168 lines
5.4 KiB
YAML
168 lines
5.4 KiB
YAML
abstract: 'Background: Although the risk factors associated with young people
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entering and becoming entrenched in street life have been thoroughly
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investigated, peer-reviewed evidence is scarce to nonexistent for
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rigorous interventions targeting social integration outcomes for young
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people who have experienced homelessness. From the limited research that
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has been done, emerging evidence signals that, although structural
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supports such as subsidized housing and social service providers are
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important, these resources alone are insufficient to help young people
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integrate into the mainstream society.
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Objective: The overarching aim of this study is to assess whether and
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how rent subsidies and mentorship influence social integration outcomes
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for formerly homeless young people living in market rent housing in 3
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Canadian cities. The primary outcome measures for this study are
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community integration (psychological and physical) and self-esteem at 18
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months. Secondary outcomes include social connectedness, hope, and
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academic and vocational participation at 18 months. Exploratory outcomes
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include income, perceived housing quality, engulfment, psychiatric
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symptoms, and participant perspectives of intervention barriers and
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facilitators.
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Methods: This is a convergent mixed methods, open-label, 2-arm parallel
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randomized controlled trial (RCT) with 1:1 allocation embedded within a
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community-based participatory action research (CBPAR) framework. The
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intervention will provide 24 young people (aged 16-26 years), who have
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transitioned out of homelessness and into market rent housing within the
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past year, with rent subsidies for 24 months. Half of the young people
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will also be randomly assigned an adult mentor who has been recruited
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and screened by 1 of our 3 community partners. Data collection will
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occur every 6 months, and participants will be followed for 30 months.
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Results: Ethical approval for this study has been obtained from the
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Providence, St Joseph''s, and St Michael''s Healthcare Research Ethics
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Board (number 18-251). Enrollment took place from April 2019 to
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September 2019. Preliminary analysis of the baseline quantitative and
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qualitative data is underway.
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Conclusions: This pilot RCT will be the first to test the impact of
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economic and social support on meaningful social integration for
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formerly homeless young people living in market rent housing. We believe
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that the mixed methods design will illuminate important contextual
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factors that must be considered if the intervention is to be scaled up
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and replicated elsewhere. Importantly, the CBPAR framework will
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incorporate the perspectives of the community, including formerly
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homeless young people, who are in the best position to determine what
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might work best in the context of their lives.'
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affiliation: 'Thulien, NS (Corresponding Author), McMaster Univ, Sch Nursing, 1280
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Main St West, Hamilton, ON L8S 4L8, Canada.
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Thulien, Naomi S., McMaster Univ, Sch Nursing, 1280 Main St West, Hamilton, ON L8S
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4L8, Canada.
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Thulien, Naomi S.; Nisenbaum, Rosane; Wang, Andrea; Hwang, Stephen W., St Michaels
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Hosp, Li Ka Shing Knowledge Inst, MAP Ctr Urban Hlth Solut, Toronto, ON, Canada.
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Kozloff, Nicole; McCay, Elizabeth, Univ Toronto, Dept Psychiat, Toronto, ON, Canada.
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Kozloff, Nicole, Slaight Family Ctr Youth Transit, Ctr Addict \& Mental Hlth, Toronto,
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ON, Canada.
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McCay, Elizabeth, Ryerson Univ, Daphne Cockwell Sch Nursing, Toronto, ON, Canada.
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Nisenbaum, Rosane, St Michaels Hosp, Li Ka Shing Knowledge Inst, Appl Hlth Res Ctr,
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Toronto, ON, Canada.
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Wang, Andrea, McMaster Univ, Dept Hlth Res Methods Evidence \& Impact, Hamilton,
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ON, Canada.
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Hwang, Stephen W., Univ Toronto, Dept Med, Div Gen Internal Med, Toronto, ON, Canada.
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Hwang, Stephen W., Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada.'
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article-number: e15557
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author: Thulien, Naomi S. and Kozloff, Nicole and McCay, Elizabeth and Nisenbaum,
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Rosane and Wang, Andrea and Hwang, Stephen W.
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author-email: thulienn@mcmaster.ca
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author_list:
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- family: Thulien
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given: Naomi S.
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- family: Kozloff
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given: Nicole
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- family: McCay
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given: Elizabeth
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- family: Nisenbaum
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given: Rosane
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- family: Wang
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given: Andrea
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- family: Hwang
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given: Stephen W.
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da: '2023-09-28'
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doi: 10.2196/15557
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files: []
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issn: 1929-0748
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journal: JMIR RESEARCH PROTOCOLS
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keywords: 'homeless youth; community integration; qualitative research; randomized
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controlled trial; housing; mentorship'
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keywords-plus: SOCIAL INTEGRATION; PEOPLE; CARE
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language: English
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month: DEC
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number: '12'
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number-of-cited-references: '49'
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orcid-numbers: 'Nisenbaum, Rosane/0000-0001-7124-0376
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Wang, Andrea/0000-0002-9683-2498
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Thulien, Naomi/0000-0003-1483-9352
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Hwang, Stephen/0000-0002-1276-1101
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Kozloff, Nicole/0000-0003-1389-1351'
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papis_id: 693dcbdaac8de6cc5d25a7e7e0091353
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ref: Thulien2019evaluatingeffects
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researcherid-numbers: 'Hwang, Stephen W./GVR-7773-2022
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Hwang, Stephen/D-2297-2011
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'
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times-cited: '3'
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title: 'Evaluating the Effects of a Rent Subsidy and Mentoring Intervention for Youth
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Transitioning Out of Homelessness: Protocol for a Mixed Methods, Community-Based
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Pilot Randomized Controlled Trial'
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type: article
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unique-id: WOS:000505212300006
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usage-count-last-180-days: '2'
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usage-count-since-2013: '7'
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volume: '8'
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web-of-science-categories: 'Health Care Sciences \& Services; Public, Environmental
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\& Occupational
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Health'
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year: '2019'
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