From intention to action: A systematic literature review of provider behaviour change‐focused interventions in physical health and behavioural health settings

It is clear there are significant delays in the uptake of best practices as part of routine care in the healthcare system, yet there is conflicting evidence on how to specifically align provider behaviour with best practices. Method We conducted a review of interventions utilized to change any aspect of provider behaviour. To extend prior […]

Are Foreclosure Spillover Effects Universal? Variation Over Space and Time

Government intervention in the housing market in response to the 2007–2010 mortgage crisis was driven in part by research showing that foreclosures lower neighboring housing values and thus increase neighbors’ risk of foreclosure. Researchers have consistently identified a negative spillover effect of foreclosures on nearby housing values, but the magnitude of the effect varies widely […]

Employer-Sponsored Financial Planning: A Study of the Brightside Platform

In this report, we explore employee usage trends of Brightside, an employee financial health platform that is designed to improve the financial health of working families. Using this platform, employees can open “cases” to address a financial need or goal they have. Brightside connects these employees with financial assistants who, in turn, connect the employees […]

From Financial Struggle to Short-Term Financial Relief – An Exploratory Study on Small-Dollar Lending for Low-and Moderate-Income Employees

In this study, we examined HoneyBee, a service company that provides access to 0% APR loans and financial coaching through the workplace. HoneyBee aims to offer employees in need a more affordable credit alternative to payday and auto title loans and therefore help addressing significant cash flow emergencies. Data for this exploratory study included 65 […]

Don’t Cash Out or Leave Them Behind: A Pilot Study of a 401k Plan Transfer Digital Platform

In this study, we examined Manifest, a digital platform that makes it easier for employees to transfer 401k retirement accounts when they change jobs. Transferring accounts reduces the likelihood employees cash out and helps them consolidate their retirement savings. We examined 401k plan activity among nearly 15,000 employees of a private university over a four-year […]

Financing Workers’ Health Care Cash Flow Needs: A Pilot Study

MedPut offers a way for employees to pay their out-of-pocket health care expenses through payroll deducted or Health Savings Account (HSA) payments capped at 5% of gross pay. Employees that use MedPut are much more likely to report having problems paying medical bills and to report putting off health care due to cost concerns. Nearly […]

Saving for a Rainy Day: Making it Easier for Employees to Build Emergency Savings

In this study, we examined Onward, an employer-based mobile app that enables workers to save via payroll deduction and receive financial education and coaching as a means to address financial challenges such as difficulty paying bills on time, managing debt, and accruing savings. An important feature of Onward is that employees can save automatically through […]

Fintech as a Solution for Employee Financial Health: Findings from Five Exploratory Studies

The financial technology (fintech) sector has grown rapidly in recent years. Awareness and use of fintech has grown as companies in this sector have increased their user-friendly design, convenience, and accessibility. A unique fintech niche that has developed rapidly alongside the overall industry is known as “employer-channel fintech.” Offered by employers, these solutions or benefits […]

Assessing the Short-Term Stability of Financial Well-Being in Low- and Moderate-Income Households

Much of the literature on household finance tends to focus on relatively objective measures of financial security (e.g., savings, income, financial knowledge), and there has been less research on measures of subjective financial well-being. This gap is due in part to the absence of a common understanding on defining and measuring subjective financial well-being. The Consumer Financial Protection Bureau […]

Can Workplace Financial Counseling Help Lower-Income Workers Improve Credit Outcomes?

Financial counseling has been found to be effective in improving consumers’ credit outcomes and could be expanded through the workplace to reach lower-income workers who struggle with various financial challenges. We examine engagement and credit outcomes associated with a workplace financial counseling program offered to 2,849 frontline workers in New York City. Age and credit […]

Material hardship among lower-income households: The role of liquid assets and place

Lower-income households are at risk for material hardship, particularly amidst the economic fallout of COVID-19. Where one lives (e.g., suburb, small town) may affect this risk due to variable access to resources, yet the evidence is mixed concerning the influence of place. We used a pooled, national cross-sectional sample of 66,046 lower-income tax filers to […]

The Impact of State Earned Income Tax Credit Increases on Material and Medical Hardship

The federal Earned Income Tax Credit (EITC) provides substantial financial assistance to low- and moderate-income workers and has been shown to reduce poverty and encourage employment. Many U.S. states have also implemented their own EITCs to supplement the federal tax credits. Leveraging unique administrative and survey data and employing a difference-in-differences approach, this study investigates […]

Timely and Well-Targeted Financial Assistance during Covid-19

The Social Policy Institute (SPI) at Washington University in St. Louis partnered with PerkUp Financial Health LLC, a financial services technology company, to study an emergency financial assistance program offered to employees of three hotels in New Orleans, LA who have been affected by the COVID-19 pandemic. PerkUp serves as a technology hub for a […]

Pinching pennies or money to burn? The role of grit in financial behaviors

We explore whether gritty individuals are better savers by virtue of their wealth or due to diligent choices that benefit their long-term economic health. We test these competing hypotheses by examining the ways in which grit influences how LMI tax filers report spending or saving their tax refund in the months following tax filing. We […]

The Socioeconomic Impacts of COVID-19 Study: Survey Methodology Report

When COVID-19 was declared a pandemic, and economic shutdowns began in March 2020, households across the United States were faced with an unprecedented crisis that would affect their health, financial security and overall well-being for an unforeseeable amount of time. In order to examine and track the wide-ranging impacts of the pandemic on households, as […]

Housing Hardships During COVID-19

Even prior to the COVID-19 pandemic, U.S. households were burdened by the cost of rental and mortgage payments, burdens which disproportionately fell on Black and Hispanic families. Using a 5-wave survey, we examined whether disparities in housing cost burden continued throughout the pandemic and trends in how households fell behind on rent and mortgage payments. […]

Employment Changes During COVID-19

Early in the COVID-19 pandemic, U.S. unemployment peaked at 14.4%. While some workers have returned to payrolls, others have been left behind. This brief examines the nuances of employment changes over the course of the pandemic and the impact of those changes on household financial well-being. Our study finds that the proportion of employees who […]

Impact of COVID-19 on Households with Children

The COVID-19 pandemic caused major disruptions in employment, child care and education. As a result, both parents and children experienced a variety of hardships in their work and education. While these hardships had reverberating effects throughout households, they were not equally distributed across families with children. In this brief, we explore the effects of COVID-19 […]

Use of Public Benefits Over the First Year of Pandemic

In response to the economic crisis caused by the COVID-19 pandemic, the U.S. federal government enacted initiatives designed to help households weather the pandemic’s effects. These initiatives included expansions of existing programs, such as unemployment insurance, as well as new programs like the economic impact payments. In this brief, we investigate the extent to which […]

Did government benefits help Israeli households avoid hardship during COVID-19? Evidence from a national survey

At the outset of the COVID-19 pandemic, the government of Israel quickly introduced aggressive social distancing measures to curb the virus spread and adapted its unemployment insurance program in response to rising unemployment rates. This study examines the relationship between household income and the experience of material hardship during the COVID-19 pandemic in Israel and […]

Financial Shocks and Financial Well-Being: What Builds Resiliency in Lower-Income Households?

Households in the U.S. regularly experience unexpected negative income or expense shocks, and low- and moderate-income households experience these shocks at disproportionately high rates. Relatively little is known about the impact these shocks have on households’ subjective sense of financial well-being, and how access to different types of liquidity (e.g., liquid assets, credit cards, social […]

COVID-19 Among Youth in Israel: Correlates of Decisions to Vaccinate and Reasons for Refusal

The primary aim of the present study is to examine the reasons for adolescents’ refusal to get vaccinated with the COVID-19 vaccine, and examine correlates of vaccination among adolescents aged 12–18 years in Israel. A total of 150 youth aged 12–18 years participated in the study. Following parental consent (30% response rate) from an online internet […]

How Did School Meal Access Change during the COVID-19 Pandemic? A Two-Step Floating Catchment Area Analysis of a Large Metropolitan Area

SARS-CoV-2 (COVID-19) resulted in school closures and contingencies across the U.S. that limited access to school meals for students. While some schools attempted to provide alternative meal access points where students or parents could pick up meals, many students—especially those in low-income households—lacked adequate transportation to these access points. Thus, physical proximity to meal access […]

Vaccine hesitance during COVID-19

As rates of vaccination have slowed, concerns are growing about how to increase vaccine uptake among those who are vaccine hesitant, particularly with the emergence of new and contagious variants such as Delta. Using our national Socioeconomic Impacts of COVID-19 Survey, we examine the predictors of vaccine hesitance in the U.S. and report on findings […]

Paid Sick Leave Heading into COVID-19

Paid sick leave is vital for controlling the spread of illness in the workplace and an invaluable public health tool, but too few workers have access to it. In this brief, we examine the beginning of the COVID-19 pandemic to assess paid sick leave coverage with a focus on the social and economic characteristics of […]

Suspended While Black in Majority White Schools: Implications for Math Efficacy and Equity

This article explores whether racial disparities in mathematics arise in majority White schools for students who receive in-school suspensions (ISS). Using data from the High School Longitudinal Survey and machine learning generated propensity scores to estimate average treatment effects, we find Black suspended students in schools with low White enrollment have math test scores and […]

Expanded Child Tax Credit payments have not reduced employment

Approximately 60 million American children living in 35 million households received monthly payments from the federal government as part of the temporary Child Tax Credit (CTC) expansion. Discourse over whether or not the expanded CTC caused parents to leave the workforce emerged during the period of the expanded credit. On one side, a large number […]

Apply to become a 2022-2023 Graduate Policy Scholar!

Applications for the Graduate Policy Scholar program are now open to all graduate students at Washington University in St. Louis! The Graduate Policy Scholar program provides students from all fields of study with impactful opportunities and training in policy. Offered by the Social Policy Institute and the Clark-Fox Policy Institute, the yearlong program provides students […]