The goal of this study is to determine the effects of CAre on vulnerable people. The CAre method delivers care from the perspective of the homeless person. If CAre interventions result in an increased quality of life of marginal groups, it will be…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
meervoudige psychosociale problematiek
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The most important outcome will be the degree in which the CAre approach helps
clients to achieve their rehabilitation goals. The validity and importance of
these goals are first checked. After a year, we ask if they have achieved their
goals and what merit it has had to them.
Another important outcome is quality of life. Quality of life is measured with
the extended Dutch version of the Lancashire Quality of Life Profile (Van
Nieuwenhuizen et al., 1998). This standardized interview includes both
objective and subjective aspects (satisfaction with) of quality of life
regarding living situation; free time; finances; family; security; health;
affect; positive and negative self-esteem, achievement and framework.
Of importance is also the way in which the care fulfills needs and wishes
regarding housing. The questionnaire that will be used, has been recently
developed for research among homeless people.
Finally, we make use of a CAre Fidelity questionnaire (Van Wijngaarden &
Wilken, 2006). The degree in which social workers use the method will be
measured on a scale from 1 (no fidelity) to 5 (maximum fidelity).
Secondary outcome
Psychiatric problems and addiction are frequently observed within the homeless
population. It is known from previous research that these directly influence
the quality of life. Therefore a screening instrument is used to establish if
there are problems regarding mental health or addiction. This screener has been
recently developed at the University of Nijmegen in cooperation with IVO, for
research among the homeless.
Background summary
Vulnerable people who have trouble coping with the demands of our society are
more and more visible, especially in the large Dutch cities. Institutions who
take care of those vulnerable people are challenged to increase their quality
of life and their participation in society as full citizen. However, only few
empirical-based interventions about the care for homeless people are available.
A rehabilitation intervention developed for mental health care i.e. the
Comprehensive Approach of Rehabilitation (CAre) adequately reflects the mission
and vision of the care for the homeless. The CAre method is an integrated
eclectic rehabilitation method that corresponds with the daily routine in the
care for the homeless. Although rehabilitation is an empirical-based method,
those methods have not yet been investigated in clients who depend on long-term
care. This research project pertains to a quasi-experimental study regarding
the effects of CAre method on (former) homeless people.
Study objective
The goal of this study is to determine the effects of CAre on vulnerable
people. The CAre method delivers care from the perspective of the homeless
person. If CAre interventions result in an increased quality of life of
marginal groups, it will be an important gain. Not only for the institutions
who take care of the homeless, but especially for the homeless people
themselves. The results can be used to increase the quality of care. The study
also contributes to the understanding of vulnerable people and their living
situation.
Study design
The study has a quasi-experimental design with two conditions. The clients are
followed one year and data is collected in three assessments. Randomization is
unfortunately not possible because of the organization of the care in the
institution in which the study takes place. Most clients have achieved a
long-term relationship with their social worker.
The present study is a follow-up of a previous study. This study investigated
the quality of life (Buitendijk et al., 2005) in 166 people at Traverse, an
institution for homeless people. This assessment will be seen as the base-line
measurement (T0) of the present study. In this previous study, the CAre method
was implemented in the organization.
In the present study two assessments are conducted. At the start of the study
(T1) and after one year (T2). Besides quality of life, clients will be asked
about their rehabilitation goals, their needs for care and their wishes
regarding housing. Rehabilitation workers will also be assessed on certain
aspects (i.e. education, experience) and also the Care fidelity scale will be
administered to determine the proper use of the method. The assessment
encompasses the effect of extra training and education of rehabilitation
workers on goals, quality of life, needs and wishes regarding housing of
clients.
Study burden and risks
The burden of the study for clients consists of three interviews. It
encompasses a combined questionnaire about rehabilitation goals, quality of
life, needs, and wishes regarding housing. Interviews take place at the start
of the study and after a period of a year. Three test interviews have been
conducted and the combined questionnaire takes about 45 -60 minutes. Moreover,
clients reacted positive to this combined questionnaire.
In the second half of the study clients are asked to answer some questions
regarding the CAre-fidelity scale. This will be the third interview. This
section has recently (December 2006) been tested. An interview takes about 45
minutes and clients also reacted positive to it.
Postbus 90153
5000 LE Tilburg
Nederland
Postbus 90153
5000 LE Tilburg
Nederland
Listed location countries
Age
Inclusion criteria
Cliënt of smo-Traverse
Long term care
A stable living situation
Age 18 years and older
Willing to coöperate
Exclusion criteria
Not in care of smo-Traverse
No stable living situation
Age less then 18 years
Not willing to coöperate
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL17003.097.07 |