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

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-04-11 DOI:10.1038/s41372-025-02293-2

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

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引用次数: 0

Abstract

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.

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无条件现金转移给低收入早产儿及其家庭：一项随机对照试验。

目的：无条件现金转移(UCTs)-无附加条件的每月付款-低收入家庭可以减轻经济压力，改善健康状况。我们试图确定将低收入的早产儿护理人员随机分配到高价值或低价值的UCT 4个月的可行性和可接受性。研究设计：预先注册的平行、先导、随机对照试验（ClinicalTrials.gov NCT05930327）。我们招募了24对正在分娩的父母和婴儿。干预是每月325美元的UCT，积极对照组是每月25美元的UCT。结果：高值现金转移组的干预措施是可行的，并得到了家庭的普遍接受。探索性结果揭示了高度的经济紧张、压力和抑郁症状。结论：本研究提供了可行性、可接受性和初步疗效数据，为未来更大规模的试验提供信息，以检验uct对低收入早产儿父母的影响。临床试验注册：ClinicalTrials.gov ID NCT05930327。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.