Evidence map›Paper›PMID 36268815›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2022

ED-Home: Pilot feasibility study of a targeted homelessness prevention intervention for emergency department patients with drug or unhealthy alcohol use.

Daniela Fazio, Sara Zuiderveen, Dana Guyet, Andrea Reid, Monique Lalane, Ryan P McCormack, Stephen P Wall, Donna Shelley, Tod Mijanovich, Marybeth Shinn and 1 more

Open access · greenAbstract read
In one paragraph

Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

11 authors at 3 institutions in 1 country.

Daniela FazioDepartment of Emergency Medicine, NYU School of Medicine, New York, New York, USA.
Sara ZuiderveenHomelessness Prevention Administration, NYC Human Resources Administration, New York, New York, USA.
Dana GuyetHomelessness Prevention Administration, NYC Human Resources Administration, New York, New York, USA.
Andrea ReidHomelessness Prevention Administration, NYC Human Resources Administration, New York, New York, USA.
Monique LalaneBellevue Hospital, NYC Health + Hospitals, New York, New York, USA.
Ryan P McCormackDepartment of Emergency Medicine, NYU School of Medicine, New York, New York, USA.
Stephen P WallDepartment of Emergency Medicine, NYU School of Medicine, New York, New York, USA.
Donna ShelleyDepartment of Public Health Policy and Management, NYU School of Global Public Health, New York, New York, USA.
Tod MijanovichDepartment of Applied Statistics, Social Sciences, and Humanities, NYU Steinhardt School, New York, New York, USA.
Marybeth ShinnDepartment of Human and Organizational Development, Peabody College, Vanderbilt University, Nashville, Tennessee, USA.
Kelly M DoranDepartment of Emergency Medicine, NYU School of Medicine, New York, New York, USA.ORCID https://orcid.org/0000-0001-8961-3724
New York University · USBellevue Hospital Center · USVanderbilt University · US

Funding

Addressing Homelessness and Substance Use in Emergency Department PatientsK23DA039179 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DORAN, KELLY · 2016 to 2020
$989k
NIDA NIH HHS K23 DA039179NIDA NIH HHS K23DA039179
6 · The paper itself

Abstract

backgroundHousing insecurity is prevalent among emergency department (ED) patients. Despite a surge of interest in screening for patients' social needs including housing insecurity, little research has examined ED social needs interventions. We worked together with government and community partners to develop and pilot test a homelessness prevention intervention targeted to ED patients with drug or unhealthy alcohol use.

methodsWe approached randomly sampled patients at an urban public hospital ED, May to August 2019. Adult patients were eligible if they were medically stable, not incarcerated, spoke English, had unhealthy alcohol or any drug use, and were not currently homeless but screened positive for risk of future homelessness using a previously developed risk screening tool. Participants received a three-part intervention: (1) brief counseling and referral to treatment for substance use delivered through a preexisting ED program; (2) referral to Homebase, an evidence-based community homelessness prevention program; and (3) up to three troubleshooting phone calls by study staff. Participants completed surveys at baseline and 6 months.

resultsOf 2183 patients screened, 51 were eligible and 40 (78.4%) participated; one later withdrew, leaving 39 participants. Participants were diverse in age, gender, race, and ethnicity. Of the 32 participants reached at 6 months, most said it was very or extremely helpful to talk to someone about their housing situation (n = 23, 71.9%) at the baseline ED visit. Thirteen (40.6%) said their housing situation had improved in the past 6 months and 16 (50.0%) said it had not changed. Twenty participants (62.5%) had made contact with a Homebase office. Participants shared ideas of how to improve the intervention.

conclusionsThis pilot intervention was feasible and well received by participants though it required a large amount of screening to identify potentially eligible patients. Our findings will inform a larger future trial and may be informative for others seeking to develop similar interventions.

Indexed as

Alcohol DrinkingSubstance-Related DisordersAdultCounselingEmergency Service, HospitalFeasibility StudiesHumansPilot Projects

Identifiers

PMID36268815
PMCPMC10440066
OpenAlexW4307036885

What OpenQuestion holds

Textmetadata
LicenceTDM
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.