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Clinic-Based Financial Coaching and Missed Pediatric Preventive Care: A Randomized Trial.

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Title: Clinic-Based Financial Coaching and Missed Pediatric Preventive Care: A Randomized Trial.
Authors: Schickedanz, Adam, Perales, Lorraine, Holguin, Monique, Rhone-Collins, Michelle, Robinson, Helah, Tehrani, Niloufar, Smith, Lynne, Chung, Paul J., Szilagyi, Peter G.
Source: Pediatrics. Mar2023, Vol. 151 Issue 3, p1-9. 10p.
Subjects: Pilot projects, Mothers, Medical quality control, Immunization, Pediatrics, Preventive health services, Randomized controlled trials, Socioeconomic factors, Continuum of care, Employment, Research funding, Financial management, Patient compliance, Medical appointments, Parent-child relationships
Abstract: OBJECTIVES: Poverty is a common root cause of poor health and disrupts medical care. Clinically embedded antipoverty programs that address financial stressors may prevent missed visits and improve show rates. This pilot study evaluated the impact of clinic-based financial coaching on adherence to recommended preventive care pediatric visits and vaccinations in the first 6 months of life. METHODS: In this community-partnered randomized controlled trial comparing clinic-based financial coaching to usual care among low-income parent-infant dyads attending pediatric preventive care visits, we examined the impact of the longitudinal financial intervention delivered by trained coaches addressing parent-identified, strengths-based financial goals (employment, savings, public benefits enrollment, etc.). We also examined social needs screening and resource referral on rates of missed preventive care pediatric visits and vaccinations through the 6-month well-child visit. RESULTS: Eighty-one parent-infant dyads were randomized (35 intervention, 46 control); nearly all parents were mothers and more than one-half were Latina. The rate of missed visits among those randomized to clinic-based financial coaching was half that of controls (0.46 vs 1.07 missed of 4 recommended visits; mean difference, 0.61 visits missed; P = .01). Intervention participants were more likely to have up-to-date immunizations each visit (relative risk, 1.26; P = .01) with fewer missed vaccinations by the end of the 6-month preventive care visit period (2.52 vs 3.8 missed vaccinations; P = .002). CONCLUSIONS: In this pilot randomized trial, a medical-financial partnership embedding financial coaching within pediatric primary care improved low-income families' adherence to recommended visits and vaccinations. Clinic-based financial coaching may improve care continuity and quality in the medical home. [ABSTRACT FROM AUTHOR]
Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Clinic-Based Financial Coaching and Missed Pediatric Preventive Care: A Randomized Trial.
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  Data: <searchLink fieldCode="AR" term="%22Schickedanz%2C+Adam%22">Schickedanz, Adam</searchLink><br /><searchLink fieldCode="AR" term="%22Perales%2C+Lorraine%22">Perales, Lorraine</searchLink><br /><searchLink fieldCode="AR" term="%22Holguin%2C+Monique%22">Holguin, Monique</searchLink><br /><searchLink fieldCode="AR" term="%22Rhone-Collins%2C+Michelle%22">Rhone-Collins, Michelle</searchLink><br /><searchLink fieldCode="AR" term="%22Robinson%2C+Helah%22">Robinson, Helah</searchLink><br /><searchLink fieldCode="AR" term="%22Tehrani%2C+Niloufar%22">Tehrani, Niloufar</searchLink><br /><searchLink fieldCode="AR" term="%22Smith%2C+Lynne%22">Smith, Lynne</searchLink><br /><searchLink fieldCode="AR" term="%22Chung%2C+Paul+J%2E%22">Chung, Paul J.</searchLink><br /><searchLink fieldCode="AR" term="%22Szilagyi%2C+Peter+G%2E%22">Szilagyi, Peter G.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. Mar2023, Vol. 151 Issue 3, p1-9. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Mothers%22">Mothers</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+quality+control%22">Medical quality control</searchLink><br /><searchLink fieldCode="DE" term="%22Immunization%22">Immunization</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatrics%22">Pediatrics</searchLink><br /><searchLink fieldCode="DE" term="%22Preventive+health+services%22">Preventive health services</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Continuum+of+care%22">Continuum of care</searchLink><br /><searchLink fieldCode="DE" term="%22Employment%22">Employment</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Financial+management%22">Financial management</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+appointments%22">Medical appointments</searchLink><br /><searchLink fieldCode="DE" term="%22Parent-child+relationships%22">Parent-child relationships</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: Poverty is a common root cause of poor health and disrupts medical care. Clinically embedded antipoverty programs that address financial stressors may prevent missed visits and improve show rates. This pilot study evaluated the impact of clinic-based financial coaching on adherence to recommended preventive care pediatric visits and vaccinations in the first 6 months of life. METHODS: In this community-partnered randomized controlled trial comparing clinic-based financial coaching to usual care among low-income parent-infant dyads attending pediatric preventive care visits, we examined the impact of the longitudinal financial intervention delivered by trained coaches addressing parent-identified, strengths-based financial goals (employment, savings, public benefits enrollment, etc.). We also examined social needs screening and resource referral on rates of missed preventive care pediatric visits and vaccinations through the 6-month well-child visit. RESULTS: Eighty-one parent-infant dyads were randomized (35 intervention, 46 control); nearly all parents were mothers and more than one-half were Latina. The rate of missed visits among those randomized to clinic-based financial coaching was half that of controls (0.46 vs 1.07 missed of 4 recommended visits; mean difference, 0.61 visits missed; P = .01). Intervention participants were more likely to have up-to-date immunizations each visit (relative risk, 1.26; P = .01) with fewer missed vaccinations by the end of the 6-month preventive care visit period (2.52 vs 3.8 missed vaccinations; P = .002). CONCLUSIONS: In this pilot randomized trial, a medical-financial partnership embedding financial coaching within pediatric primary care improved low-income families' adherence to recommended visits and vaccinations. Clinic-based financial coaching may improve care continuity and quality in the medical home. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1542/peds.2021-054970
    Languages:
      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 1
    Subjects:
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Mothers
        Type: general
      – SubjectFull: Medical quality control
        Type: general
      – SubjectFull: Immunization
        Type: general
      – SubjectFull: Pediatrics
        Type: general
      – SubjectFull: Preventive health services
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Socioeconomic factors
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      – SubjectFull: Continuum of care
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      – SubjectFull: Employment
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      – SubjectFull: Research funding
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      – SubjectFull: Financial management
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      – SubjectFull: Patient compliance
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      – SubjectFull: Medical appointments
        Type: general
      – SubjectFull: Parent-child relationships
        Type: general
    Titles:
      – TitleFull: Clinic-Based Financial Coaching and Missed Pediatric Preventive Care: A Randomized Trial.
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            – D: 01
              M: 03
              Text: Mar2023
              Type: published
              Y: 2023
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