ArticleJournal of pain and symptom management2018
'The Thing that Really Gets Me Is the Future': Symptomatology in Older Homeless Adults in the HOPE HOME Study.
Article in Journal of pain and symptom management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.
What it found
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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.
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Who cites it
14 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A meta-ethnographic systematic review of women's experiences of homelessness in high income environments.PloS one · 2026Pooled it
- Experiences of Trauma for Older Adults With Lived and Living Experiences of Homelessness in Middle to High Income Countries: A Systematic Review and Meta-Aggregation.The Gerontologist · 2025Pooled it
- A qualitative systematic review on the experiences of homelessness among older adults.BMC geriatrics · 2022Pooled it
- Physical functioning limitations and physical activity of people experiencing homelessness: A scoping review.HRB open research · 2020Pooled it
- Agency and insecurities in (re)making a sense of home amidst later life homelessness: towards a conceptual framing.The Gerontologist · 2026Article
- Factors Associated with Loneliness Among Older Adults Who Experienced Homelessness: Results from the HOPE HOME Study.Journal of general internal medicine · 2026Article
- Palliative care access and use among homeless individuals: a scoping review.BMC palliative care · 2025Article
- Is moral adequacy possible in the face of structural disadvantage? The experiences of health and social care staff in supporting homeless people using substances at the end of life.Palliative care and social practice · 2025Article
- Trauma across the life course and pathways to healing for older women experiencing homelessness.Frontiers in global women's health · 2025Article
- Social isolation and loneliness among people living with experience of homelessness: a scoping review.BMC public health · 2024Article
- Pilot trial results of D-HOMES: a behavioral-activation based intervention for diabetes medication adherence and psychological wellness among people who have been homeless.Frontiers in psychiatry · 2024Article
- Key Elements and Mechanisms of a Peer-Support Intervention to Reduce Loneliness and Isolation among Low-Income Older Adults: A Qualitative Implementation Science Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- Temporary stays with housed family and friends among older adults experiencing homelessness: Qualitative findings from the HOPE HOME study.Qualitative social work : QSW : research and practice · 2022Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
contextThe homeless population is aging. Older homeless adults experience premature development of age-related conditions and an elevated symptom burden. Little is known about symptom experience among older homeless adults.
objectivesTo characterize the experience, understanding, and management of physical, psychological, social (e.g., loneliness), and existential (e.g., regret, loss of dignity) symptoms among older homeless adults.
methodsWe conducted semistructured interviews from June 2016 to March 2017 with a purposive sample of participants from the Health Outcomes of People Experiencing Homelessness in Older Middle Age cohort, a longitudinal study of homeless adults aged 50 and older. We analyzed data between June 2016 and December 2017 using thematic analysis.
resultsWe found four main themes: 1) nonphysical symptoms are interwoven with, and as distressing as, physical symptoms; 2) individuals attribute symptoms to childhood abuse, manual labor, the conditions of homelessness, and aging; 3) symptoms interfere with daily functioning, causing negative changes in personality, energy, and motivation; and 4) individuals cope with symptoms through religion, social support, and substance use.
conclusionHomelessness causes and exacerbates physical and psychological distress. Interventions should address multiple interconnected dimensions of suffering. Health systems that care for homeless patients should adapt palliative care practices using a stepwise approach. Homeless shelters should adopt policies and modifications that increase privacy and autonomy while promoting community building. Housing interventions should promote community building. All who work with people experiencing homelessness should avoid stigmatizing language and recognize homeless individuals' sources of strength and coping.
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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.