Study protocol for a feasibility evaluation of Charge Up!: an adaptation of Critical Time Intervention for young adults moving from homelessness to housing.

IF 1.5 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Sarah C Narendorf, Michelle R Munson, Umaira Khan, Marcus Brown, Gregory Gomez, Diane Santa Maria, Todd Gilmer, Maurice N Gattis, Prince Hayward, Daniel Herman
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引用次数: 0

Abstract

Background: Young adults experiencing homelessness (YAEH) have high rates of mental health challenges, yet low rates of mental health service utilization. The transition from homelessness to housing is a key time for intervention to connect YAEH with mental health treatment and provide support to improve both mental health and housing stability. Charge Up! is a 6-month, phased support intervention that utilizes a team-based approach to connect young adults to community and mental health support. It is an adaptation of Critical Time Intervention that integrates components of Cornerstone, a mental health support intervention designed for young adults.

Methods: This pilot study uses a phased open trial that begins with a feasibility trial to refine the adapted Charge Up! intervention (n = 8), then further tests feasibility, acceptability, and preliminary signal of impact in a small, randomized pilot trial (n = 52). Participants are young adults moving into a transitional housing to rapid rehousing program (TH/RRH) in Houston, Texas. Quantitative interviews are conducted at baseline, 3 months, 6 months, and 12 months. Qualitative interviews are also conducted at 6 months. Exploratory analyses will examine the feasibility of implementing Charge Up!, the performance of measures, and whether Charge Up! is changing the hypothesized targets. Qualitative analysis from interviews will examine demand for the intervention, acceptability of the intervention, and integration of the intervention within the housing system context.

Discussion: The aim of this study is to pilot test Charge Up!, an adapted version of Critical Time Intervention designed to provide targeted support for mental health at the point of transition from homelessness to housing. The Charge Up! intervention was co-developed with young adults and providers, and this phased open trial will help to refine and provide preliminary evidence of the feasibility and acceptability of the intervention. The program is provided in conjunction with a widely used housing model, RRH, and has the potential for scalability as an adjunctive intervention to support youth transitioning into RRH across the United States.

Trial registration: This study was registered on ClinicalTrials.gov on October 20, 2023 (Identifier: NCT06102850), as Protocol ID R34MH129542-01A1, University of Houston, Title: Adaptation of Critical Time Intervention for Young Adults with MH Challenges (CTI-YAMH).

研究方案的可行性评估充电起来!关键时间干预对从无家可归到有房居住的年轻人的适应。
背景:经历无家可归的年轻人(YAEH)有很高的心理健康挑战率,但心理健康服务利用率很低。从无家可归到有住房的过渡是采取干预措施的关键时刻,以便将YAEH与心理健康治疗联系起来,并为改善心理健康和住房稳定性提供支持。充电!是一项为期6个月的分阶段支持干预,利用基于团队的方法将年轻人与社区和心理健康支持联系起来。它是一个关键时间干预的改编,整合了基石的组成部分,一个为年轻人设计的心理健康支持干预。方法:本试点研究采用分阶段开放试验,从可行性试验开始,以改进改编的充电!干预(n = 8),然后在一项小型随机试点试验(n = 52)中进一步测试可行性、可接受性和初步影响信号。参与者是搬进德克萨斯州休斯顿快速安置计划(TH/RRH)过渡住房的年轻人。定量访谈在基线、3个月、6个月和12个月进行。在6个月时也进行定性访谈。探索性分析将检验实施充电的可行性!、绩效指标,以及是否Charge Up!正在改变假设的目标。访谈的定性分析将检查对干预的需求、干预的可接受性以及干预在住房系统背景下的整合。讨论:本研究的目的是试点测试充电!这是《关键时刻干预》的改编版本,旨在为从无家可归者过渡到有住房者的心理健康提供有针对性的支持。冲锋!干预措施是与年轻人和提供者共同开发的,这一分阶段的公开试验将有助于完善并提供干预措施可行性和可接受性的初步证据。该项目与一种广泛使用的住房模式RRH相结合,具有可扩展性,可作为辅助干预措施,支持美国各地的青年向RRH过渡。试验注册:该研究于2023年10月20日在ClinicalTrials.gov上注册(标识符:NCT06102850),协议ID为R34MH129542-01A1,休斯顿大学,标题:关键时间干预对患有MH挑战的年轻人的适应性(CTI-YAMH)。
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来源期刊
Pilot and Feasibility Studies
Pilot and Feasibility Studies Medicine-Medicine (miscellaneous)
CiteScore
2.70
自引率
5.90%
发文量
241
审稿时长
9 weeks
期刊介绍: Pilot and Feasibility Studies encompasses all aspects of the design, conduct and reporting of pilot and feasibility studies in biomedicine. The journal publishes research articles that are intended to directly influence future clinical trials or large scale observational studies, as well as protocols, commentaries and methodology articles. The journal also ensures that the results of all well-conducted, peer-reviewed, pilot and feasibility studies are published, regardless of outcome or significance of findings. Pilot and feasibility studies are increasingly conducted prior to a full randomized controlled trial. However, these studies often lack clear objectives, many remain unpublished, and there is confusion over the meanings of the words “pilot” and “feasibility”. Pilot and Feasibility Studies provides a forum for discussion around this key aspect of the scientific process, and seeks to ensure that these studies are published, so as to complete the publication thread for clinical research.
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