Improving Health through Action on Economic Stability: Results of the Finances First Randomized Controlled Trial of Financial Education and Coaching in Single Mothers of Low-Income

Nicole White; Kathleen Packard; Julie Kalkowski; Ryan Walters; Ann Ryan Haddad; Kathy Flecky; Lorraine Rusch; Jennifer Furze; Lisa Black; Julie Peterson

doi:10.1177/15598276211069537

Improving Health through Action on Economic Stability: Results of the Finances First Randomized Controlled Trial of Financial Education and Coaching in Single Mothers of Low-Income

Am J Lifestyle Med. 2022 Mar 7;17(3):424-436. doi: 10.1177/15598276211069537. eCollection 2023 May-Jun.

Authors

Nicole White^{1

2

3

4}, Kathleen Packard^{1

2

3

4}, Julie Kalkowski^{1

2

3

4}, Ryan Walters^{1

2

3

4}, Ann Ryan Haddad^{1

2

3

4}, Kathy Flecky^{1

2

3

4}, Lorraine Rusch^{1

2

3

4}, Jennifer Furze^{1

2

3

4}, Lisa Black^{1

2

3

4}, Julie Peterson^{1

2

3

4}

Affiliations

¹ School of Pharmacy and Health Professions, Creighton University, Omaha, NE, USA (NW, KP, ARH, KF, JF, LB, JP).
² Creighton University College of Nursing, Omaha, NE, USA (LR).
³ Financial Hope Collaborative, Creighton University, Omaha, NE, USA (JK).
⁴ Creighton University School of Medicine, Omaha, NE, USA (RW).

Abstract

Objectives: Evaluate the health impact of a novel financial education and coaching program in single mothers of low-income in Omaha, Nebraska.

Methods: Employed, single mothers earning no more than 200% of the 2017 Federal Poverty Level (n = 345) enrolled in the study between April 2017 and August 2020 and were randomized to receive a novel financial education and coaching program, the Financial Success Program (FSP) or no intervention control. Demographics, biometrics, financial strain, health behaviors and healthcare utilization were assessed at baseline and the 12-month study visits.

Results: Participants who completed the FSP demonstrated significantly reduced financial strain, an increased rate of smoking cessation, and a reduction in avoidance of medical care due to cost compared to participants in the control group.

Conclusions: The FSP represents an effective model in promoting economic stability in vulnerable individuals through a reduction in financial strain. Health behavior changes including an increased rate of smoking cessation were demonstrated within the first 12 months of intervention.

Keywords: Financial stress; economic stability; financial coaching; financial education; health.