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

BACKGROUND: Longitudinal 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...

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Autores principales: Thulien, Naomi S., Wang, Andrea, Mathewson, Caitlin, Wang, Ri, Hwang, Stephen W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8378743/
https://www.ncbi.nlm.nih.gov/pubmed/34415951
http://dx.doi.org/10.1371/journal.pone.0256288
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author Thulien, Naomi S.
Wang, Andrea
Mathewson, Caitlin
Wang, Ri
Hwang, Stephen W.
author_facet Thulien, Naomi S.
Wang, Andrea
Mathewson, Caitlin
Wang, Ri
Hwang, Stephen W.
author_sort Thulien, Naomi S.
collection PubMed
description BACKGROUND: Longitudinal 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. METHODS: Nineteen 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. RESULTS: None 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.” CONCLUSIONS: These 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.
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spelling pubmed-83787432021-08-21 Tackling exclusion: A pilot mixed method quasi-experimental identity capital intervention for young people exiting homelessness Thulien, Naomi S. Wang, Andrea Mathewson, Caitlin Wang, Ri Hwang, Stephen W. PLoS One Research Article BACKGROUND: Longitudinal 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. METHODS: Nineteen 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. RESULTS: None 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.” CONCLUSIONS: These 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. Public Library of Science 2021-08-20 /pmc/articles/PMC8378743/ /pubmed/34415951 http://dx.doi.org/10.1371/journal.pone.0256288 Text en © 2021 Thulien et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Thulien, Naomi S.
Wang, Andrea
Mathewson, Caitlin
Wang, Ri
Hwang, Stephen W.
Tackling exclusion: A pilot mixed method quasi-experimental identity capital intervention for young people exiting homelessness
title Tackling exclusion: A pilot mixed method quasi-experimental identity capital intervention for young people exiting homelessness
title_full Tackling exclusion: A pilot mixed method quasi-experimental identity capital intervention for young people exiting homelessness
title_fullStr Tackling exclusion: A pilot mixed method quasi-experimental identity capital intervention for young people exiting homelessness
title_full_unstemmed Tackling exclusion: A pilot mixed method quasi-experimental identity capital intervention for young people exiting homelessness
title_short Tackling exclusion: A pilot mixed method quasi-experimental identity capital intervention for young people exiting homelessness
title_sort tackling exclusion: a pilot mixed method quasi-experimental identity capital intervention for young people exiting homelessness
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8378743/
https://www.ncbi.nlm.nih.gov/pubmed/34415951
http://dx.doi.org/10.1371/journal.pone.0256288
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