Evidence map›Paper›PMID 31763933›Full record

Trial reportCanadian journal of psychiatry. Revue canadienne de psychiatrie2020

Pathways to Recovery among Homeless People with Mental Illness: Is Impulsiveness Getting in the Way?

Marichelle C Leclair, Ashley J Lemieux, Laurence Roy, Michael S Martin, Eric A Latimer, Anne G Crocker

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marichelle C LeclairDepartment of Psychology, Université de Montréal, Montréal, Québec, Canada.ORCID 0000-0002-9942-7244
Ashley J LemieuxInstitut national de psychiatrie légale Philippe-Pinel, Montréal, Québec, Canada.
Laurence RoyInstitut national de psychiatrie légale Philippe-Pinel, Montréal, Québec, Canada.
Michael S MartinSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-5056-618X
Eric A LatimerDouglas Mental Health University Institute, Montréal, Québec, Canada.
Anne G CrockerInstitut national de psychiatrie légale Philippe-Pinel, Montréal, Québec, Canada.

Funding

CIHR
6 · The paper itself

Abstract

objectiveThis study investigates the association between impulsiveness and six dimensions of recovery among homeless people with mental illness.

methodThe sample was composed of 418 participants of a randomized controlled trial of Housing First, a recovery-oriented program that provides immediate access to permanent housing. The reliable change index method was used to provide an estimate of the statistical and clinical significance of the change from baseline to 24 months (i.e., clinically meaningful improvement), on outcomes that pertain to recovery dimensions: psychiatric symptoms (clinical), physical health and substance use problems (physical), residential stability (functional), arrests (criminological), community integration (social), and hope and personal confidence (existential). We tested for the effect of impulsiveness, assessed with the Barratt Impulsiveness Scale-11, on clinically meaningful improvement on each specific outcome, adjusting for age, gender and intervention assignment, as both intervention arms were included in the analysis.

resultsFor every increase in total impulsiveness score by one standard deviation, the odds of experiencing clinically meaningful improvement decreased by 29% (

conclusionsFindings highlight the importance of addressing impulsiveness in the context of recovery-oriented interventions for homeless people with mental illness. Further research may be required to improve interventions that are responsive to unique needs of impulsive individuals to support clinical and existential recovery.

Indexed as

Community Mental Health ServicesIll-Housed PersonsMental DisordersSubstance-Related DisordersHousingHumanshomelessimpulsivenessmental illnessrecovery

Identifiers

PMID31763933
PMCPMC7297503

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.