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Tackling the needs of the homeless: a controlled trial of health advocacy

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Tackling the needs of the homeless: a controlled trial of health advocacy. / Graham-Jones, Susanna; Reilly, Siobhan; Gaulton, Liz.
In: Health and Social Care in the Community, Vol. 12, No. 3, 05.2004, p. 221-232.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Graham-Jones, S, Reilly, S & Gaulton, L 2004, 'Tackling the needs of the homeless: a controlled trial of health advocacy', Health and Social Care in the Community, vol. 12, no. 3, pp. 221-232. https://doi.org/10.1111/j.1365-2524.2004.00491.x

APA

Graham-Jones, S., Reilly, S., & Gaulton, L. (2004). Tackling the needs of the homeless: a controlled trial of health advocacy. Health and Social Care in the Community, 12(3), 221-232. https://doi.org/10.1111/j.1365-2524.2004.00491.x

Vancouver

Graham-Jones S, Reilly S, Gaulton L. Tackling the needs of the homeless: a controlled trial of health advocacy. Health and Social Care in the Community. 2004 May;12(3):221-232. doi: 10.1111/j.1365-2524.2004.00491.x

Author

Graham-Jones, Susanna ; Reilly, Siobhan ; Gaulton, Liz. / Tackling the needs of the homeless : a controlled trial of health advocacy. In: Health and Social Care in the Community. 2004 ; Vol. 12, No. 3. pp. 221-232.

Bibtex

@article{e53f6960fa1048108cf65c1d99e4727c,
title = "Tackling the needs of the homeless: a controlled trial of health advocacy",
abstract = "The objective of the present study was to assess the effectiveness of a health advocate's casework with homeless people in a primary care setting in terms of improvements in health-related quality of life (QoL). The impact of the health advocacy intervention was assessed in a quasi-experimental, three-armed controlled trial. Homeless people moving into hostels or other temporary accommodation in the Liverpool 8 area of the UK and patients registering at an inner-city health centre as temporary residents were allocated in alternating periods to health advocacy (with or without outreach registration) or 'usual care' over a total intake period of 3 years. Health-related QoL outcomes were assessed using three independent self-report measures: the Life Fulfilment Scale; the Delighted-Terrible Faces Scale; and the Nottingham Health Profile. Out of the 326 homeless people who were given baseline questionnaires at registration, 222 (68%) returned usable questionnaires. Out of these individuals, 171 (77.0%) were traceable at follow-up, and 117 (68.4%) follow-up questionnaires were returned. The majority of respondents (n = 117) were women (72%) who were under 30 years of age (74%), white British (91%), and single (63%) or separated (23%), many of whom were living with their children (41%) in either women's refuges (30%) or family hostels (25%). Improvements in health-related QoL were greatest in people recruited and supported by a health advocate early in their stay in temporary housing, in comparison with those in the control group given 'usual care' at the health centre. The model of streamlined care for patients with complex psycho-social needs is shown to be a worthwhile and effective option for primary healthcare providers.",
keywords = "Adolescent, Adult, Analysis of Variance, Case-Control Studies, Confidence Intervals, Consumer Advocacy, Family Practice, Female, Great Britain, Health Services Needs and Demand, Health Status, Health Status Indicators, Homeless Persons, Humans, Male, Middle Aged, Primary Health Care, Psychometrics, Quality of Life, Questionnaires, Regression Analysis, Young Adult",
author = "Susanna Graham-Jones and Siobhan Reilly and Liz Gaulton",
year = "2004",
month = may,
doi = "10.1111/j.1365-2524.2004.00491.x",
language = "English",
volume = "12",
pages = "221--232",
journal = "Health and Social Care in the Community",
issn = "0966-0410",
publisher = "Wiley-Blackwell",
number = "3",

}

RIS

TY - JOUR

T1 - Tackling the needs of the homeless

T2 - a controlled trial of health advocacy

AU - Graham-Jones, Susanna

AU - Reilly, Siobhan

AU - Gaulton, Liz

PY - 2004/5

Y1 - 2004/5

N2 - The objective of the present study was to assess the effectiveness of a health advocate's casework with homeless people in a primary care setting in terms of improvements in health-related quality of life (QoL). The impact of the health advocacy intervention was assessed in a quasi-experimental, three-armed controlled trial. Homeless people moving into hostels or other temporary accommodation in the Liverpool 8 area of the UK and patients registering at an inner-city health centre as temporary residents were allocated in alternating periods to health advocacy (with or without outreach registration) or 'usual care' over a total intake period of 3 years. Health-related QoL outcomes were assessed using three independent self-report measures: the Life Fulfilment Scale; the Delighted-Terrible Faces Scale; and the Nottingham Health Profile. Out of the 326 homeless people who were given baseline questionnaires at registration, 222 (68%) returned usable questionnaires. Out of these individuals, 171 (77.0%) were traceable at follow-up, and 117 (68.4%) follow-up questionnaires were returned. The majority of respondents (n = 117) were women (72%) who were under 30 years of age (74%), white British (91%), and single (63%) or separated (23%), many of whom were living with their children (41%) in either women's refuges (30%) or family hostels (25%). Improvements in health-related QoL were greatest in people recruited and supported by a health advocate early in their stay in temporary housing, in comparison with those in the control group given 'usual care' at the health centre. The model of streamlined care for patients with complex psycho-social needs is shown to be a worthwhile and effective option for primary healthcare providers.

AB - The objective of the present study was to assess the effectiveness of a health advocate's casework with homeless people in a primary care setting in terms of improvements in health-related quality of life (QoL). The impact of the health advocacy intervention was assessed in a quasi-experimental, three-armed controlled trial. Homeless people moving into hostels or other temporary accommodation in the Liverpool 8 area of the UK and patients registering at an inner-city health centre as temporary residents were allocated in alternating periods to health advocacy (with or without outreach registration) or 'usual care' over a total intake period of 3 years. Health-related QoL outcomes were assessed using three independent self-report measures: the Life Fulfilment Scale; the Delighted-Terrible Faces Scale; and the Nottingham Health Profile. Out of the 326 homeless people who were given baseline questionnaires at registration, 222 (68%) returned usable questionnaires. Out of these individuals, 171 (77.0%) were traceable at follow-up, and 117 (68.4%) follow-up questionnaires were returned. The majority of respondents (n = 117) were women (72%) who were under 30 years of age (74%), white British (91%), and single (63%) or separated (23%), many of whom were living with their children (41%) in either women's refuges (30%) or family hostels (25%). Improvements in health-related QoL were greatest in people recruited and supported by a health advocate early in their stay in temporary housing, in comparison with those in the control group given 'usual care' at the health centre. The model of streamlined care for patients with complex psycho-social needs is shown to be a worthwhile and effective option for primary healthcare providers.

KW - Adolescent

KW - Adult

KW - Analysis of Variance

KW - Case-Control Studies

KW - Confidence Intervals

KW - Consumer Advocacy

KW - Family Practice

KW - Female

KW - Great Britain

KW - Health Services Needs and Demand

KW - Health Status

KW - Health Status Indicators

KW - Homeless Persons

KW - Humans

KW - Male

KW - Middle Aged

KW - Primary Health Care

KW - Psychometrics

KW - Quality of Life

KW - Questionnaires

KW - Regression Analysis

KW - Young Adult

U2 - 10.1111/j.1365-2524.2004.00491.x

DO - 10.1111/j.1365-2524.2004.00491.x

M3 - Journal article

C2 - 19777712

VL - 12

SP - 221

EP - 232

JO - Health and Social Care in the Community

JF - Health and Social Care in the Community

SN - 0966-0410

IS - 3

ER -