Trial reportJournal of general internal medicine2015
Tailoring Outreach Efforts to Increase Primary Care Use Among Homeless Veterans: Results of a Randomized Controlled Trial.
Trial report in Journal of general internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00858507 (Engaging Homeless Veterans in Primary Care), which is not on this map. Cited by 26 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Engaging Homeless Veterans in Primary Care
Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Primary Care Engagement Among Individuals with Experiences of Homelessness and Serious Mental Illness: an Evidence Map.Journal of general internal medicine · 2022Pooled it
- Pooled it
- Interventions to Improve Access to Primary Care for People Who Are Homeless: A Systematic Review.Ontario health technology assessment series · 2016Pooled it
- Improving access to healthcare services for people experiencing homelessness: evidence from a scoping review of interventions.Health & justice · 2025Review
- COVID-19 response and the unhoused communities in Sacramento: a mixed methods study with policy implications.BMC public health · 2025Article
- Suicide risk screening and evaluation among patients accessing VHA services and identified as being newly homeless.Health services research · 2024Article
- Homelessness and Risk of End-Stage Kidney Disease and Death in Veterans With Chronic Kidney Disease.JAMA network open · 2024Article
- Implementing evidence-based practices to improve primary care for high-risk patients: study protocol for the VA high-RIsk VETerans (RIVET) type III effectiveness-implementation trial.Implementation science communications · 2024Article
- Evaluating Intensity, Complexity, and Potential for Causal Inference in Social Needs Interventions: A Review of a Scoping Review.JAMA network open · 2024Article
- Realist review of community coalitions and outreach interventions to increase access to primary care for vulnerable populations: a realist review.Archives of public health = Archives belges de sante publique · 2023Article
- Primary Care for Veterans Experiencing Homelessness: a Narrative Review of the Homeless Patient Aligned Care Team (HPACT) Model.Journal of general internal medicine · 2023Review
- Insights for Conducting Large-Scale Surveys with Veterans Who Have Experienced Homelessness.Journal of social distress and the homeless · 2023Article
- Health Service Access Among Homeless Veterans: Health Access Challenges Faced by Homeless African American Veterans.Journal of racial and ethnic health disparities · 2022Review
- Barriers to the management of alcohol use disorder and alcohol-associated liver disease: strategies to implement integrated care models.The lancet. Gastroenterology & hepatology · 2022Article
- Health Status and Chronic Disease Burden of the Homeless Population: An Analysis of Two Decades of Multi-Institutional Electronic Medical Records.Journal of health care for the poor and underserved · 2021Article
- Alcohol care teams: where are we now?Frontline gastroenterology · 2020Review
- Changes in Physical Health After Supported Housing: Results from the Collaborative Initiative to End Chronic Homelessness.Journal of general internal medicine · 2019Observational
- Posttraumatic stress disorder and interpersonal process in homeless veterans participating in a peer mentoring intervention: Associations with program benefit.Psychological services · 2019Article
- Improving Health Care Management in Primary Care for Homeless People: A Literature Review.International journal of environmental research and public health · 2018Review
- A two-state comparative implementation of peer-support intervention to link veterans to health-related services after incarceration: a study protocol.BMC health services research · 2017Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHomeless individuals often have significant unmet health care needs that are critical to helping them leave homelessness. However, engaging them in primary and mental health care services is often elusive and difficult to achieve.
objectiveWe aimed to increase health-seeking behavior and receipt of health care among homeless Veterans.
designThis was a multi-center, prospective, community-based, two-by-two randomized controlled trial of homeless Veterans.
participantsHomeless Veterans not receiving primary care participated in the study.
interventionsAn outreach intervention that included a personal health assessment and brief intervention (PHA/BI), and/or a clinic orientation (CO) was implemented. MAIN MEASURE: We measured receipt of primary care within 4 weeks of study enrollment. KEY
resultsOverall, 185 homeless Veterans were enrolled: the average age was 48.6 years (SD 10.8), 94.6% were male, 43.0% were from a minority population, 12.0% were unsheltered, 25.5% were staying in a dusk-to-dawn emergency shelter, 26.1% were in transitional housing, while 27.7% were in an unstable, doubled-up arrangement. At one month, 77.3% of the PHA/BI plus CO group accessed primary care and by 6 months, 88.7% had been seen in primary care. This was followed by the CO-only group, 50.0% of whom accessed care in the first 4 weeks, the PHI/BI-only arm at 41.0% and the Usual Care arm at 30.6%. Chi-squared tests by group were significant (p < 0.001) at both 4 weeks and 6 months. There was no difference in attitudes about care at baseline and 6 months or in use patterns once enrolled in care.
conclusionsOur findings suggest that treatment-resistant/avoidant homeless Veterans can be effectively engaged in primary and other clinical care services through a relatively low intensity, targeted and tailored outreach effort.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.