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

Autor: Benjamin F. Henwood, Randall Kuhn, Howard Padwa, Roya Ijadi-Maghsoodi, Gisele Corletto, Alex Lawton, Jessie Chien, Ricky Bluthenthal, Michael Cousineau, Melissa Chinchilla, Bikki Tran Smith, Katherine D. Vickery, Anna Darby, Taylor Harris, Maria Patanwala, Whitney N. Akabike, Lillian Gelberg
Rok vydání: 2023
DOI: 10.21203/rs.3.rs-2252796/v1
Popis: Background: Permanent supportive housing (PSH) is an evidence-based practice to address homelessness. 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. Discussion: 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. Trial registration: NCT04769349
Databáze: OpenAIRE