Cash transfer during the COVID-19 pandemic: a multicentre, randomised controlled trial
Family medicine and community health
; 9(4), 2021.
Article
in English
| EuropePMC | ID: covidwho-1567643
ABSTRACT
Objective To evaluate the effect of a one-time cash transfer of $C1000 in people who are unable to physically distance due to insufficient income. Design Open-label, multi-centre, randomised superiority trial. Setting Seven primary care sites in Ontario, Canada;six urban sites associated with St. Michael’s Hospital in Toronto and one in Manitoulin Island. Participants 392 individuals who reported trouble affording basic necessities due to disruptions related to COVID-19. Intervention After random allocation, participants either received the cash transfer of $C1000 (n=196) or physical distancing guidelines alone (n=196). Main outcome measures The primary outcome was the maximum number of symptoms consistent with COVID-19 over 14 days. Secondary outcomes were meeting clinical criteria for COVID-19, SARS-CoV-2 presence, number of close contacts, general health and ability to afford basic necessities. Results The primary outcome of number of symptoms reported by participants did not differ between groups after 2 weeks (cash transfer, mean 1.6 vs 1.9, ratio of means 0.83;95% CI 0.56 to 1.24). There were no statistically significant effects on secondary outcomes of the meeting COVID-19 clinical criteria (7.9% vs 12.8%;risk difference −0.05;95% CI −0.11 to 0.01), SARS-CoV-2 presence (0.5% vs 0.6%;risk difference 0.00 95% CI −0.02 to 0.02), mean number of close contacts (3.5 vs 3.7;rate ratio 1.10;95% CI 0.83 to 1.46), general health very good or excellent (60% vs 63%;risk difference −0.03 95% CI −0.14 to 0.08) and ability to make ends meet (52% vs 51%;risk difference 0.01 95% CI −0.10 to 0.12). Conclusions A single cash transfer did not reduce the COVID-19 symptoms or improve the ability to afford necessities. Further studies are needed to determine whether some groups may benefit from financial supports and to determine if a higher level of support is beneficial. Trial registration number NCT04359264.
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Collection:
Databases of international organizations
Database:
EuropePMC
Type of study:
Experimental Studies
/
Randomized controlled trials
Language:
English
Journal:
Family medicine and community health
Year:
2021
Document Type:
Article
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