic factors and reducing health disparities among low income residents of Washington, DC. A three step process will be carried out:
Several hundred low-income adults recruited from clinical and community settings will participate in this engagement process through small group exercises in which a facilitated discussion will take place using a previously tested group decision tool, REACH (Reaching Economic Alternatives that Contribute to Health). Data pertaining to participants' socio-demographic characteristics, attitudes toward health, and preferences for possible interventions will be collected anonymously. Group discussions will be audio-taped. Data will be analyzed quantitatively and qualitatively to determine preferences for various interventions and their association with socio-demographic characteristics. Participants will be financially compensated with $75 for their participation.
RISKS AND BENEFITS:
Given the anonymous nature of the data collection, we anticipate no risks other than those entailed in discussion of poor health outcomes associated with lack of insurance and low income. Participants may benefit from learning about factors that improve health status.
OUTCOME AND MEANING TO THE FIELD:
Study results will yield information about benefits that are of utmost priority to low income urban residents. This is unique information that may contribute to efforts to find affordable strategies for ameliorating the socio-economic determinants of health for low-income urban population in the US.
|Study Type ICMJE||Observational|
|Study Design ICMJE||Time Perspective: Prospective|
|Target Follow-Up Duration||Not Provided|
|Sampling Method||Not Provided|
|Study Population||Not Provided|
|Intervention ICMJE||Not Provided|
|Study Group/Cohort (s)||Not Provided|
|Publications *||Danis M, Lovett F, Sabik L, Adikes K, Cheng G, Aomo T. Low-income employees' choices regarding employment benefits aimed at improving the socioeconomic determinants of health. Am J Public Health. 2007 Sep;97(9):1650-7. Epub 2007 Jul 31.|
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
|Recruitment Status ICMJE||Completed|
|Estimated Enrollment ICMJE||442|
|Completion Date||October 2011|
|Primary Completion Date||Not Provided|
|Eligibility Criteria ICMJE||
Low-income male and female adults will be recruited as study participants.
Children 18 years and younger are ineligible.
|Ages||18 Years to 64 Years|
|Accepts Healthy Volunteers||No|
|Contacts ICMJE||Contact information is only displayed when the study is recruiting subjects|
|Location Countries ICMJE||United States|
|NCT Number ICMJE||NCT00537706|
|Other Study ID Numbers ICMJE||999907224, 07-CC-N224|
|Has Data Monitoring Committee||Not Provided|
|Responsible Party||Not Provided|
|Study Sponsor ICMJE||National Institutes of Health Clinical Center (CC)|
|Collaborators ICMJE||Not Provided|
|Information Provided By||National Institutes of Health Clinical Center (CC)|
|Verification Date||October 2011|
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