Addressing financial strain through a peer-to-peer intervention in primary care.

Family Practice
Andrew D PintoSamantha Green

Abstract

Financial strain is a key social determinant of health. As primary care organizations begin to explore ways to address social determinants, peer-to-peer interventions hold promise. Our objective was to evaluate a peer-to-peer intervention focussed on financial empowerment delivered in primary care, in partnership with a social enterprise. This intervention was hosted by a large primary care organization in Toronto, Canada. Participants were recruited within the organization and from local services. We organized three separate groups who met over 10 weekly in-person, facilitated sessions: millennials (age 19-29) no longer in school, precariously employed adults (age 30-55) and older adults near retirement (age 55-64). We applied principles of adult education and peer-to-peer learning. We administered surveys at intake, at exit and at 3 months after the intervention, and conducted three focus groups. Fifty-nine people took part. At 3 months, participants had sustained higher rates of optimism about their financial situation (54% improved from baseline), their degree of control (55% improved) and stress around finances (50% improved). In focus groups, participants reported greater understanding of their finances, that they were no...Continue Reading

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Citations

Sep 2, 2021·JAMA : the Journal of the American Medical Association·Michelle EderJennifer S Lin
Oct 2, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Dipesh P GopalStephanie Jc Taylor

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