Evidence map›Paper›PMID 32298388›Full record

ArticlePloS one2020

Establishing need and population priorities to improve the health of homeless and vulnerably housed women, youth, and men: A Delphi consensus study.

Esther S Shoemaker, Claire E Kendall, Christine Mathew, Sarah Crispo, Vivian Welch, Anne Andermann, Sebastian Mott, Christine Lalonde, Gary Bloch, Alain Mayhew and 4 more

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 3% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  12. Determinants of Implementation of a Clinical Practice Guideline for Homeless Health.International journal of environmental research and public health · 2020
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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

14 authors at 6 institutions in 1 country.

Esther S ShoemakerBruyère Research Institute, Ottawa, ON, Canada.
Claire E KendallBruyère Research Institute, Ottawa, ON, Canada.
Christine MathewBruyère Research Institute, Ottawa, ON, Canada.
Sarah CrispoBruyère Research Institute, Ottawa, ON, Canada.
Vivian WelchBruyère Research Institute, Ottawa, ON, Canada.
Anne AndermannDepartment of Family Medicine, McGill University, Montreal, QC, Canada.ORCID 0000-0002-7734-2610
Sebastian MottDepartment of Family Medicine, McGill University, Montreal, QC, Canada.
Christine LalondeBruyère Research Institute, Ottawa, ON, Canada.
Gary BlochDepartment of Family and Community Medicine, St. Michael's Hospital, Toronto, ON, Canada.
Alain MayhewBruyère Research Institute, Ottawa, ON, Canada.ORCID 0000-0003-1464-2541
Tim AubrySchool of Psychology and Centre for Research on Educational and Community Services, University of Ottawa, Ottawa, ON, Canada.
Peter TugwellBruyère Research Institute, Ottawa, ON, Canada.
Vicky StergiopoulosFaculty of Medicine, University of Toronto, Toronto, ON, Canada.
Kevin PottieBruyère Research Institute, Ottawa, ON, Canada.ORCID 0000-0002-1874-8346
University of Ottawa · CABruyère · CACentre for Addiction and Mental Health · CAMcGill University · CASt Mary's Hospital Centre · CASt. Michael's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHomelessness is one of the most disabling and precarious living conditions. The objective of this Delphi consensus study was to identify priority needs and at-risk population subgroups among homeless and vulnerably housed people to guide the development of a more responsive and person-centred clinical practice guideline.

methodsWe used a literature review and expert working group to produce an initial list of needs and at-risk subgroups of homeless and vulnerably housed populations. We then followed a modified Delphi consensus method, asking expert health professionals, using electronic surveys, and persons with lived experience of homelessness, using oral surveys, to prioritize needs and at-risk sub-populations across Canada. Criteria for ranking included potential for impact, extent of inequities and burden of illness. We set ratings of ≥ 60% to determine consensus over three rounds of surveys.

findingsEighty four health professionals and 76 persons with lived experience of homelessness participated from across Canada, achieving an overall 73% response rate. The participants identified priority needs including mental health and addiction care, facilitating access to permanent housing, facilitating access to income support and case management/care coordination. Participants also ranked specific homeless sub-populations in need of additional research including: Indigenous Peoples (First Nations, Métis, and Inuit); youth, women and families; people with acquired brain injury, intellectual or physical disabilities; and refugees and other migrants.

interpretationThe inclusion of the perspectives of both expert health professionals and people with lived experience of homelessness provided validity in identifying real-world needs to guide systematic reviews in four key areas according to priority needs, as well as launch a number of working groups to explore how to adapt interventions for specific at-risk populations, to create evidence-based guidelines.

Indexed as

AdultCanadaDelphi TechniqueDemographyFemaleHealth PersonnelHealth Services AccessibilityHousingHumansIll-Housed PersonsIndigenous PeoplesMaleMental HealthMiddle AgedPersons with DisabilitiesRefugees

Identifiers

PMID32298388
PMCPMC7162520
OpenAlexW3016481585

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.