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Outcomes of on-line financial education for chronically ill rural women (Haynes et al., 2011)

Review Guidelines

Absence of conflict of interest. 

Citation

Haynes, D. C., Haynes, G., & Weinert, C. (2011). Outcomes of on-line financial education for chronically ill rural women. Journal of Financial Counseling and Planning, 22(1), 3-17. [Intensive Intervention vs. Less Intensive Intervention]

Highlights

  • The study's objective was to examine the impact of an online financial education module on financial knowledge. This profile focuses on the comparison between the intensive intervention group and the less intensive intervention group. The authors investigated similar research questions for additional contrasts, the profiles can be found here: 
  • The study was a randomized controlled trial. Using pre- and post-assessment questionnaires, the authors conducted statistical analyses to compare differences between the groups.  
  • The study found no significant differences in gains in overall financial knowledge between the intensive intervention and less intensive intervention groups.  
  • This study receives a high evidence rating. This means we are confident that the estimated effects are attributable to the intensive intervention, and not to other factors. However, the study did not find statistically significant effects. 

Intervention Examined

Women to Women (WTW) Project

Features of the Intervention

This study was a part of a larger research project called the Women to Women (WTW) Project. This project aimed to increase the self-efficacy of chronically ill women in rural areas to help them better manage their chronic illness. The intervention was designed to serve women who had at least one chronic illness, lived in a rural area (defined as at least 25 miles away from a town with a population greater than 12,500), and were between the ages of 35 and 65. The intervention was carried out online with laptops and Wi-Fi provided to the participants over 22 weeks. The intervention included online health and financial education modules. The financial education modules were designed to help the women record and track expenses, determine the household net worth, and determine eligibility for government assistance programs. There were three one-week modules that included a one- or two-page instructional guide with an activity. The intensive intervention included the financial education modules and an interactive discussion roundtable led by subject matter experts. All participants were also a part of a social support group called the Koffee Klatch. Both the roundtable discussion and the support group were done asynchronously. The less intensive intervention consisted of the financial education modules but did not include the roundtable or social support group. 

Features of the Study

The study was a randomized controlled trial across five states. The authors conducted recruitment efforts through the media, informational flyers, contacts, word of mouth, nominations through extension agents, and special mailings. Following eligibility screening, the authors used a program to randomly assign 240 participants to one of the two treatment groups or the control group. Each group consisted of 80 participants. Participants in the intensive intervention group had access to the financial education modules, discussion roundtables, and social support group. Participants in the less intensive intervention group had access to the financial education modules only. Close to two-thirds (61%) of the participants were older than 50, 56% were diagnosed with a chronic illness within the last decade, and 61% were considered to have a moderate to severe chronic illness. Many of the women (68%) had no children in the home and 36% worked outside of the home. The sample was mainly white (94%), 80% were married, and 61% had at least some college education. Finally, less than half of the women (48%) had yearly incomes of less than $35,000.  

The authors used pre- and post-tests to assess changes in financial knowledge. The tests were comprised of five items measuring knowledge of income and expenses, net worth/wealth, financial management, savings, and assets. The authors conducted statistical analyses to determine differences in outcomes between the groups. The analysis sample included 57 participants in the intensive intervention group and 60 participants in the less intensive intervention group. 

Study Sites

  • Idaho 
  • Montana 
  • North Dakota 
  • South Dakota 
  • Wyoming  

Findings

Knowledge and skills for money management

  • The study found no statistically significant differences between participants in the intensive intervention group and less intensive intervention group in gains in financial knowledge.  

Causal Evidence Rating

The quality of causal evidence presented in this report is high because it was based on a well-implemented randomized controlled trial. This means we are confident that any estimated effects would be attributable to the intensive intervention and not to other factors. However, the study did not find statistically significant effects.  

Reviewed by CLEAR

April 2024

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