Evidence map›Paper›PMID 32295561›Full record

ArticleBMC public health2020

Mechanisms of change and participant outcomes in a Recovery Education Centre for individuals transitioning from homelessness: a qualitative evaluation.

Nadine Reid, Bushra Khan, Sophie Soklaridis, Nicole Kozloff, Rebecca Brown, Vicky Stergiopoulos

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  11. Vital Needs of Dutch Homeless Service Users: Responsiveness of Local Services in the Light of Health Equity.International journal of environmental research and public health · 2023
    Article
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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 at 3 institutions in 1 country.

Nadine ReidCentre for Addiction and Mental Health, 1001 Queen Street West, Toronto, Ontario, M6J 1H4, Canada.
Bushra KhanCentre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, 1 King's College Circle, Toronto, Ontario, M5S 1A8, Canada.
Sophie SoklaridisCentre for Addiction and Mental Health, Department of Psychiatry and Department of Family and Community Medicine, University of Toronto, 1001 Queen Street West, Toronto, Ontario, M6J 1H4, Canada.
Nicole KozloffCentre for Addiction and Mental Health; Department of Psychiatry and the Institute of Health Policy, Management and Evaluation, University of Toronto, 1001 Queen Street West, Toronto, Ontario, M6J 1H4, Canada.
Rebecca BrownCentre for Urban Health Solutions, St. Michael's Hospital, Unity Health Toronto, 30 Bond Street, Toronto, Ontario, M5B 1W8, Canada.
Vicky StergiopoulosCentre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, 100 Stokes Street, Room 6215, Toronto, Ontario, M6J 1H4, Canada. vicky.stergiopoulos@camh.ca.
Centre for Addiction and Mental Health · CAUniversity of Toronto · CASt. Michael's Hospital · CA

Funding

CIHR n/a
6 · The paper itself

Abstract

backgroundRecovery Education Centres (RECs) are increasingly implemented to support the process of recovery for individuals experiencing mental health challenges. However, the evidence on key REC mechanisms and outcomes, particularly for diverse subpopulations or service delivery contexts is scant. This study identified mechanisms and outcomes of an REC focused on adults with mental health challenges transitioning from homelessness.

methodsQualitative methods were used to explore in-depth the experiences of homeless and unstably housed participants experiencing mental health challenges in Toronto, Canada. Twenty service users participated in semi-structured interviews between July 2017 and June 2018, six to 14 months following REC enrollment. A realist informed interview guide explored participants' perspectives on key REC mechanisms and outcomes. Interviews were audio-recorded, transcribed verbatim and analyzed using inductive thematic analysis. Investigator triangulation and member checking processes enhanced analytical rigour.

resultsParticipants perceived that program participation supported the process of recovery through several mechanisms: a judgment-free environment; supportive relationships, mutuality and role modelling; deconstruction of self-stigma; and reclaiming of one's power. Participants described several outcomes at the personal, interpersonal and social levels, including improvements in health and well-being; self-esteem, confidence and identity; sense of empowerment, control and personal responsibility; as well as improvements in interpersonal skills, pro-social behaviours and ability to self-advocate; and increased goal development and future orientation.

conclusionsFindings suggest RECs can support the process of recovery among people transitioning from homelessness and can successfully support subpopulations experiencing mental health challenges and social disadvantage.

Indexed as

Mental Health ServicesAdultCanadaFemaleHumansIll-Housed PersonsMaleMental DisordersMiddle AgedPatient Education as TopicPovertyProgram EvaluationQualitative ResearchHomelessnessMechanismsOutcomesRecovery collegeRecovery education

Identifiers

PMID32295561
PMCPMC7161283
OpenAlexW3016790480

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.