Trial reportTrials2016
Service-integration approaches for families with low income: a Families First Edmonton, community-based, randomized, controlled trial.
Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00705328 (Families First Edmonton), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Families First Edmonton: The Comparative Effects and Expense of Four Models of Augmenting Services for Low-income Families
Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Exploring the design and impact of integrated health and social care services for children and young people living in underserved populations: a systematic review.BMC public health · 2025Pooled it
- Integrated children's clinic care (ICCC) versus a self-directed care pathway for children with a chronic health condition: a multi-centre randomised controlled trial study protocol.BMC pediatrics · 2018Trial
- Supporting Families With a Facilitated Playgroup Designed in Discussion With the Community.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026Article
- Design of an Early Year's Intervention With and for the Community: A Needs Assessment and Gap Analysis.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
- Article
- A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness.Campbell systematic reviews · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundIncreasing access to health and social services through service-integration approaches may provide a direct and sustainable way to improve health and social outcomes in low-income families.
methodsWe did a community-based randomized trial evaluating the effects of two service-integration practices (healthy family lifestyle and recreational activities for children) among low-income families in Alberta, Canada. These two practices in combination formed four groups: Self-Directed (no intervention), Family Healthy Lifestyle, Family Recreation, and Comprehensive (Family Healthy Lifestyle plus Family Recreation programs). The primary outcome was the total number of service linkages.
resultsWe randomized 1168 families, 50 % of which were retained through the last follow-up visit. The number of service linkages for all three intervention groups was not significantly different from the number of linkages in the Self-Directed group (Comprehensive 1.15 (95 % CI 0.98-1.35), Family Healthy Lifestyle 1.17 (0.99-1.38), and Family Recreation 1.12 (0.95-1.32) rate ratios). However, when we explored the number of linkages by the categories of linkages, we found significantly more healthcare service linkages in the Comprehensive group compared to the Self-Directed group (1.27 (1.06-1.51)) and significantly more linkages with child-development services in the Family Healthy Lifestyle group compared to the Self-Directed group (3.27 (1.59-6.74)). The monthly hours of direct intervention was much lower than the assigned number of hours (ranging from 5 to 32 % of the assigned hours).
conclusionsOur findings are relevant to two challenges faced by policymakers and funders. First, if funds are to be expended on service-integration approaches, then, given the lack of intervention fidelity found in this study, policymakers need to insist, and therefore fund a) a well-described practice, b) auditing of that practice, c) retention of family participants, and d) examination of family use and outcomes. Second, if child-development services are widely required and are difficult for low-income families to access, then current policy needs to be examined.
trial registrationClinicalTrials.gov, NCT00705328 . Registered on 24 June 2008.
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