142 lines
4.7 KiB
YAML
142 lines
4.7 KiB
YAML
abstract: 'Background: Families with low incomes experience an array of health and
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social challenges that compromise their resilience and lead to negative
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family outcomes. Along with financial constraints, there are barriers
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associated with mental and physical health, poorer education and
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language. In addition, vulnerable populations experience many services
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as markedly unhelpful. This combination of family and service barriers
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results in reduced opportunities for effective, primary-level services
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and an increased use of more expensive secondary-level services (e. g.,
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emergency room visits, child apprehensions, police involvement). A
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systematic review of effective interventions demonstrated that promotion
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of physical and mental health using existing service was critically
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important.
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Methods/Design: The Families First Edmonton Trial (FFE) tests four
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service integration approaches to increase use of available health and
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social services for families with low-income. It is a randomized,
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two-factor, single-blind, longitudinal effectiveness trial where
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low-income families (1168) were randomly assigned to receive either (1)
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Family Healthy Lifestyle plus Family Recreation service integration
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(Comprehensive), (2) Family Healthy Lifestyle service integration, (3)
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Family Recreation service integration, or (4) existing services. To be
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eligible families needed to be receiving one of five government income
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assistance programs. The trial was conducted in the City of Edmonton
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between January 2006 and August 2011. The families were followed for a
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total of three years of which interventional services were received for
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between 18 and 24 months. The primary outcome is the number of family
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linkages to health and social services as measured by a customized
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survey tool ``Family Services Inventory{''''}. Secondary outcomes include
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type and satisfaction with services, cost of services, family member
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health, and family functioning. Where possible, the measures for
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secondary outcomes were selected because of their standardization, the
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presence of published norming data, and their utility as comparators to
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other studies of low-income families. As an effectiveness trial,
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community and government partners participated in all committees through
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a mutually agreed upon governance model and helped manage and problem
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solve with researchers.
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Discussion: Modifications were made to the FFE trial based on the
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pragmatics of community-based trials.'
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affiliation: 'Drummond, J (Corresponding Author), Univ Alberta, Edmonton Clin Hlth
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Acad, Fac Nursing, 11405 87 Ave, Edmonton, AB T6G 1C9, Canada.
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Drummond, Jane, Univ Alberta, Edmonton Clin Hlth Acad, Fac Nursing, Edmonton, AB
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T6G 1C9, Canada.
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Schnirer, Laurie; So, Sylvia; Mayan, Maria, Univ Alberta, Fac Extens, Edmonton,
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AB T5J 4P6, Canada.
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Williamson, Deanna L., Univ Alberta, Fac Agr Life \& Environm Sci, Dept Human Ecol,
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Edmonton, AB T6G 2R3, Canada.
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Bisanz, Jeffrey, Univ Alberta, Fac Arts, Dept Psychol, Edmonton, AB T6G 2E9, Canada.
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Fassbender, Konrad, Univ Alberta, Fac Med Dent, Dept Oncol, Edmonton, AB T6G 1C9,
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Canada.
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Wiebe, Natasha, Univ Alberta, Dept Med, Div Nephrol, Edmonton, AB T6G 1C9, Canada.'
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article-number: '223'
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author: Drummond, Jane and Schnirer, Laurie and So, Sylvia and Mayan, Maria and Williamson,
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Deanna L. and Bisanz, Jeffrey and Fassbender, Konrad and Wiebe, Natasha
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author-email: jane.drummond@ualberta.ca
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author_list:
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- family: Drummond
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given: Jane
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- family: Schnirer
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given: Laurie
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- family: So
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given: Sylvia
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- family: Mayan
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given: Maria
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- family: Williamson
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given: Deanna L.
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- family: Bisanz
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given: Jeffrey
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- family: Fassbender
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given: Konrad
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- family: Wiebe
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given: Natasha
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da: '2023-09-28'
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doi: 10.1186/1472-6963-14-223
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eissn: 1472-6963
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files: []
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journal: BMC HEALTH SERVICES RESEARCH
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keywords: 'Low-income families; Service integration; Healthy families; Recreation;
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Pragmatic trial'
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keywords-plus: 'WELFARE-TO-WORK; MENTAL-HEALTH PROBLEMS; HOME VISITATION; EARLY
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INTERVENTION; EDUCATION-PROGRAM; CHILDREN; CARE; MOTHERS; PREVALENCE;
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CHILDHOOD'
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language: English
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month: MAY 19
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number-of-cited-references: '99'
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orcid-numbers: Wiebe, Natasha/0000-0002-5613-1582
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papis_id: 5ee9c6a182c92a4323ab94a9c3d8c876
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ref: Drummond2014protocolfamilies
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researcherid-numbers: Wiebe, Natasha/V-7803-2019
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times-cited: '7'
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title: 'The protocol for the Families First Edmonton trial (FFE): a randomized community-based
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trial to compare four service integration approaches for families with low-income'
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type: article
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unique-id: WOS:000337324000001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '15'
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volume: '14'
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web-of-science-categories: Health Care Sciences \& Services
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year: '2014'
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