Pilot Feasibility Trial of HEALthy Beginnings for Middle-Aged, and Older Homeless Women

University of California, Los Angeles23 enrolled

Overview

This is a mixed methods pilot feasibility trial of HEALthy Beginnings, an innovative, nurse-driven intervention. Middle-aged and older, homeless women (MAO-HW) will participate in the HEALthy Beginnings intervention and select MAO-HW will be invited to participate in post-intervention qualitative focus groups to evaluate the program.

This pilot feasibility trial will enroll middle-aged and older, homeless women (MAO-HW) in the HEALthy Beginnings intervention. Participants will be asked to complete a baseline questionnaire and locator guide. Participants will then engage over a period of approximately three months in nine 60-90 minute group sessions focused on health topics, and to meet with a research team member for six private sessions which will last up to 45 minutes each to assess the program and discuss content. Fifteen participants will be asked to return at completion of the group/individual sessions to participate in a post-intervention qualitative focus group and follow-up questionnaire to evaluate the HEALthy Beginnings intervention.

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Homelessness Health Promotion Chronic Disease Self-care Multimorbidity Unhoused

Interventions

HEALthy BeginningsBEHAVIORAL

HEALthy Beginnings, an innovative, enhanced, trauma-informed, chronic disease self-care program and nurse-driven intervention, developed and tailored for middle-aged, and older, homeless women (MAO-HW).

Eligibility

Sex: FEMALEMin age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Self-reported age 40 years or older * Sex assigned Female at birth * Homeless, or living in a shelter designed to provide transitional housing * Self-reported multimorbidity (at least 2 physical/mental health conditions) * Able to communicate in English Exclusion Criteria: * Experiencing hallucinations * Exhibiting signs of acute intoxication (e.g., slurred speech, pin-point pupils, difficulty walking) * Non-English speaking * Unable to understand study procedures (e.g., screening questions)

Locations (1)

Downtown Women's Center

Los Angeles, California, United States

Outcomes

Primary Outcomes

Recruitment as a measure of feasibility of the HEALthy Beginnings intervention

Number of eligible participants who enroll in the program after screening

Time frame: Day 1

Completion as a measure of feasibility of the HEALthy Beginnings intervention

Number of enrolled participants who complete the intervention

Time frame: Upon completion of all group and individual sessions, approximately 12 Weeks

Secondary Outcomes

Participant evaluation of HEALthy beginnings intervention

HEALthy Beginnings will be evaluated by post-intervention focus group participants via a questionnaire consisting of 12 questions in 3 subscales. Response to each question is a 5-point Likert scale, with a score range of 12-60 points for an overall representation of acceptability, appropriateness \& feasibility. Higher scores indicate more favorable evaluation.

Time frame: Upon completion of all group and individual sessions, approximately 12 Weeks

Data from ClinicalTrials.gov

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