Characterizing components of and attendance at resident-driven Housing First programming in the context of community-based participatory research.
Characterizing components of and attendance at resident-driven Housing First programming in the context of community-based participatory research.
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DOI：
10.1002/jcop.22491
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发表时间：
2021-07
影响因子：
2.3
通讯作者：
Clifasefi SL
中科院分区：
文献类型：
--
作者：
Collins SE;Goldstein SC;King VL;Orfaly VE;Gu J;Clark A;Vess A;Lee G;Taylor EM;Fentress T;Braid AK;Clifasefi SL
这项二次研究描述了改善生活的酒精管理计划 (LEAP) 的组成部分和参与情况，该计划是居民驱动的住房优先计划。我们使用类似于传统内容分析的流程，根据 LEAP 的组成活动来实施它。我们使用广义线性模型来确定 LEAP 活动参与的预测因子，并预测参与特定 LEAP 活动类别的酒精和生活质量结果。总体而言，86% 的参与者至少参加了一项 LEAP 活动，其中包括三类：行政领导机会、有意义的活动和康复途径。仅就业状况就可以预测 LEAP 活动的出席率：就业居民参加 LEAP 活动的次数比失业居民少 88%。寻求更多恢复活动途径的参与者更有可能每天饮酒，并且更容易受到酒精相关伤害的影响。那些从事行政领导机会的人总体上受饮酒的影响较小，并且总体上生活质量较高，而且随着时间的推移，他们的饮酒结果进一步改善。与“住房第一”居民一起制定的计划得到了广泛参与，但可以通过包括晚间计划来容纳全职居民，并让受影响更严重的参与者参与行政领导活动，从而使计划更具包容性，在这些活动中可以看到计划的最大好处。
This secondary study characterized components of and engagement in the life-enhancing alcohol-management program (LEAP), which is resident-driven housing first programming. We used a process akin to conventional content analysis to operationalize the LEAP according to its component activities. We used generalized linear modeling to identify predictors of LEAP activity participation and to predict alcohol and quality-of-life outcomes from participation in specific LEAP activities categories. Overall, 86% of participants attended at least one LEAP activity, which comprised three categories: administrative leadership opportunities, meaningful activities, and pathways to recovery. Employment status alone predicted LEAP activity attendance: Employed residents attended 88% fewer LEAP activities than unemployed residents. Participants who sought out more pathways to recovery activities were more likely daily drinkers and more impacted by alcohol-related harm. Those engaging in administrative leadership opportunities were overall less impacted by alcohol use and had a higher quality of life generally, and their alcohol outcomes further improved over time. Programming developed with Housing First residents was well-attended but could be made more inclusive by including evening programming to accommodate residents employed full time and engaging more severely impacted participants in administrative leadership activities, where the greatest benefits of programming were seen.