The SPARK RCT will test the impact of engagement with a Community Health Worker who is embedded in interprofessional primary care teams on change in estimated annual income at 6 months for people living in poverty.

Population: Patients seen by interprofessional primary care teams who are living on estimated annual incomes that are below the Canadian Low-Income Cut-Off (LICO)

Intervention: A Community Health Worker who implements an intervention that addresses a number of social needs, including improving income security, access to prescription medications, access to housing, reducing social isolation, paying for utilities and access to transportation

Control: Information on community resources on social needs

Outcome: Change in estimated annual income between baseline and at 6 months

Inclusion Criteria:

• 18+ years old AND live in a household with an income below the Low-Income Cut-OFF AND agree to receive assistance with social needs

Exclusion Criteria:

• Has worked with a similar CHW or intervention in the past 1 year.

We will ask participants both their sex assigned at birth and their current gender identity, and offer a number of options.

Data from this study will be made available to qualified researchers with academic interest in primary care health equity research. Data will only be made available to interested parties after all applicable agreements have been executed.

Requests to access the data can be made beginning 3 months and up until 2 years after article publication.

Access to study IPD will be granted to qualified researchers upon approval of their Statistical Analysis Plan (SAP) and execution of a Data Sharing Agreement (DSA). To submit a request or for any additional questions, please contact Upstreamlab@unityhealth.to.