The Outreach Project: a Study of Women-led, Trauma Informed Outreach to Foster Equity
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 37
- 试验地点
- 1
- 主要终点
- Outreach Team Engagement with Individual Participants
研究概览
简要总结
The goal of this pilot study is to identify the core elements of outreach practice necessary to engage with women experiencing street-involvement who are underserved within health and social care settings. The primary research questions are:
- How acceptable is the outreach intervention to women experiencing street-involvement?
- What factors act as barriers or facilitators to acceptability?
- How feasible is the outreach intervention to enhance women's access to health and social services?
Participants will:
- Meet regularly one-on-one with an outreach worker over an 18-month period
- Co-develop (with the outreach worker) a plan, based on the individuals self-identified needs, for connecting with health and social services
- Be invited to complete surveys at the start of their participation, and again every four months. These surveys ask questions about participants' resiliency, quality of life, independence, safety, and health status
- Be invited to participate in a one-on-one interview with a researcher about their experiences in the study.
详细描述
The STRENGTH Pilot Project is a community-based, participatory action pilot study to design and test the acceptability of a women-led, trauma and violence informed model of outreach situated in the Downtown Eastside Neighbourhood of Vancouver, British Columbia.
Many women are underserved within health and social care due to numerous environmental factors affecting their access and receipt of services appropriate to their needs. These challenges are shaped by siloed service delivery, isolation, knowledge gaps about services, and negative encounters in support service settings. Outreach activities can build lasting relationships between support workers and women in ways that enhance quality of life and overall wellbeing, and are not harmful or re-traumatizing. The overall aim of the project is to develop and test the acceptability of a model of outreach that is women-led, strengths-based and trauma and violence informed.
In collaboration with community service experts and women with lived experience and drawing on existing empirical evidence concerning outreach interventions as a means to engage underserved women with health and social care, a preliminary model of outreach was developed to be tested within a pilot, single case study design focusing on acceptability of the intervention and feasibility of outreach to enhance women's access to health and social care. Within the intervention, outreach teams work with women in identifying their goals and needs and in partnership, support them to engage with services and supports to address their health and social care service needs.
In this pilot study, we will be evaluating (a) the acceptability of the outreach intervention; (b) environmental factors affecting acceptability; and (c) the feasibility of the intervention to increase women's engagement with appropriate health and social care services.
Because this project is a pilot study, the key research questions being addressed are:
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Self-identify as a woman, therefore the study is trans-inclusive.
- •Have some degree of English proficiency in understanding and communication.
- •Live or spend most of their time over a 24-hour period in the Downtown Eastside of Vancouver.
- •Age 18 or over.
排除标准
- •Women without any degree of English speaking or comprehension proficiency.
- •People who self-identify as men.
- •Youth under the age of
- •Women who do not spend time regularly in the Downtown Eastside of Vancouver.
研究组 & 干预措施
STRENGTH Outreach Intervention
Participants enrolled in STRENGTH intervention elements
干预措施: STRENGTH Outreach Intervention (Behavioral)
结局指标
主要结局
Outreach Team Engagement with Individual Participants
时间窗: From enrollment to end of intervention (up to 18 months)
Number of times outreach team met with individual participants
Participants' Access to Consistent Health Care
时间窗: From enrollment to end of intervention (up to 18 months)
Measured in a binary survey item assessing participants' access to a consistent health care provider
Participants' Confidence in Engaging with Services
时间窗: From enrollment to end of intervention (up to 18 months)
Measured in a survey item (self-rated scale from 0-100%) assessing confidence in accessing services
次要结局
- Acceptability of Outreach Intervention(At 12 to 15 months post-enrollment)
研究者
Victoria Bungay
Professor
University of British Columbia