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The Identity Project

The Identity Project: An Evaluation of an Identity Capital Intervention for Young People Transitioning Out of Homelessness

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03772522
Acronym
TIP
Enrollment
27
Registered
2018-12-11
Start date
2018-04-01
Completion date
2019-08-06
Last updated
2023-06-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Homelessness, Youth

Keywords

Hopelessness, Self Esteem, Social Isolation, Employment Status, Education, Housing Problems, Identity, Social, Self Efficacy, Control Locus, Poverty, Youth, Homelessness, Homeless Youth

Brief summary

Understanding how to create successful pathways out of homelessness is crucial. Thirty young people (aged 18 - 26 years) who have transitioned out of homelessness within the past three years will be offered scholarships to participate in a six week intervention that focuses on building identity capital (sense of purpose and control, self-efficacy and self-esteem) and providing career direction. The intervention will be designed and carried out by dk Leadership - an established, highly successful leadership and counseling centre in Toronto with a track record of significantly improving the life trajectories of teens and adults. Importantly, study participants will be incorporated into the centre's current programming, meaning the intervention will be held at a location not associated with homelessness. Study participants will be collaboratively recruited by dk Leadership and Covenant House Toronto - Canada's largest agency for street-involved and homeless youth. This impact and process evaluation aims to address critical gaps in knowledge about transition-related supports by asking whether and how an identity capital intervention delivered outside the social service sector impacts the life-trajectories of formerly homeless young people. Particular attention will be paid to whether this intervention shows promise as an unconventional way to tackle poverty and improve social inclusion. It is hypothesize that, for the primary quantitative outcome measures of hope, community integration, social connectedness, and self-esteem: 1. Significant improvements in the mean scores of the intervention group compared to the delayed intervention comparison group immediately post-intervention will be observed. 2. Significant improvements in the mean scores of both groups (intervention and delayed intervention) immediately post-intervention will be observed. 3. These significant improvements will be sustained in both groups for at least three months post-intervention.

Detailed description

Young people comprise almost 20% of the homeless population in Canada. It is estimated between 35,000 and 40,000 Canadian youth (aged 13 - 25 years) are homeless at some point during the year and at least 6,000 on any given night. In Toronto, an estimated 1,000 - 2,000 youth find themselves searching for a place to sleep on any given night. While a great deal is known about the risk factors associated with young people entering and remaining entrenched in street life (e.g., intergenerational poverty, childhood abuse, inadequate education, and limited employment opportunities), less is known much less about how to facilitate and sustain transitions off the streets for youth experiencing homelessness. The scarcity of evidence on this issue means there are critical gaps in understanding how best to help homeless young people move forward in life after they become housed. For example, results from a recent longitudinal mixed method study of 51 formerly homeless youth living in Toronto and Halifax - led by Dr. Sean Kidd and colleagues and one of the most rigorous investigations to date - showed that obtaining stable housing did not necessarily translate into a sense of belonging or connection to mainstream society. While study participants demonstrated incredible commitment, the structural barriers they experienced during the transition process (e.g., inadequate education and underemployment) led to fragile identities (i.e., self-concept) as they experienced a significant decline in hope and a sense of being 'stuck'. Youth described feeling unprepared for and overwhelmed by the realities associated with the transition process, undermining their sense of belonging and confidence in achieving larger life goals. Building on the Kidd et al. study, Dr. Naomi Thulien (the lead investigator for this study) spent 10 months following nine young people who had left the shelter system and moved into market rent housing in Toronto. The study - believed to be the first of its kind - captured the crucial role identity plays in the transition away from homelessness. Despite their remarkable determination, study participants lacked sufficient identity capital - conceptualized as a sense of purpose and control, self-efficacy, and self-esteem - to help them press on in the face of significant structural inequities. Thulien asserts that failure to understand and incorporate identity capital into transition-related supports may result in a poor return on investment as these supports are likely to be ineffective, underutilized, or rejected outright. One notable identity-based intervention is a randomized controlled trial that targeted 264 eighth graders from high-poverty and high-unemployment neighborhoods in Detroit, Michigan. Participants who attended the seven-week intervention aimed at aligning the students' current identities with achievable positive adult identities, demonstrated improved outcomes on measures pertaining to academics, mood, and behavior, which was sustained through the two-year follow-up. The authors suggest brief identity-based interventions can have significant effects on outcomes. Despite being suggested as a promising approach, the investigators know of no other interventions (nationally or internationally) that are specifically targeting the enhancement of identity capital for formerly homeless young people. Given the limited evidence-based interventions for youth transitioning out of homelessness, the investigators believe there is a critical need for evaluations that compare findings based on different approaches, reflecting the diversity of the population and their corresponding needs. The proposed intervention is based on two premises: 1) identity is socially constructed and malleable; and 2) people act in identity-congruent ways. Thus, the intervention aims to change socially constructed life trajectories by providing identity-enhancing resources to formerly homeless young people. This impact and process evaluation aims to address critical gaps in the literature about transition-related supports by asking whether and how an identity capital intervention delivered outside the social service sector impacts the life-trajectories of formerly homeless young people. Particular attention will be paid to whether this intervention shows promise as an unconventional way to tackle poverty and improve social inclusion. Specifically, this evaluation will investigate and disseminate important new knowledge on the following outcomes 1. The impact of the intervention on measures of hope, community integration, social connectedness, and self-esteem. 2. The effectiveness of the intervention to increase the number of young people in education, employment, or training. 3. Understanding any practical challenges encountered during the intervention implementation and how these challenges were resolved. 4. Understanding what young people found most beneficial about the intervention and their suggestions for how it could be improved. An impact and process evaluation utilizing a mixed method prospective cohort design with an intervention and delayed intervention comparison group is the most appropriate because it: 1. Addresses the crucial need to understand and disseminate evidence regarding the impact and process of interventions targeting homeless youth - both will help assess and inform questions related to scalability. 2. Provides a more complete and synergistic utilization of data. 3. Balances scientific rigor with the ethical principle of fairness. This evaluation is a mixed-methods design with a strong qualitative component. Quantitative data collection will occur at six weeks pre-baseline (for the delayed intervention group only), baseline (immediately pre-intervention), immediately post-intervention (one week), three months post-intervention, six months post-intervention, and nine months post-intervention. At each data collection period, participants will be asked whether they are enrolled in education, employment, or training in the questionnaire. They will also be asked about their housing status. Hope, community integration, social connectedness, and self-esteem will be measured quantitatively using scales. The frequencies, means and standard deviations will be calculated for all evaluation variables. To address the question about the extent to which the outcome variables change over time, independent t-tests will be conducted on the continuous variables (hope, community integration, social connectedness, and self-esteem) and chi-square tests on the categorical variables (education, employment, training, and housing) to report on changes between: 1) baseline and immediately post-intervention; 2) baseline and three months post-intervention; 3) baseline and six months post-intervention; and 4) baseline and nine months post-intervention. To address the question about whether the intervention group demonstrates a statistically significant difference in outcomes compared to no intervention, the outcome variables between the intervention group and the delayed intervention group will be compared six weeks after the baseline questionnaires (i.e., the intervention group will have just completed the dk Leadership program and the delayed intervention group will not have started it yet). Qualitative measures are an important feature of this evaluation and will consist of: 1) participant observation and 2) focus groups. Over the six-week intervention period, the co-investigator will attend the weekly meetings as an observer. She will do this with both the intervention and the delayed intervention group. During these meetings, the investigator will take field notes, documenting her perceptions about the way the workshops and group coaching sessions are being run, and how they are being 'taken up' by the young people in the intervention group. Focus groups, will take place immediately (one week), three months, six months, and 9 months post-intervention. Participants in the intervention and delayed intervention will be in separate focus groups. The questions posed during the focus groups will be guided by the evaluation objectives, but will be conversational and exploratory in nature with particular attention to identity capital, life-trajectories, and social inclusion. It is anticipated that the focus groups will last 60 - 90 minutes. All will be conducted by the co-investigator at locations most convenient for the study participants, and will be audio recorded and transcribed verbatim. In keeping with the emergent, iterative nature of research using a qualitative design, data analysis and interpretation will begin at the onset of the intervention. The handwritten field notes from the participant observation sessions will be typed into Microsoft Word by the co-investigator immediately after each biweekly meeting. The focus groups will be audio recorded and transcribed verbatim. In order to conduct a more nuanced analysis of the data, the transcriptionist will be instructed to note short responses, uncooperative tones, and literal silence. Prior to each meeting with the participants, the co-investigator will conduct a preliminary data analysis, reading the field notes multiple times, separating the data into coded segments, making analytic memos beside large portions of the field notes or transcripts, identifying emerging themes (and comparing/contrasting these between participants), and complying new questions to ask the participants. Participants will be asked for their perspectives on the emerging interpretations at each visit and these perspectives will play a key role in helping shape the data analysis and help ensure the trustworthiness of the data. The web-based application Dedoose39 will be utilized to assist with sorting and coding the qualitative data. Study participants may benefit from the opportunity to share with the co-investigator and with each other about whether and how an identity-building intervention delivered outside the social service sector impacts their life-trajectories. Additionally, participants may derive satisfaction from knowing that their contributions will help advance understanding about how best to design interventions that help tackle poverty and improve social inclusion for young people transitioning out of homelessness.

Interventions

BEHAVIORALdk Leadership

Participants will attend two full-day workshops and four half-day group coaching sessions over the course of six weeks. The workshops and coaching sessions will be supplemented by on-line (e.g., podcasts) and print (e.g., workbooks) material. The full-day workshops will focus on identity-enhancing topics such as self-understanding, creating a life of meaning and purpose, and strategic career development. The half-day group coaching sessions will focus on workshop debriefing and on exploring solutions to transition-related challenges faced by study participants. The program was designed and carried out by dk Leadership - an established leadership and executive coaching centre in Toronto, Canada.

Sponsors

dk Leadership
CollaboratorINDUSTRY
Covenant House Toronto
CollaboratorOTHER
Ontario Trillium Foundation
CollaboratorOTHER
Unity Health Toronto
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Thirty young people (aged 18 - 26 years) who have transitioned out of homelessness within the past three years will be offered scholarships to participate in a six-week intervention that focuses on building identity capital and providing career direction. The intervention will be designed and carried out by dk Leadership - an established, highly successful leadership and counseling centre in Toronto with a track record of significantly improving the life trajectories of teens and adults. Importantly, study participants will be incorporated into the centre's current programming, meaning the intervention will be held at a location not associated with homelessness. All of the participants will be invited to attend two focus groups, which will be conducted immediately post-intervention and at six months post-intervention. Each focus group will contain approximately 8 - 10 youth. Participants in the intervention and delayed intervention will be in separate focus groups.

Eligibility

Sex/Gender
ALL
Age
18 Years to 26 Years
Healthy volunteers
Yes

Inclusion criteria

* Between 18-26 years of age * Left homelessness within the last 3 years (youth living in supportive housing contexts (e.g., transitional housing) will be considered to have left homelessness) * Currently not homeless (youth in supportive or transitional housing are eligible) * A concerted effort will be made to recruit young people facing additional identity-related challenges like newcomer and racialized youth, Indigenous youth, and youth who belong to the LGBTQ2S community.

Exclusion criteria

* Not fluent in English * Cannot provide informed consent * Cannot commit to attending two full-day workshops and four half-day group coaching sessions over the course of six weeks (missing more than one workshop and two coaching sessions will disqualify participants from the study)

Design outcomes

Primary

MeasureTime frameDescription
Mean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness ScaleAssessed at 6 weeks pre-baseline (for the delayed intervention group only), at baseline (immediately pre-intervention), immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-interventionAssessed using Beck's Hopelessness Scale, a 20-item scale which measures motivation, expectations, and feelings about the future (internal consistency α = .93). The total scoring range is 0-20, with 0-3 = no or minimal hopelessness, 4-8 = mild hopelessness, 9-14 = moderate hopelessness- requires monitoring, and 15+ = severe hopelessness- suicide risk. Participants' scores at baseline will be compared with their scores post-intervention to detect changes in levels of hopelessness. The change in scores over time will describe the general trajectory of hopelessness.
Mean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Assessed at 6 weeks pre-baseline (for the delayed intervention group only), at baseline (immediately pre-intervention), immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-interventionAssessed using the Community Integration Scale, an 11-item scale which measures behavioural (e.g., participation in activities) and psychological (e.g., sense of belonging) aspects of community integration. The CIS includes a physical subscale (with scores ranging from 0-7) and a psychological subscale (with scores ranging from 4-20). Higher scores indicate greater community integration. This scale was used extensively in the Chez Soi/At Home study, but psychometric properties have yet to be reported. Participants' scores at baseline will be compared with their scores post-intervention to detect changes in levels of community integration. The change in scores over time will describe the general trajectory of community integration.
Mean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)Assessed at 6 weeks pre-baseline (for the delayed intervention group only), at baseline (immediately pre-intervention), immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-interventionMeasured using the Social Connected Scale, a 20-item scale which measures belongingness - the degree to which people feel connected to others (internal consistency α = .92). Scores range from 20-120, with higher scores indicating greater social connectedness. Participants' scores at baseline will be compared with their scores post-intervention to detect changes in social connectedness. The change in scores over time will describe the general trajectory of social connectedness.
Mean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)Assessed at 6 weeks pre-baseline (for the delayed intervention group only), at baseline (immediately pre-intervention), immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-interventionAssessed using the Rosenberg Self-Esteem Scale, a 10-item scale which measures of global self-worth (internal consistency α = .77 - .88). Scores range from 0-30. A score of \<15 is categorized as low self-esteem, and 15-30 is categorized as normal self-esteem. Participants' scores at baseline will be compared with their scores post-intervention to detect changes in self-esteem. The change in scores over time will describe the general trajectory of self-esteem.

Secondary

MeasureTime frameDescription
Change in Vocational Participation/Employment as Assessed by a Questionnaire From Baseline to 9-MonthsAssessed at baseline (immediately pre-intervention) and 9 months post-interventionAcquirement of meaningful employment will be assessed. Participants will be prompted to answer questions about their current employment status, intensity of employment, and type of employment in the questionnaire. The change in the number of participants engaging in employment over time at the aggregate level will be assessed.
Number of Themes Related to Participant Perspectives of Intervention Barriers and Facilitators, as Informed by Focus Groups With Participants60 - 90 minute focus groups at each of the following timepoints: immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-interventionIn focus groups, youth will be prompted to discuss the strengths and drawbacks of conventional programs for youth transitioning out of homelessness. These evaluations will be compared to this intervention to determine what aspects of programs youth find most helpful, and which could be improved upon. The questions posed during the focus groups will be guided by the evaluation objectives, but will be conversational and exploratory in nature with particular attention to identity capital, life-trajectories, and social inclusion.All will be conducted by the co-investigator at locations most convenient for the study participants, and will be audio recorded and transcribed verbatim. All focus groups will be analyzed together; the themes identified from the analysis will be presented as one data entry.
Change in Academic Participation/Educational Attainment as Assessed by a Questionnaire From Baseline to 9-MonthsAssessed at baseline (immediately pre-intervention) and 9 months post-interventionParticipants will be prompted to answer questions about their current educational pursuit, and type of schooling or training program in a questionnaire. The change in the number of participants engaging in education over time on the aggregate will be assessed.
Number of Themes Related to Change in Career Awareness Informed by Focus Groups With Participants60 - 90 minute focus groups at each of the following timepoints: immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-interventionThis outcome will describe the general trajectory of career awareness. Self-awareness, confidence, ability to articulate career goals, and understanding of how to achieve career goals will be assessed in focus groups. The questions posed during the focus groups will be guided by the evaluation objectives, but will be conversational and exploratory in nature with particular attention to identity capital, life-trajectories, and social inclusion. All will be conducted by the co-investigator at locations most convenient for the study participants, and will be audio recorded and transcribed verbatim. All focus groups will be analyzed together; the themes identified from the analysis will be presented as one data entry.
Number of Themes Related to Change in Knowledge and Use of Soft Skills Informed by Focus Groups With Participants60 - 90 minute focus groups at each of the following timepoints: immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-interventionAcquirement of soft skills such as motivation, goal setting, self-discipline, and organization will be assessed in focus groups. The questions posed during the focus groups will be guided by the evaluation objectives, but will be conversational and exploratory in nature with particular attention to identity capital, life-trajectories, and social inclusion. All will be conducted by the co-investigator at locations most convenient for the study participants, and will be audio recorded and transcribed verbatim. All focus groups will be analyzed together; the themes identified from the analysis will be presented as one data entry.

Countries

Canada

Participant flow

Recruitment details

Recruitment took place between March, 2018 and September, 2018. Participants were collaboratively recruited by our community partner Covenant House Toronto, who referred youth to our research team.

Pre-assignment details

Although out recruitment goal was 26 youth, we exceeded that goal by recruiting 27 youth.

Participants by arm

ArmCount
Immediate dk Leadership Intervention
Participants allocated to the immediate intervention group are assessed for study outcomes immediately before and after the intervention. Outcomes measured immediately post-intervention are compared with participants who have not received the intervention during the 6 weeks. After the delayed intervention group takes the intervention, the two groups are joined into a single arm. dk Leadership: Participants will attend two full-day workshops and four half-day group coaching sessions over the course of six weeks. The full-day workshops will focus on identity-enhancing topics such as self-understanding, creating a life of meaning and purpose, and strategic career development. The half-day group sessions will focus on workshop debriefing and on exploring solutions to transition-related challenges faced by study participants. The program was designed and carried out by dk Leadership - an established leadership and executive coaching centre in Toronto, Canada.
8
Delayed dk Leadership Intervention
Participants allocated to this arm receive 6 weeks of no intervention. Outcomes are measured immediately before and after the 6 week period. The change in outcomes are compared with participants who have received the intervention during the 6 week period. This group then receives the same dk Leadership intervention; after this point, the two groups are joined into a single arm for subsequent analyses. dk Leadership: Participants will attend two full-day workshops and four half-day group coaching sessions over the course of six weeks. The full-day workshops will focus on identity-enhancing topics such as self-understanding, creating a life of meaning and purpose, and strategic career development. The half-day group sessions will focus on workshop debriefing and on exploring solutions to transition-related challenges faced by study participants. The program was designed and carried out by dk Leadership - an established leadership and executive coaching centre in Toronto, Canada.
11
Total19

Withdrawals & dropouts

PeriodReasonFG000FG001
InterventionWithdrawal by Subject10
Post-intervention Follow-upLost to Follow-up10
Pre-interventionWithdrawal by Subject34

Baseline characteristics

CharacteristicImmediate dk Leadership InterventionDelayed dk Leadership InterventionTotal
Age, Continuous22.5 years
STANDARD_DEVIATION 3.1
23.2 years
STANDARD_DEVIATION 1.3
22.9 years
STANDARD_DEVIATION 2.2
Current Living Situation
Living with family
1 Participants0 Participants1 Participants
Current Living Situation
Market housing
2 Participants5 Participants7 Participants
Current Living Situation
Social or subsidized housing
2 Participants5 Participants7 Participants
Current Living Situation
Transitional housing
3 Participants1 Participants4 Participants
Family Involvement with a Child Protection Agency
No
5 Participants10 Participants15 Participants
Family Involvement with a Child Protection Agency
Yes
3 Participants1 Participants4 Participants
Has Children
No
7 Participants10 Participants17 Participants
Has Children
Yes
1 Participants1 Participants2 Participants
Highest Level of Education Obtained
Completed high school
2 Participants6 Participants8 Participants
Highest Level of Education Obtained
Less than high school
2 Participants2 Participants4 Participants
Highest Level of Education Obtained
Some or complete post-secondary
4 Participants3 Participants7 Participants
Immigration Status
Canadian Citizen
6 Participants7 Participants13 Participants
Immigration Status
Permanent Resident
1 Participants4 Participants5 Participants
Immigration Status
Refugee
1 Participants0 Participants1 Participants
Lived in a Foster or Group Home
No
7 Participants10 Participants17 Participants
Lived in a Foster or Group Home
Yes
1 Participants1 Participants2 Participants
Monthly Rent
$0-$499
4 Participants7 Participants11 Participants
Monthly Rent
$1000+
0 Participants2 Participants2 Participants
Monthly Rent
$500-$999
4 Participants2 Participants6 Participants
Number of Attempts at Leaving Homelessness
<2
2 Participants7 Participants9 Participants
Number of Attempts at Leaving Homelessness
>=2
6 Participants4 Participants10 Participants
Pursuing Education, Employment or Training
Currently pursuing EET
7 Participants7 Participants14 Participants
Pursuing Education, Employment or Training
Not pursuing EET
1 Participants4 Participants5 Participants
Race/Ethnicity, Customized
Asian (East Asian, South Asian, Middle Eastern)
1 Participants3 Participants4 Participants
Race/Ethnicity, Customized
Black/African Canadian
4 Participants3 Participants7 Participants
Race/Ethnicity, Customized
Other
1 Participants3 Participants4 Participants
Race/Ethnicity, Customized
White
2 Participants2 Participants4 Participants
Sex: Female, Male
Female
6 Participants5 Participants11 Participants
Sex: Female, Male
Male
2 Participants6 Participants8 Participants
Social Assistance
Disability benefit
2 Participants5 Participants7 Participants
Social Assistance
Not receiving social assistance
2 Participants2 Participants4 Participants
Social Assistance
Unemployment benefit
4 Participants4 Participants8 Participants
Years Lived Apart from Family
<4
5 Participants4 Participants9 Participants
Years Lived Apart from Family
>=4
3 Participants7 Participants10 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 11
other
Total, other adverse events
0 / 80 / 11
serious
Total, serious adverse events
0 / 80 / 11

Outcome results

Primary

Mean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)

Assessed using the Community Integration Scale, an 11-item scale which measures behavioural (e.g., participation in activities) and psychological (e.g., sense of belonging) aspects of community integration. The CIS includes a physical subscale (with scores ranging from 0-7) and a psychological subscale (with scores ranging from 4-20). Higher scores indicate greater community integration. This scale was used extensively in the Chez Soi/At Home study, but psychometric properties have yet to be reported. Participants' scores at baseline will be compared with their scores post-intervention to detect changes in levels of community integration. The change in scores over time will describe the general trajectory of community integration.

Time frame: Assessed at 6 weeks pre-baseline (for the delayed intervention group only), at baseline (immediately pre-intervention), immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-intervention

Population: 1 participant in the delayed intervention group missed the 6-week delay period and joined immediately pre-intervention.Thus, the number of participants at 6-weeks pre-baseline is 10 rather than 11.~1 participant was lost to follow-up at the 9-month follow-up. Thus the number of participants in the immediate intervention group was 7 rather than 8.

ArmMeasureGroupValue (MEAN)Dispersion
Immediate dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale: Baseline11.63 score on a scaleStandard Deviation 4.27
Immediate dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale: Imm. post-intervention11.88 score on a scaleStandard Deviation 4.36
Immediate dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: Immediately post-intervention3.89 score on a scaleStandard Deviation 1.11
Immediate dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale:3 Months post-intervention11.75 score on a scaleStandard Deviation 2.82
Immediate dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale:6 Months post-intervention11.00 score on a scaleStandard Deviation 4.6
Immediate dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale:9 Months post-intervention11.14 score on a scaleStandard Deviation 4.06
Immediate dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: 3 Months post-intervention3.98 score on a scaleStandard Deviation 2.37
Immediate dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: 6-weeks pre-baselineNA score on a scale
Immediate dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: 6 Months post-intervention3.75 score on a scaleStandard Deviation 1.91
Immediate dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: 9 Months post-intervention3.29 score on a scaleStandard Deviation 2.36
Immediate dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale: 6-weeks pre-baselineNA score on a scale
Immediate dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: Baseline (pre-intervention)2.50 score on a scaleStandard Deviation 1.2
Delayed dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale: Imm. post-intervention13.50 score on a scaleStandard Deviation 4.25
Delayed dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale: Baseline12.60 score on a scaleStandard Deviation 3.91
Delayed dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: Baseline (pre-intervention)3.09 score on a scaleStandard Deviation 2.3
Delayed dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: 6-weeks pre-baseline4.42 score on a scaleStandard Deviation 2.12
Delayed dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: 3 Months post-intervention3.55 score on a scaleStandard Deviation 2.07
Delayed dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale: 6-weeks pre-baseline12.9 score on a scaleStandard Deviation 3.98
Delayed dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale:3 Months post-intervention13.09 score on a scaleStandard Deviation 2.77
Delayed dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: 9 Months post-intervention3.45 score on a scaleStandard Deviation 1.57
Delayed dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale:6 Months post-intervention13.10 score on a scaleStandard Deviation 3.53
Delayed dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: 6 Months post-intervention3.64 score on a scaleStandard Deviation 1.5
Delayed dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale:9 Months post-intervention12.45 score on a scaleStandard Deviation 3.42
Delayed dk Leadership InterventionMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: Immediately post-intervention3.45 score on a scaleStandard Deviation 1.86
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale:9 Months post-intervention11.94 score on a scaleStandard Deviation 3.62
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale:3 Months post-intervention12.53 score on a scaleStandard Deviation 2.8
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale:6 Months post-intervention12.21 score on a scaleStandard Deviation 4.04
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: 6-weeks pre-baselineNA score on a scale
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: Immediately post-intervention3.64 score on a scaleStandard Deviation 1.57
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: 3 Months post-intervention3.73 score on a scaleStandard Deviation 2.14
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: 6 Months post-intervention3.68 score on a scaleStandard Deviation 1.63
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: 9 Months post-intervention3.39 score on a scaleStandard Deviation 1.85
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale: 6-weeks pre-baselineNA score on a scale
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale: Baseline12.16 score on a scaleStandard Deviation 3.98
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Psychological sub-scale: Imm. post-intervention12.79 score on a scaleStandard Deviation 4.39
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Community Integration (Psychological and Physical) Scores as Measured by the Community Integration Scale (CIS)Physical sub-scale: Baseline (pre-intervention)2.84 score on a scaleStandard Deviation 1.89
Comparison: Change in score in the immediate intervention group (after receiving the intervention for 6 weeks) compared to that of the delayed intervention group (after receiving no intervention for 6 weeks) for the physical component of the CIS.p-value: 0.002t-test, 2 sided
Comparison: Change in score in the immediate intervention group (after receiving the intervention for 6 weeks) compared to that of the delayed intervention group (after receiving no intervention for 6 weeks) for the psychological component of the CIS.p-value: 0.923t-test, 2 sided
Comparison: Comparison of CIS (physical component) scores at baseline (pre-intervention) and immediately post-intervention.p-value: 0.18t-test, 2 sided
Comparison: Comparison of CIS (psychological component) scores at baseline (pre-intervention) and immediately post-intervention.p-value: 0.388t-test, 2 sided
Comparison: Comparison of CIS (physical component) scores at baseline (pre-intervention) and 3-months post-intervention.p-value: 0.037t-test, 2 sided
Comparison: Comparison of CIS (psychological component) scores at baseline (pre-intervention) and 3-months post-intervention.p-value: 0.688t-test, 2 sided
Comparison: Comparison of CIS (physical component) scores at baseline (pre-intervention) and 6-months post-intervention.p-value: 0.038t-test, 2 sided
Comparison: Comparison of CIS (psychological component) scores at baseline (pre-intervention) and 6-months post-intervention.p-value: 0.956t-test, 2 sided
Comparison: Comparison of CIS (physical component) scores at baseline (pre-intervention) and 9-months post-intervention.p-value: 0.197t-test, 2 sided
Comparison: Comparison of CIS (psychological component) scores at baseline (pre-intervention) and 9-months post-intervention.p-value: 0.762t-test, 2 sided
Primary

Mean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale

Assessed using Beck's Hopelessness Scale, a 20-item scale which measures motivation, expectations, and feelings about the future (internal consistency α = .93). The total scoring range is 0-20, with 0-3 = no or minimal hopelessness, 4-8 = mild hopelessness, 9-14 = moderate hopelessness- requires monitoring, and 15+ = severe hopelessness- suicide risk. Participants' scores at baseline will be compared with their scores post-intervention to detect changes in levels of hopelessness. The change in scores over time will describe the general trajectory of hopelessness.

Time frame: Assessed at 6 weeks pre-baseline (for the delayed intervention group only), at baseline (immediately pre-intervention), immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-intervention

Population: 1 participant in the delayed intervention group missed the 6-week delay period and joined immediately pre-intervention.Thus, the number of participants at 6-weeks pre-baseline is 10 rather than 11.~1 participant was lost to follow-up at the 9-month follow-up. Thus the number of participants in the immediate intervention group was 7 rather than 8.

ArmMeasureGroupValue (MEAN)Dispersion
Immediate dk Leadership InterventionMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale9 Months post-intervention1.71 score on a scaleStandard Deviation 1.7
Immediate dk Leadership InterventionMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness ScaleImmediately post-intervention2.63 score on a scaleStandard Deviation 3.46
Immediate dk Leadership InterventionMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale6 Months post-intervention1.75 score on a scaleStandard Deviation 1.98
Immediate dk Leadership InterventionMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale6-weeks pre-baselineNA score on a scale
Immediate dk Leadership InterventionMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale3 Months post-intervention2.75 score on a scaleStandard Deviation 2.71
Immediate dk Leadership InterventionMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness ScaleBaseline (pre-intervention)4.27 score on a scaleStandard Deviation 3.28
Delayed dk Leadership InterventionMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale3 Months post-intervention5.55 score on a scaleStandard Deviation 3.8
Delayed dk Leadership InterventionMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale6 Months post-intervention5.01 score on a scaleStandard Deviation 3.57
Delayed dk Leadership InterventionMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale9 Months post-intervention5.00 score on a scaleStandard Deviation 4.2
Delayed dk Leadership InterventionMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale6-weeks pre-baseline6.70 score on a scaleStandard Deviation 4.08
Delayed dk Leadership InterventionMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness ScaleImmediately post-intervention5.21 score on a scaleStandard Deviation 4.01
Delayed dk Leadership InterventionMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness ScaleBaseline (pre-intervention)6.55 score on a scaleStandard Deviation 3.8
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale9 Months post-intervention3.72 score on a scaleStandard Deviation 3.75
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale6 Months post-intervention3.64 score on a scaleStandard Deviation 3.37
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale6-weeks pre-baselineNA score on a scale
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness ScaleBaseline (pre-intervention)5.59 score on a scaleStandard Deviation 3.68
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness ScaleImmediately post-intervention4.12 score on a scaleStandard Deviation 3.92
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Hopelessness as Measured by the Beck Hopelessness Scale3 Months post-intervention4.36 score on a scaleStandard Deviation 3.59
Comparison: Change in score in the immediate intervention group (after receiving the intervention for 6 weeks) compared to that of the delayed intervention group (after receiving no intervention for 6 weeks).p-value: 0.428t-test, 2 sided
Comparison: Comparison of scores at baseline (pre-intervention) and immediately post-intervention.p-value: 0.058t-test, 2 sided
Comparison: Comparison of scores at baseline (pre-intervention) and 3-month post-intervention.p-value: 0.095t-test, 2 sided
Comparison: Comparison of scores at baseline (pre-intervention) and 6-months post-intervention.p-value: 0.005t-test, 2 sided
Comparison: Comparison of scores at baseline (pre-intervention) and 9-months post-intervention.p-value: 0.022t-test, 2 sided
Primary

Mean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)

Assessed using the Rosenberg Self-Esteem Scale, a 10-item scale which measures of global self-worth (internal consistency α = .77 - .88). Scores range from 0-30. A score of \<15 is categorized as low self-esteem, and 15-30 is categorized as normal self-esteem. Participants' scores at baseline will be compared with their scores post-intervention to detect changes in self-esteem. The change in scores over time will describe the general trajectory of self-esteem.

Time frame: Assessed at 6 weeks pre-baseline (for the delayed intervention group only), at baseline (immediately pre-intervention), immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-intervention

Population: 1 participant in the delayed intervention group missed the 6-week delay period and joined immediately pre-intervention.Thus, the number of participants at 6-weeks pre-baseline is 10 rather than 11.~1 participant was lost to follow-up at the 9-month follow-up. Thus the number of participants in the immediate intervention group was 7 rather than 8.

ArmMeasureGroupValue (MEAN)Dispersion
Immediate dk Leadership InterventionMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)Immediately post-intervention22.00 score on a scaleStandard Deviation 4.87
Immediate dk Leadership InterventionMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)6-Weeks pre-baselineNA score on a scale
Immediate dk Leadership InterventionMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)3-Months post-intervention21.00 score on a scaleStandard Deviation 6.39
Immediate dk Leadership InterventionMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)9-Months post-intervention21.86 score on a scaleStandard Deviation 4.98
Immediate dk Leadership InterventionMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)Baseline (pre-intervention)16.66 score on a scaleStandard Deviation 2.92
Immediate dk Leadership InterventionMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)6-Months post-intervention24.75 score on a scaleStandard Deviation 5.23
Delayed dk Leadership InterventionMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)Baseline (pre-intervention)18.50 score on a scaleStandard Deviation 6.09
Delayed dk Leadership InterventionMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)6-Weeks pre-baseline17.70 score on a scaleStandard Deviation 4.91
Delayed dk Leadership InterventionMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)Immediately post-intervention19.20 score on a scaleStandard Deviation 7.31
Delayed dk Leadership InterventionMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)3-Months post-intervention18.09 score on a scaleStandard Deviation 5.11
Delayed dk Leadership InterventionMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)6-Months post-intervention19.18 score on a scaleStandard Deviation 6.88
Delayed dk Leadership InterventionMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)9-Months post-intervention19.00 score on a scaleStandard Deviation 4.24
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)Baseline (pre-intervention)17.70 score on a scaleStandard Deviation 4.97
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)9-Months post-intervention20.11 score on a scaleStandard Deviation 4.63
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)6-Months post-intervention21.53 score on a scaleStandard Deviation 6.7
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)Immediately post-intervention20.37 score on a scaleStandard Deviation 6.4
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)6-Weeks pre-baselineNA score on a scale
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Self-esteem Scores as Measured by the Rosenberg Self-Esteem Scale (RSS)3-Months post-intervention19.32 score on a scaleStandard Deviation 5.71
Comparison: Change in score in the immediate intervention group (after receiving the intervention for 6 weeks) compared to that of the delayed intervention group (after receiving no intervention for 6 weeks).p-value: 0.026t-test, 2 sided
Comparison: Comparison of RSS scores at baseline (pre-intervention) and immediately post-intervention.p-value: 0.014t-test, 2 sided
Comparison: Comparison of RSS scores at baseline (pre-intervention) and 3-months post-intervention.p-value: 0.217t-test, 2 sided
Comparison: Comparison of RSS scores at baseline (pre-intervention) and 6-months post-intervention.p-value: 0.006t-test, 2 sided
Comparison: Comparison of RSS scores at baseline (pre-intervention) and 9-months post-intervention.p-value: 0.039t-test, 2 sided
Primary

Mean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)

Measured using the Social Connected Scale, a 20-item scale which measures belongingness - the degree to which people feel connected to others (internal consistency α = .92). Scores range from 20-120, with higher scores indicating greater social connectedness. Participants' scores at baseline will be compared with their scores post-intervention to detect changes in social connectedness. The change in scores over time will describe the general trajectory of social connectedness.

Time frame: Assessed at 6 weeks pre-baseline (for the delayed intervention group only), at baseline (immediately pre-intervention), immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-intervention

Population: 1 participant in the delayed intervention group missed the 6-week delay period and joined immediately pre-intervention.Thus, the number of participants at 6-weeks pre-baseline is 10 rather than 11.~1 participant was lost to follow-up at the 9-month follow-up. Thus the number of participants in the immediate intervention group was 7 rather than 8.

ArmMeasureGroupValue (MEAN)Dispersion
Immediate dk Leadership InterventionMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)Baseline (pre-intervention)74.00 score on a scaleStandard Deviation 13.37
Immediate dk Leadership InterventionMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)6-weeks pre-baselineNA score on a scale
Immediate dk Leadership InterventionMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)Immediately post-intervention75.75 score on a scaleStandard Deviation 25.41
Immediate dk Leadership InterventionMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)9-Months post-intervention84.14 score on a scaleStandard Deviation 14.81
Immediate dk Leadership InterventionMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)3-Months post-intervention82.88 score on a scaleStandard Deviation 20.79
Immediate dk Leadership InterventionMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)6-Months post-intervention84.38 score on a scaleStandard Deviation 18.95
Delayed dk Leadership InterventionMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)Immediately post-intervention75.20 score on a scaleStandard Deviation 14.6
Delayed dk Leadership InterventionMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)Baseline (pre-intervention)71.00 score on a scaleStandard Deviation 15.6
Delayed dk Leadership InterventionMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)6-weeks pre-baseline70.00 score on a scaleStandard Deviation 10.1
Delayed dk Leadership InterventionMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)3-Months post-intervention75.27 score on a scaleStandard Deviation 8.46
Delayed dk Leadership InterventionMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)6-Months post-intervention72.18 score on a scaleStandard Deviation 12.36
Delayed dk Leadership InterventionMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)9-Months post-intervention73.26 score on a scaleStandard Deviation 14.49
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)3-Months post-intervention78.47 score on a scaleStandard Deviation 14.92
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)6-weeks pre-baselineNA score on a scale
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)9-Months post-intervention77.49 score on a scaleStandard Deviation 15.19
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)Baseline (pre-intervention)72.26 score on a scaleStandard Deviation 14.39
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)Immediately post-intervention75.42 score on a scaleStandard Deviation 19.23
Pooled Analysis of Immediate and Delayed Intervention GroupsMean Change From Baseline in Social Connectedness Scores as Measured by the Social Connectedness Scale (SCS)6-Months post-intervention77.32 score on a scaleStandard Deviation 16.21
Comparison: Change in score in the immediate intervention group (after receiving the intervention for 6 weeks) compared to that of the delayed intervention group (after receiving no intervention for 6 weeks).p-value: 0.834t-test, 2 sided
Comparison: Comparison of SCS scores at baseline (pre-intervention) and immediately post-intervention.p-value: 0.417t-test, 2 sided
Comparison: Comparison of SCS scores at baseline (pre-intervention) and 3-months post-intervention.p-value: 0.087t-test, 2 sided
Comparison: Comparison of SCS scores at baseline (pre-intervention) and 6-months post-intervention.p-value: 0.168t-test, 2 sided
Comparison: Comparison of SCS scores at baseline (pre-intervention) and 9-months post-intervention.p-value: 0.133t-test, 2 sided
Secondary

Change in Academic Participation/Educational Attainment as Assessed by a Questionnaire From Baseline to 9-Months

Participants will be prompted to answer questions about their current educational pursuit, and type of schooling or training program in a questionnaire. The change in the number of participants engaging in education over time on the aggregate will be assessed.

Time frame: Assessed at baseline (immediately pre-intervention) and 9 months post-intervention

Population: 1 participant was lost to follow-up at the 9-month data collection period. Thus, the number of participants analyzed at 9-months is 18 rather than 19.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Immediate dk Leadership InterventionChange in Academic Participation/Educational Attainment as Assessed by a Questionnaire From Baseline to 9-MonthsBaseline (pre-intervention)Secondary education4 Participants
Immediate dk Leadership InterventionChange in Academic Participation/Educational Attainment as Assessed by a Questionnaire From Baseline to 9-MonthsBaseline (pre-intervention)Post-secondary education4 Participants
Immediate dk Leadership InterventionChange in Academic Participation/Educational Attainment as Assessed by a Questionnaire From Baseline to 9-MonthsBaseline (pre-intervention)Not pursuing education11 Participants
Immediate dk Leadership InterventionChange in Academic Participation/Educational Attainment as Assessed by a Questionnaire From Baseline to 9-Months9-Months post-interventionSecondary education1 Participants
Immediate dk Leadership InterventionChange in Academic Participation/Educational Attainment as Assessed by a Questionnaire From Baseline to 9-Months9-Months post-interventionPost-secondary education7 Participants
Immediate dk Leadership InterventionChange in Academic Participation/Educational Attainment as Assessed by a Questionnaire From Baseline to 9-Months9-Months post-interventionNot pursuing education10 Participants
Secondary

Change in Vocational Participation/Employment as Assessed by a Questionnaire From Baseline to 9-Months

Acquirement of meaningful employment will be assessed. Participants will be prompted to answer questions about their current employment status, intensity of employment, and type of employment in the questionnaire. The change in the number of participants engaging in employment over time at the aggregate level will be assessed.

Time frame: Assessed at baseline (immediately pre-intervention) and 9 months post-intervention

Population: 1 participant was lost to follow-up at the 9-month data collection period. Thus, the number of participants analyzed at 9-months is 18 rather than 19.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Immediate dk Leadership InterventionChange in Vocational Participation/Employment as Assessed by a Questionnaire From Baseline to 9-MonthsBaseline (pre-intervention)Full-time (>=30 hours/week)3 Participants
Immediate dk Leadership InterventionChange in Vocational Participation/Employment as Assessed by a Questionnaire From Baseline to 9-MonthsBaseline (pre-intervention)Part-time (<30 hours/week)6 Participants
Immediate dk Leadership InterventionChange in Vocational Participation/Employment as Assessed by a Questionnaire From Baseline to 9-MonthsBaseline (pre-intervention)Unemployed10 Participants
Immediate dk Leadership InterventionChange in Vocational Participation/Employment as Assessed by a Questionnaire From Baseline to 9-Months9-Months post-interventionFull-time (>=30 hours/week)2 Participants
Immediate dk Leadership InterventionChange in Vocational Participation/Employment as Assessed by a Questionnaire From Baseline to 9-Months9-Months post-interventionPart-time (<30 hours/week)5 Participants
Immediate dk Leadership InterventionChange in Vocational Participation/Employment as Assessed by a Questionnaire From Baseline to 9-Months9-Months post-interventionUnemployed11 Participants
Secondary

Number of Themes Related to Change in Career Awareness Informed by Focus Groups With Participants

This outcome will describe the general trajectory of career awareness. Self-awareness, confidence, ability to articulate career goals, and understanding of how to achieve career goals will be assessed in focus groups. The questions posed during the focus groups will be guided by the evaluation objectives, but will be conversational and exploratory in nature with particular attention to identity capital, life-trajectories, and social inclusion. All will be conducted by the co-investigator at locations most convenient for the study participants, and will be audio recorded and transcribed verbatim. All focus groups will be analyzed together; the themes identified from the analysis will be presented as one data entry.

Time frame: 60 - 90 minute focus groups at each of the following timepoints: immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-intervention

ArmMeasureGroupValue (NUMBER)
Immediate dk Leadership InterventionNumber of Themes Related to Change in Career Awareness Informed by Focus Groups With ParticipantsThemes2 Key themes identified
Immediate dk Leadership InterventionNumber of Themes Related to Change in Career Awareness Informed by Focus Groups With ParticipantsSubthemes2 Key themes identified
Secondary

Number of Themes Related to Change in Knowledge and Use of Soft Skills Informed by Focus Groups With Participants

Acquirement of soft skills such as motivation, goal setting, self-discipline, and organization will be assessed in focus groups. The questions posed during the focus groups will be guided by the evaluation objectives, but will be conversational and exploratory in nature with particular attention to identity capital, life-trajectories, and social inclusion. All will be conducted by the co-investigator at locations most convenient for the study participants, and will be audio recorded and transcribed verbatim. All focus groups will be analyzed together; the themes identified from the analysis will be presented as one data entry.

Time frame: 60 - 90 minute focus groups at each of the following timepoints: immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-intervention

ArmMeasureGroupValue (NUMBER)
Immediate dk Leadership InterventionNumber of Themes Related to Change in Knowledge and Use of Soft Skills Informed by Focus Groups With ParticipantsThemes2 Key themes identified
Immediate dk Leadership InterventionNumber of Themes Related to Change in Knowledge and Use of Soft Skills Informed by Focus Groups With ParticipantsSubthemes2 Key themes identified
Secondary

Number of Themes Related to Participant Perspectives of Intervention Barriers and Facilitators, as Informed by Focus Groups With Participants

In focus groups, youth will be prompted to discuss the strengths and drawbacks of conventional programs for youth transitioning out of homelessness. These evaluations will be compared to this intervention to determine what aspects of programs youth find most helpful, and which could be improved upon. The questions posed during the focus groups will be guided by the evaluation objectives, but will be conversational and exploratory in nature with particular attention to identity capital, life-trajectories, and social inclusion.All will be conducted by the co-investigator at locations most convenient for the study participants, and will be audio recorded and transcribed verbatim. All focus groups will be analyzed together; the themes identified from the analysis will be presented as one data entry.

Time frame: 60 - 90 minute focus groups at each of the following timepoints: immediately post-intervention, 3 months post-intervention, 6 months post-intervention, and 9 months post-intervention

ArmMeasureGroupValue (NUMBER)
Immediate dk Leadership InterventionNumber of Themes Related to Participant Perspectives of Intervention Barriers and Facilitators, as Informed by Focus Groups With ParticipantsThemes2 Key themes identified
Immediate dk Leadership InterventionNumber of Themes Related to Participant Perspectives of Intervention Barriers and Facilitators, as Informed by Focus Groups With ParticipantsSubthemes2 Key themes identified

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026