Passport to Freedom: Health and Housing

NCT04322903 | Withdrawn

• 1 other identifier: IRB00239900
• Study Type: interventional
• Target: N/A
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of the Passport to Freedom (P2F) Health and Housing is to provide formerly homeless women a supportive group to process the impact of trauma on the women's overall health and wellbeing, learn strategies to reduce the symptoms of trauma and stress, and increased ability to cope with everyday stress while maintaining permanent housing.

Conditions

Trauma

Outcome Measures

Primary Outcomes (5)

• Change in confidence in managing health as assessed by the Perceived Health Competence Scale

  Women will report confidence in managing health based on Pre/Post Perceived Health Competence Scale (PHCS) scores. The questionnaire uses the Likert strongly agree to strongly disagree scale to assess agreement with 8 belief statements. Higher scores indicate greater perceived health competence and lower scores indicate less perceived health competence.

  At the time of consent and 4 weeks after intervention

• Change in emotional response to stress as assessed by the Difficulties in Emotion Regulation Scale

  Women will report level of self-regulation of emotions based on Pre/Post Difficulties in Emotion Regulation Scale (DERS) scores. The scale uses a 1-5 Likert scale to assess frequency of emotional regulation. Higher scores indicate a greater difficulty with emotional regulation and lower scores indicate less difficulty with emotion regulation.

  At the time of consent and 4 weeks after intervention

• Change in stress as assessed by the Everyday Stressor Index

  Women will report stress based on Pre/Post Everyday Stressor Index (ESI). The ESI uses a 1-4 Likert scale for 20 questions that assess role overload, financial concerns, parenting worries, employment problems and interpersonal conflict. Higher scores indicate a higher level of daily stress, lower scores indicate a lower level of daily stress.

  At the time of consent and 4 weeks after intervention

• Perception of the overall program as assessed by a semi-structured interview questions

  Semi-structured interview questions

  4 weeks after the intervention

• Perception of ability to maintain stable housing as assessed by a semi-structured interview questions

  Semi-structured interview questions

  4 weeks after the intervention

Study Arms (1)

Trauma-informed mindfulness-based stress reduction program

EXPERIMENTAL

The program includes three 2-hr sessions to promote physical and emotional wellbeing through mindfulness techniques and health promotion activities; two home visits to provide individualized sessions with a nurse and a community health navigator; and a follow-up session 4 weeks after intervention to discuss perception of the intervention.

Behavioral: Passport to Freedom (P2F)

Interventions

Passport to Freedom (P2F) BEHAVIORAL

During the P2F sessions, the women learn to understand and process the impact of multiple traumas on women's lives and health and learn specific strategies to overcome the symptoms of trauma and everyday stress. Each session will begin and end with a mindfulness exercise to provide different strategies the women can use when these women are in a stressful situation. At the end of each session, the participants will complete a session evaluation. The women will also have a home visit or telephone call with a community health navigator who will conduct a social determinant of health screenings assessment to determine what identified social barriers these women may have. The community health navigator will help with linking the participant to a community agency that addresses the identified problem. Four weeks after the completion of the program, the women will be contacted for a follow-up interview to learn the effectiveness of the program sessions.

Trauma-informed mindfulness-based stress reduction program

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Women 18 years to 55 years, may be parents
• Able to read and write English
• Formerly homeless and currently living in permanent supportive housing through the Women's Housing Coalition Program.

You may not qualify if:

• Under 18 years of age
• Inability to speak or write English

Sponsors & Collaborators

• Johns Hopkins University: lead
• Urban Health Institute: collaborator

MeSH Terms

Conditions

Wounds and Injuries

Study Officials

• Kim Hill, MS

  Johns Hopkins School of Nursing

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 24, 2020
• First Posted: March 26, 2020
• Study Start: October 1, 2020
• Primary Completion: December 1, 2022
• Study Completion: December 1, 2022
• Last Updated: July 28, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share