Evidence map›Paper›PMID 33663538›Full record

Trial reportHealth and quality of life outcomes2021

Associations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal study.

Cilia Mejia-Lancheros, Julia Woodhall-Melnik, Ri Wang, Stephen W Hwang, Vicky Stergiopoulos, Anna Durbin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health and quality of life outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Cognitive Correlates of Resilience in Adults Experiencing Homelessness.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Article
  4. Article
  5. Review
  6. Article
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  8. Article
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  11. Review
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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.

Cilia Mejia-LancherosMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael's Hospital, Unity Health Toronto, 30 Bonds Street, Toronto, ON, M5B 1W8, Canada. Cilia.Mejia-Lancheros@unityhealth.to.ORCID http://orcid.org/0000-0003-1131-8439
Julia Woodhall-MelnikDepartment of Social Sciences, Faculty of Arts, University of New Brunswick, Saint John, Canada.
Ri WangMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael's Hospital, Unity Health Toronto, 30 Bonds Street, Toronto, ON, M5B 1W8, Canada.ORCID http://orcid.org/0000-0002-6251-6737
Stephen W HwangMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael's Hospital, Unity Health Toronto, 30 Bonds Street, Toronto, ON, M5B 1W8, Canada.ORCID http://orcid.org/0000-0002-1276-1101
Vicky StergiopoulosCentre for Addiction and Mental Health, Toronto, ON, Canada.ORCID http://orcid.org/0000-0003-3941-9434
Anna DurbinMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael's Hospital, Unity Health Toronto, 30 Bonds Street, Toronto, ON, M5B 1W8, Canada.ORCID http://orcid.org/0000-0002-8495-1203

Funding

Canadian Institute of Health Research CIHR MOP-130405Ontario Ministry of Health and Long-Term Care (CA) HSRF #259St. Michael's Hospital Research Training Centre 2019 Scholarship
6 · The paper itself

Abstract

backgroundHomelessness constitutes a traumatic period that adversely impacts health and quality of life outcomes. The potential mitigating effects of resilience on quality of life levels in people experiencing homelessness are underresearched. This study assesses the longitudinal associations between resilience and quality of life scores among adults experiencing homelessness and mental illness.

methodsThis study is a secondary analysis of longitudinal data collected over 6 years from participants (N = 575) of the At Home/Chez Soi study on Housing First, Toronto site. Repeatedly measured resilience scores are the primary exposure and repeatedly measured global quality of life scores and mental health-specific quality of life scores are the primary outcomes. Mixed effect models were used to assess the association between the exposures and the outcomes.

resultsThe majority of the participants were men (69.2%) and were on average 40.4 (± 11.8) years old at baseline. The average resilience score ranged between 5.00 to 5.62 over 8 data collection points across the 6-year follow-up period. After adjusting for gender, age, ethno-racial background, Housing First intervention, physical and mental comorbidities, and lifetime homelessness, higher resilience scores were positively associated with higher Global quality of life (Adjusted-coefficient: 0.23, 95% CI 0.19-0.27) and mental health-related quality of life values (Adjusted-coefficient: 4.15, 95% CI 3.35-4.95).

conclusionIn homeless adults with mental illness, higher resilience levels were positively associated with higher global and mental health related quality of life values. Further interventions and services aimed to enhance resilience mechanisms and strategies are warranted to enhance better mental health and quality of life outcomes of this population group.

trial registrationAt Home/Chez Soi trial was registered with ISRCTN, ISRCTN42520374. Registered 18 September 2009, http://www.isrctn.com/ISRCTN42520374.

Indexed as

Resilience, PsychologicalAdultFemaleHumansIll-Housed PersonsLongitudinal StudiesMaleMental DisordersMiddle AgedQuality of LifeHomelessnessMental illnessQuality of lifeResilienceSubstance use disorder

Identifiers

PMID33663538
PMCPMC7971123

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.