Comprehensive Follow-up of Low Income Families. A Cluster-randomized Study (CRCT-HOLF)
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|ClinicalTrials.gov Identifier: NCT03102775|
Recruitment Status : Active, not recruiting
First Posted : April 6, 2017
Last Update Posted : September 9, 2020
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.
|Condition or disease||Intervention/treatment||Phase|
|Poverty||Other: Comprehensive follow-up program for low-income families Other: local family projects||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||884 participants|
|Intervention Model:||Single Group Assignment|
|Intervention Model Description:||Cluster-randomized study. After baseline at office leader and family coordinator level as well as administrative data for families in target group, offices have been randomized to experimental and control group offices. The HOLF-model is implemeted in experimental group offices, while control group offices implement local family projects. Effects on families are analysed on the four main follow-up areas: employment, housing, financial situation and the social situation of the children.|
|Masking Description:||While the leaders and family-coordinators are aware of whether the office has been randomized to experimental or control group offices, the families are masked for this information. they are only aware of participating in a family project, but not if experimental or control condition.|
|Official Title:||A Cluster-randomised Study Evaluating the Effectiveness of a Skill-training Programme for Social Work Professionals for Improving the Follow-up of Low Income Families Within Norwegian Welfare Services|
|Actual Study Start Date :||January 1, 2016|
|Estimated Primary Completion Date :||December 30, 2021|
|Estimated Study Completion Date :||December 30, 2021|
Experimental: 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
Other: 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.
Active Comparator: Local family projects
14 offices have been randomized to control group. these implement local family projects. These are developed based on local practice needs
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.
- Changes in the employment situation from baseline to follow-ups [ Time Frame: T2 (+12 months after baseline), T3 (+24 months) T4 (+36 months) -T5 (+48 months) ]Percentage employed
- Change in the housing situation between baseline and follow-up [ Time Frame: T2 (+12 months after baseline) ]Objective and subjective estimations of housing quality
- Change in the financial situation between baseline and follow-ups [ Time Frame: T2 (+12 months after baseline), T3 (+24 months) T4 (+36 months) T5 (+48 months) ]Income per month at follow-ups
- Change in children's situation from baseline to follow-up [ Time Frame: T2 (+12 months) ]Participation in kindergarden and other free-time activities
- Change in professional competence between baseline and follow-up [ Time Frame: T2 (+18 months) ]Family coordinators professional competence. A six-item scale
- Change in the level of working alliance between baseline and follow-up [ Time Frame: T2 (+18 months) ]Working Alliance Inventory Scale (short version)
- Changes in leaders competence between baseline and follow-up [ Time Frame: T2 (+18 months) ]Scale measuring office leaders competence in the follow-up of low-income families.
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Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03102775