Socioeconomic FactorsNCT00537706
Choosing Healthful Interventions
An observational study of Socioeconomic Factors and Low-Income Population, run by National Institutes of Health Clinical Center (CC) at 1 site in United States.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 to 64 years
- Conditions the study is for
- Socioeconomic Factors, Low-Income Population, Health Status
- How many people
- 442 participants
- Where
- 1 siteUnited States
- Study dates
- 21 Sep 2007to 31 Oct 2011
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 64 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Low-income male and female adults will be recruited as study participants.
Who cannot join
- Children 18 years and younger are ineligible.
Trial locations and contacts
1 site in 1 country.
United States1 site
Howard University Hospital
Washington D.C., District of Columbia, 20060
About this study
Official title: 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.
Read more
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:
- For themselves individually.
- For their neighborhood.
- For an entire city.
- Once again individually.
Read the detailed description
BACKGROUND:
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.
OBJECTIVE:
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:
- Identification of candidate interventions that have been shown to ameliorate the socio-economic determinants of health, through literature review and consultation with experts;
- Consideration of a reasonable per capita expenditure for the purpose;
- Engagement of low-income residents to ascertain their priorities for publicly funding the proposed interventions within the assigned budget.
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.
- Conditions
- Socioeconomic Factors, Low-Income Population, Health Status
- Keywords
- Socioeconomic Determinants, Health Status, Low-income, Priority-setting, Group Discussion
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Oct 2007 (estimated)
- Study start21 Sep 2007
- Study completion31 Oct 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Socioeconomic FactorsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Time perspective
- Prospective
- Enrolment
- 442 participants (estimated)
Sponsor and investigators
- Lead sponsor
- National Institutes of Health Clinical Center (CC)
- Sponsor type
- US National Institutes of Health
- Investigators
- Nancy Ames, R.N., Principal investigator, National Institutes of Health Clinical Center (CC)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00537706
- Sponsor's protocol ID
- 999907224
- Other IDs
- 07-CC-N224
- Status last verified
- 31 Oct 2011
- First submitted
- 28 Sep 2007
- Last updated
- 2 Jul 2017
- Results posted
- No
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. doi: 10.2105/AJPH.2006.091033. Epub 2007 Jul 31.
PubMed 17666702
Study at a glance
From the registry record, last updated by the sponsor on 2 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Engaging Low-Income Urban Residents in Prioritizing Interventions to Address Socio-Economic Determinants of Health
- ClinicalTrials.gov ID
- NCT00537706
- Acronym / sponsor ID
- 999907224
- Conditions
- Socioeconomic Factors, Low-Income Population, Health Status
- Keywords
- Socioeconomic Determinants, Health Status, Low-income, Priority-setting, Group Discussion
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 442 participants (estimated)
- Lead sponsor
- National Institutes of Health Clinical Center (CC)US National Institutes of Health
- Study start
- 21 Sep 2007
- Study completion
- 31 Oct 2011
- First posted
- 1 Oct 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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:
- For themselves individually.
- For their neighborhood.
- For an entire city.
- Once again individually.
Detailed description
BACKGROUND:
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.
OBJECTIVE:
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:
- Identification of candidate interventions that have been shown to ameliorate the socio-economic determinants of health, through literature review and consultation with experts;
- Consideration of a reasonable per capita expenditure for the purpose;
- Engagement of low-income residents to ascertain their priorities for publicly funding the proposed interventions within the assigned budget.
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 design
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 to 64 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- Low-income male and female adults will be recruited as study participants.
Key exclusion criteria (1 listed)
- Children 18 years and younger are ineligible.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Not reported in the source record.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jul 2017.
- Background: PubMed 17666702Danis 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. doi: 10.2105/AJPH.2006.091033. Epub 2007 Jul 31.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Nancy Ames, R.N. principal investigator
National Institutes of Health Clinical Center (CC)
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Socioeconomic Factors and Low-Income Population, run by National Institutes of Health Clinical Center (CC) at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00537706, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jul 2017.