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Henwood B, Kuhn R, Padwa H, Ijadi-Maghsoodi R, Corletto G, Lawton A, Chien J, Bluthenthal R, Cousineau M, Chinchilla M, Smith B, Vickery K, 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
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
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
Benjamin Henwood;
Randall Kuhn;
Howard Padwa;
Roya Ijadi-Maghsoodi;
Gisele Corletto;
Alex Lawton;
Jessie Chien;
Ricky Bluthenthal;
Michael Cousineau;
Melissa Chinchilla;
Bikki Smith;
Katherine Vickery;
Taylor Harris;
Maria Patanwala;
Whitney Akabike;
Lillian Gelberg
ABSTRACT
Background:
Permanent supportive housing (PSH) is an evidence-based practice to address homelessness. More research is needed to understand the impact of PSH on health-related outcomes.
Objective:
This paper describes the protocols for a mixed-methods comparative effectiveness study of two distinct approaches to implementing PSH and patient-centered quality of life, health care utilization, and health behaviors that reduce COVID-19 risk.
Methods:
People experiencing homelessness who are placed in either (a) single-site (place-based) PSH or (b) scatter-site PSH completed 6 monthly surveys after move-in using smartphones provided by the study team. A subsample of participants completed three qualitative interviews at baseline, 3 months, and 6 months. Two stakeholder advisory groups, including one featuring people with lived experience of homelessness, helped guide study decisions and interpretations of findings.
Results:
Recruitment during the pandemic was challenging given that in-person contact was not permitted at times either by the recruitment sites or research institutions during COVID-19 surges and high community transmission, which particularly affected homelessness programs. To overcome these challenges, flexible strategies were employed that included extending the recruitment period and distribution of cell phones with paid data plans.
Conclusions:
Study protocols to examine the comparative effectiveness of single-site versus scatter-site PSH were developed and implemented during the COVID-19 pandemic to examine health-related outcomes. Clinical Trial: NCT04769349
Citation
Please cite as:
Henwood B, Kuhn R, Padwa H, Ijadi-Maghsoodi R, Corletto G, Lawton A, Chien J, Bluthenthal R, Cousineau M, Chinchilla M, Smith B, Vickery K, 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