- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05612685
Healthcare Providers as Trusted Messengers to Increase Receipt of Tax Credits Among Low-income Families
Study Overview
Status
Intervention / Treatment
Detailed Description
Aims: The purpose of this study is to pilot test the feasibility, acceptability, and preliminary efficacy of healthcare provider referrals to a tax filing app within parental-child health programs whether such referrals can increase receipt of tax credits among low-income parents. The study will use a single-group, pre/posttest design. The primary outcome is feasibility, defined as whether or not participants filed taxes after referral. Secondary outcomes are acceptability of the app and preliminary efficacy of the app on improved parent and child health. Specific aims are to:
- assess frequency of tax filing among parents referred to a tax filing app (Primary outcome/Feasibility)
- examine the acceptability of a tax filing app from the perspective of users (Secondary outcome/Acceptability), and
- explore pre/posttest changes to parent and child health, child development, and healthcare utilization measures for users the app after referral (Secondary outcome/Preliminary efficacy).
Design: This pilot study will use a single-group, pre/post-test design to assess the feasibility, acceptability, and preliminary efficacy of healthcare provider referrals to a tax filing app.
Intervention: Referrals to a tax filing app
Setting: The setting for this study is maternal/child health programs and clinics in Los Angeles.
Sample: The target population is parents making less than $75,000 per year in income . Parents will be eligible to participate in the study if they are within the income threshold, have one or more children under six years of age, speak English or Spanish, have access to an internet-enabled device (smart phone or tablet), and have a valid tax filing ID (SSN or ITIN). Parents will be ineligible if they have already filed taxes during the study period or are experiencing an acute mental health crisis (e.g., suicidality). We focus on children under six years of age because this is a critical and sensitive developmental window when interventions have potential for outsized impact on child health.
Procedures: Parents will be recruited during program visits/encounters early in tax season in 2023. Those that provide informed consent to participate in the study will complete a baseline survey and receive the assigned intervention (referral to a tax filing app) the same day or within the same week of their program visit. Parents will complete a follow-up survey to assess outcome measures after they receive tax refunds. A second follow-up survey will be sent 3-6 months later (depending on time of filing, and average time of receipt of tax credit this season) to assess medium-term outcomes.
Outcomes. We will assess the following outcomes. The primary study outcome is feasibility; acceptability and preliminary health efficacy are secondary outcomes.
Feasibility: Self-reported tax filing (items developed for this study) Acceptability: Health app acceptability measure (Chen et al., 2022) Preliminary efficacy: We will assess pre/posttest changes in the following health-related measures as indicators of preliminary efficacy: 1a) parent health (PROMIS® Scale v1.2 - Global Health [Hays et al., 2009]; Patient Health Questionnaire- 2 [Kroenke et al., 2003); Perceived Stress Scale [Cohen et al., 1994]; PROMIS®-29 Profile v2.1 [Hays et al., 2018]) and 1b) child health (PROMIS® Early Childhood Parent Report Global Health [Forrest et al., 2014]); 2) child development (PEDS-DM [Pritchard et al., 2012]); and 3) and 4) healthcare utilization (adapted from survey items by Patrick et al,. 2020 for this study).
Demographic and family health background information (see survey: age, gender, race/ethnicity, income, social determinants of health, health background, other tax filing characteristics) will be collected to identify characteristics of the sample. In future studies, we intend to study in greater depth the physical health outcomes that might be sensitive to this intervention with longer-term follow up.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
-
Los Angeles, California, United States, 90095
- Recruiting
- UCLA School of Nursing
-
Contact:
- Kristen Choi
- Phone Number: 310-794-7493
- Email: krchoi@ucla.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Income <$75,000 per year
- One or more children under 6 years of age
- Has a valid tax filing ID (SSN or ITIN)
- Has access to an internet-enabled device
Exclusion Criteria:
- Experiencing an acute mental health crisis
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
This arm will receive a healthcare provider referral to a tax filing app
|
Healthcare providers offer a referral to a tax filing app and briefly describe the potential benefits of tax credit receipt
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of tax filing at 3 months: Did you file taxes this year? YES/NO
Time Frame: 3 months
|
Self-reported tax filing status for the current year
|
3 months
|
Rate of tax filing at 9 months: Did you file taxes this year? YES/NO
Time Frame: 9 months
|
Self-reported tax filing status for the current year
|
9 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Parent depression at baseline
Time Frame: Baseline
|
Patient Health Questionnaire- 2 (score range 0-6, higher scores indicate worse depression symptoms)
|
Baseline
|
Parent depression at 3 months
Time Frame: 3 months
|
Patient Health Questionnaire- 2 (score range 0-6, higher scores indicate worse depression symptoms)
|
3 months
|
Parent depression at 9 months
Time Frame: 9 months
|
Patient Health Questionnaire- 2 (score range 0-6, higher scores indicate worse depression symptoms)
|
9 months
|
Child socioemotional development at 3 months
Time Frame: 3 months
|
PEDS:DM (Parents' Evaluation of Developmental Status - Developmental Milestones): More 'yes' responses indicate more developmental milestones met
|
3 months
|
Child socioemotional development at 9 months
Time Frame: 9 months
|
PEDS:DM (Parents' Evaluation of Developmental Status - Developmental Milestones): More 'yes' responses indicate more developmental milestones met
|
9 months
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 22-001575
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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