Effectiveness of Supportive Housing on COVID-19 Related Outcomes for People Experiencing Homelessness

NCT04769349 | Unknown

• 1 other identifier: UP-20-01081
• Study Type: observational
• Target: 563
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to understand the comparative effectiveness of two PSH models (PB-PSH and SS-PSH) on quality of life and COVID-19 related health behaviors by following for 6 months a cohort of 800 PEH who have been placed in either PB (n=400) or SS (n=400). In a natural observational experiment, participants will complete 6 monthly mobile-based questionnaires exploring quality of life including physical, mental, social, and housing/environmental health, COVID-19 prevention practices (i.e., handwashing, social distancing, face covering), and past-30-day healthcare utilization. A sub-sample of 40 participants living in both PB-PSH and SS-PSH will be qualitatively interviewed longitudinally to help contextualize quantitative findings. Focus groups will also be conducted with providers of PSH and qualitative interviews will be conducted with other key stakeholders to understand perspectives on the challenges of implementing and sustaining COVID-19 related prevention practices while maintaining a continuity of care.

Conditions

Housing; Covid19; Mental Health; Physical Health; Social Interaction; Healthcare

Outcome Measures

Primary Outcomes (5)

• Life Satisfaction

  The NIH Toolbox item Bank v2.0 contains 10 items and will be utilized for participants to self-rate their life satisfaction

  Change of Life satisfaction from baseline to 6 months

• Quality of physical health

  Self-rated physical health and frequency/quantity of health-related activities will be assessed with the PROMIS Global Health Scale Version 1.2. Scores range from 1-10, with higher scores reflecting better functioning.

  Change in quality of physical health from baseline to 6 months

• Degree of mental health symptomatology

  The PROMIS will also be utilized to assess self-rated frequency the participant is bothered by mental health symptoms. The lowest possible score is 8 and the highest possible score is 40. Higher scores reflect more problematic symptomatology.

  Change in symptomatology from baseline to 6 months

• Social Isolation

  The PROMIS will be utilized to assess social isolation including perceptions of being avoided, excluded, detached, disconnected from, or unknown by, others. Scores range from 6 to 40 with higher scores representing increased perceptions of isolation.

  Change in social isolation from baseline to 6 months

• Housing Environment

  The Housing Environment Scale will assess residential satisfaction and neighborhood quality/safety. There are 5 subscales assessing the following: physical quality of the home, perceived quality of the neighborhood, perceived social climate in neighborhood, physical quality of home, and the physical quality of the neighborhood. Scales contain a range of 14 to 17 items with scores that range from 14 to 85 with higher scores representing increased satisfaction with environment.

  Change in satisfaction with housing environment from baseline to 6 months

Secondary Outcomes (2)

• COVID-19 Prevention practices

  Change in use of prevention practices from baseline to 6 months

• Healthcare Utilization

  Change in utilization from baseline to 6 months

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

800 adults experiencing homelessness who have been approved for permanent supportive housing (PSH) in Los Angeles

You may qualify if:

• adults (aged 18+) with recent (past 12 months) lived experience with homelessness
• approved for PSH
• proficient in English
• able to provide informed consent

You may not qualify if:

• aged younger than 18
• not approved for PSH
• not proficient in English
• unable to provide informed consent

Sponsors & Collaborators

• University of Southern California: lead
• University of California, Los Angeles: collaborator

Study Sites (1)

Los Angeles Homeless Services Authority (LAHSA)

Los Angeles, California, 91303, United States

Location

Related Publications (1)

• Henwood BF, Kuhn R, Padwa H, Ijadi-Maghsoodi R, Corletto G, Lawton A, Chien J, Bluthenthal R, Cousineau MR, Chinchilla M, Tran Smith B, Vickery KD, Harris T, Patanwala M, Akabike W, Gelberg L. Investigating the Comparative Effectiveness of Place-Based and Scatter-Site Permanent Supportive Housing for People Experiencing Homelessness During the COVID-19 Pandemic: Protocols for a Mixed Methods, Prospective Longitudinal Study. JMIR Res Protoc. 2023 Apr 28;12:e46782. doi: 10.2196/46782.

  PMID: 37115590 DERIVED

MeSH Terms

Conditions

COVID-19; Psychological Well-Being

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases; Personal Satisfaction; Behavior

Study Officials

• Benjamin Henwood

  University of Southern California

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: February 9, 2021
• First Posted: February 24, 2021
• Study Start: January 29, 2021
• Primary Completion: June 1, 2023
• Study Completion: August 30, 2023
• Last Updated: April 20, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)