Research Methods Study

Question 1

Title/topic of intervention:

Answer 1

The effect of supported housing on the self-reported heath and well-being of adults who are unhoused or precariously housed.

Question 2

What is the context of the intervention?

Answer 2

6 points:

• Housing is a SDH
• WHO states people spend 70% of their time indoors
• Low-income and minority communities at risk
• Section 8 and Low-Income Tax Credit show these communities placed in subpar housing
• 1980s deinstitutionalization saw those with mental illness needing health services and housing
• Supported housing came around (Housing First, for example)

Question 3

Epidemiology of Atlanta population regarding housing:

Answer 3

6 factors of population:

• 25% remain unhoused, not including pandemic data
• 84.6% Black
• 11.5% White
• 2.9% Hispanic
• 28% report drug abuse
• 57% have chronic medical condition

Question 4

Measures of housing and health:

Answer 4

5 measures:

Days housed in last 6 months: 25 (39.5)
Days since last substance abuse in last 6 months: 16 (20.5)
QoL: 63.7 (17.7) QoLI-20
Physical health: .45 (.22) EQ5D
Mental health: 41.7 (9.4) CSI

Question 5

Measures used:

Answer 5

Days housed: count of days
Days since last substance abuse: count of days:
QoL: QoLI-20; 20 item Q to rate different aspects of life 100 total score
EQ5D: 5-item about physical health (usual activities, mobility) 1 total score
Mental health: CSI; Colorado Symptom Index 14-item 56 total score and higher scores indicate more distress

Question 6

Risk factors for populations:

Answer 6

10 Risk factors:

• Definitions of unhoused (lacking a place of residence) and precariously housed (lacking permanent housing, living in a state of disrepair, at risk of being unhoused)
• Physical or mental impairment
• Crowding
• Accessibility
• Education
• WASH access
• Income
• Wealth
• Access to physical health services
• Access to mental health services

Question 7

Study design(s) for this intervention?

Answer 7

• Cross-sectional study for prevalence and needs assessment
• Qualitative interview beforehand
• Matched pairs control group design cohort study

Question 8

Describe the study design(s) and their purpose:

Answer 8

• Cross-sectional (topic of interest as above and prevalence of issues)
• Qualitative (focus groups stratified into race and gender for both populations)
• Matched pairs will study: