Helping Families Pilot of a Family Resilience Program for Families Experiencing Homelessness

NCT04273126 | Completed

• 1 other identifier: K12DA000357
• Study Type: interventional
• Target: 73
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to pilot an adapted family resilience program among families with a recent history of homelessness in Los Angeles County and to assess for feasibility and acceptability. The investigators have adapted a family resilience program called Families Overcoming Under Stress (FOCUS), a trauma-informed intervention designed for families experiencing trauma, parental substance use, and homelessness. Our primary hypothesis is that the adapted family resilience program will be feasible and acceptable to families with a recent history of homelessness. Families that are eligible to participate in the study will be assigned to the adapted family resilience intervention. The intervention program consists of around 8-10 modules lasting up to one hour each. The program provides psychoeducation and teaches resilience skills including communication, problem solving, goal setting, and how to deal with stress. Families will be asked to fill out 3 surveys (one at the beginning of the program, one at the end of the program, and at 6 months follow-up). Some families may also be asked to participate in a hour long interview after the completion of the program for feedback on the program. At this time, all assessments and intervention are being conducted remotely due to the pandemic.

Conditions

Family Relationship; Coping Skills

Keywords

resilience, psychological; homelessness

Outcome Measures

Primary Outcomes (4)

• Feasibility of the adapted family resilience intervention for families experiencing homelessness and parental SUDs through retention rates of participants.

  Feasibility is defined as the extent to which the adapted intervention can be implemented with families with an experience of homelessness and parental SUDs, assessed through measuring rate of retention of participants.

  6 months

• Feasibility of the adapted family resilience intervention for families experiencing homelessness and parental SUDs through completion of program core components.

  Feasibility is defined as the extent to which the adapted intervention can be implemented with families with an experience of homelessness and parental SUDs, assessed through measuring number of program core components completed by participants.

  3 months

• Acceptability of the adapted family resilience intervention to families experiencing homelessness and parental SUDs through qualitative interviews with youth and parents inquiring about intervention acceptability.

  The investigators will assess acceptability of implementing the adapted intervention with families experiencing homelessness and parental SUDs by conducting qualitative interviews with a subset of parent and youth participants completing the intervention. The interviews will explore acceptability of the intervention to families experiencing homelessness and parental substance use disorders and recommendations for improvement. The interviews will be audio-recorded, transcribed, and analyzed using thematic content analysis.

  3 months

• Acceptability of the adapted family resilience intervention through a self-report intervention acceptability measure.

  Acceptability is defined as the perception that the adapted intervention is agreeable and satisfactory.The investigators will administer a self-report measure of the acceptability of core components of the intervention to be completed following the intervention by parents and youth, with higher score indicating greater acceptability of the intervention to families experiencing homelessness and parental SUDs. Each individual item is scaled with a range of 1 (low) to 5 (high).

  3 months

Secondary Outcomes (21)

• Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST)

  Baseline, 3 month, 6 month

• Addiction Severity Index (ASI)

  Baseline, 3 month, 6 month

• General Anxiety Disorder (GAD-7)

  Baseline, 3 month, 6 month

• Patient Health Questionnaire (PHQ-9)

  Baseline, 3 month, 6 month

• PTSD Checklist for the DSM-V (Diagnostic and Statistical Manual)

  Baseline, 3 month, 6 month

Study Arms (1)

Intervention

EXPERIMENTAL

This arm consists of approximately 8-10 modules lasting approximately one hour and consisting of psychoeducation and core components including communication, problem solving, goal setting, and dealing with stress, tailored to families with experiences of homelessness and parental substance use.

Behavioral: Adapted Family Resilience Intervention

Interventions

Adapted Family Resilience Intervention BEHAVIORAL

The program consists of approximately 8-10 modules lasting approximately one hour. Sessions focus on psychoeducation and key resilience skills.

Intervention

Eligibility Criteria

• Age: 8 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• English speaking
• Family has a history of homelessness within the past two years (homelessness defined by the Department of Health and Human Services definition)
• Parent/guardian/caregiver has custody of and cares for a youth between the ages of 8-17
• Both youth and parent/guardian/caregiver are able to take part in an 8 module session intervention

You may not qualify if:

• Has taken part in a Families OverComing Under Stress (FOCUS) intervention previously

Sponsors & Collaborators

• University of California, Los Angeles: lead
• National Institute on Drug Abuse (NIDA): collaborator
• American Academy of Child Adolescent Psychiatry.: collaborator

Study Sites (1)

UCLA

Los Angeles, California, 90095, United States

Location

Study Officials

• Roya Ijadi-Maghsoodi, MD, MSHPM

  University of California, Los Angeles

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor in Residence

Study Record Dates

• First Submitted: January 22, 2020
• First Posted: February 17, 2020
• Study Start: February 19, 2020
• Primary Completion: April 3, 2023
• Study Completion: April 3, 2023
• Last Updated: June 12, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)