Objective <p>Unconditional cash transfers (UCTs)—no strings attached monthly payments—to low-income families may reduce financial stress and improve health outcomes. We sought to determine the feasibility and acceptability of randomizing low-income caregivers of preterm infants to a high- or low-value UCT for 4 months.</p> Study design <p>Parallel, pilot randomized controlled trial that was preregistered (ClinicalTrials.gov NCT05930327). We enrolled 24 birthing parent-infant dyads. The intervention was a $325 monthly UCT and the active control was a $25 monthly UCT.</p> Result <p>The intervention was feasible and universally acceptable among families in the high-value cash transfer arm. Exploratory outcomes revealed a high degree of financial strain, stress, and depressive symptoms.</p> Conclusion <p>This study provides feasibility, acceptability, and preliminary efficacy data to inform a future, larger trial to examine the impacts of UCTs to low-income birthing parents of preterm infants.</p> Clinical trial registration <p>ClinicalTrials.gov ID NCT05930327.</p>

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Unconditional cash transfers to low-income preterm infants and their families: a pilot randomized controlled trial

  • Zoe M. Bouchelle,
  • Timothy D. Nelin,
  • Elizabeth G. Salazar,
  • Sydney Ragland,
  • Destiny Uwawuike,
  • Joshua K. Radack,
  • Andrea F. Duncan

摘要

Objective

Unconditional cash transfers (UCTs)—no strings attached monthly payments—to low-income families may reduce financial stress and improve health outcomes. We sought to determine the feasibility and acceptability of randomizing low-income caregivers of preterm infants to a high- or low-value UCT for 4 months.

Study design

Parallel, pilot randomized controlled trial that was preregistered (ClinicalTrials.gov NCT05930327). We enrolled 24 birthing parent-infant dyads. The intervention was a $325 monthly UCT and the active control was a $25 monthly UCT.

Result

The intervention was feasible and universally acceptable among families in the high-value cash transfer arm. Exploratory outcomes revealed a high degree of financial strain, stress, and depressive symptoms.

Conclusion

This study provides feasibility, acceptability, and preliminary efficacy data to inform a future, larger trial to examine the impacts of UCTs to low-income birthing parents of preterm infants.

Clinical trial registration

ClinicalTrials.gov ID NCT05930327.