Evidence map›Paper›PMID 34415951›Full record

ArticlePloS one2021

Tackling exclusion: A pilot mixed method quasi-experimental identity capital intervention for young people exiting homelessness.

Naomi S Thulien, Andrea Wang, Caitlin Mathewson, Ri Wang, Stephen W Hwang

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03772522 (The Identity Project), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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.

NCT03772522 nacompletednot on this map

The Identity Project: An Evaluation of an Identity Capital Intervention for Young People Transitioning Out of Homelessness

TypeinterventionalSponsorUnity Health TorontoRan2018 to 2019Enrolled27ConditionsYouth, HomelessnessArmsdk Leadership
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Effectiveness of Interventions for Meaningful Activity Participation in Homelessness: A Systematic Review.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2024
    Pooled it
  2. Trial
  3. Trial
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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

5 authors.

Naomi S ThulienMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute of St Michael's Hospital, Toronto, Ontario, Canada.ORCID 0000-0003-1483-9352
Andrea WangMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute of St Michael's Hospital, Toronto, Ontario, Canada.
Caitlin MathewsonSchool of Nursing, McMaster University, Hamilton, Ontario, Canada.
Ri WangMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute of St Michael's Hospital, Toronto, Ontario, Canada.
Stephen W HwangMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute of St Michael's Hospital, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLongitudinal studies examining the life trajectories of young people after they have exited homelessness have identified concerns with persistent social and economic exclusion, struggles to shake off identities of homelessness, and housing instability. This pilot study sought to explore the feasibility of improving socioeconomic inclusion outcomes by bolstering identity capital (sense of purpose and control, self-efficacy and self-esteem) among young people who had experienced homelessness.

methodsNineteen individuals (aged 18-26) who had transitioned out of homelessness within the past three years participated in a six-week, six-session program focused on building identity capital. The study employed a mixed method prospective cohort hybrid design with an intervention group (Group One) and a delayed intervention comparison group (Group Two). Participants were interviewed every three months until nine months post-intervention.

resultsNone of the youth who began the intervention dropped out of the program, with the exception of one participant who moved across the country and was unable to continue. Immediately after participating in the intervention, Group One had statistically significant improvements (p < .05) and large to very large effect sizes in self-esteem (d = 1.16) and physical community integration (d = 1.79) compared to changes in Group Two over the same period, which had not yet begun the intervention. In the pooled analysis, small to moderate effect sizes in hopelessness, physical community integration, and self-esteem were observed at all post-intervention time points. Notably, at six- and nine-months post-intervention, statistically significant improvements (p < .05) and moderate effect sizes in hopelessness (d = -0.73 and d = -0.60 respectively) and self-esteem (d = 0.71 and d = 0.53 respectively) were observed. Youth shared they appreciated the normalizing (vs. pathologizing) of strategies they needed to learn and spoke of the importance of framing new skills as something one needs "to have a better life" vs. "to get better."

conclusionsThese early findings signal that targeting identity capital is feasible and may be a promising approach to incorporate into a more complex intervention that includes housing, education, and employment supports to help youth transition out of homelessness. Future research could build on these findings through a sufficiently powered randomized controlled trial.

Indexed as

Housing InstabilitySocial ClassAdolescentAdultFemaleHousingHumansIll-Housed PersonsMaleSelf ConceptSurveys and QuestionnairesYoung Adult

Identifiers

PMID34415951
PMCPMC8378743

What OpenQuestion holds

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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.