Chronic Disease Self-care, Health Promotion, Homelessness, Multimorbidity, Unhoused
Conditions
Keywords
Middle-aged and older, People experiencing homelessness, Women, Elderly, Trauma-informed care
Brief summary
This is a mixed methods pilot feasibility trial of HEALthy Beginnings, an innovative, nurse-driven intervention. Middle-aged and older, homeless women (MAO-HW) will participate in the HEALthy Beginnings intervention and select MAO-HW will be invited to participate in post-intervention qualitative focus groups to evaluate the program.
Detailed description
This pilot feasibility trial will enroll middle-aged and older, homeless women (MAO-HW) in the HEALthy Beginnings intervention. Participants will be asked to complete a baseline questionnaire and locator guide. Participants will then engage over a period of approximately three months in nine 60-90 minute group sessions focused on health topics, and to meet with a research team member for six private sessions which will last up to 45 minutes each to assess the program and discuss content. Fifteen participants will be asked to return at completion of the group/individual sessions to participate in a post-intervention qualitative focus group and follow-up questionnaire to evaluate the HEALthy Beginnings intervention.
Interventions
BEHAVIORALHEALthy Beginnings
HEALthy Beginnings, an innovative, enhanced, trauma-informed, chronic disease self-care program and nurse-driven intervention, developed and tailored for middle-aged, and older, homeless women (MAO-HW).
Sponsors
University of California, Los Angeles
Hillman Foundation
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
All eligible participants will be invited to enroll in the HEALthy Beginnings intervention, a trauma-informed, chronic disease self-care intervention for middle-aged, and older homeless women. Participants will attend nine group sessions and six individual sessions over approximately 12 weeks. A subset of participants will be invited to participate in post-intervention focus groups as well as to complete a questionnaire evaluating the HEALthy Beginnings intervention.
Eligibility
Sex/Gender
FEMALE
Age
40 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Self-reported age 40 years or older * Sex assigned Female at birth * Homeless, or living in a shelter designed to provide transitional housing * Self-reported multimorbidity (at least 2 physical/mental health conditions) * Able to communicate in English
Exclusion criteria
* Experiencing hallucinations * Exhibiting signs of acute intoxication (e.g., slurred speech, pin-point pupils, difficulty walking) * Non-English speaking * Unable to understand study procedures (e.g., screening questions)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recruitment as a measure of feasibility of the HEALthy Beginnings intervention | Day 1 | Number of eligible participants who enroll in the program after screening |
| Completion as a measure of feasibility of the HEALthy Beginnings intervention | Upon completion of all group and individual sessions, approximately 12 Weeks | Number of enrolled participants who complete the intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Participant evaluation of HEALthy beginnings intervention | Upon completion of all group and individual sessions, approximately 12 Weeks | HEALthy Beginnings will be evaluated by post-intervention focus group participants via a questionnaire consisting of 12 questions in 3 subscales. Response to each question is a 5-point Likert scale, with a score range of 12-60 points for an overall representation of acceptability, appropriateness \& feasibility. Higher scores indicate more favorable evaluation. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORBenissa E. Salem, PhD, MSN, RN, CNL, PHN
University of California, Los Angeles
Outcome results
None listed