The effectiveness of critical time intervention for abused women and homeless people leaving Dutch shelters: study protocol of two randomised controlled trials.
The effectiveness of critical time intervention for abused women and homeless people leaving Dutch shelters: study protocol of two randomised controlled trials.
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DOI：
10.1186/1471-2458-13-555
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发表时间：
2013-06-06
影响因子：
4.5
通讯作者：
Wolf JR
中科院分区：
文献类型：
--
作者：
Lako DA;de Vet R;Beijersbergen MD;Herman DB;van Hemert AM;Wolf JR
荷兰提供庇护所服务的组织的主要优先事项之一是在护理受虐妇女和无家可归者方面制定基于证据的干预措施。到目前为止，这些组织中的大多数都没有使用具体的干预模式，已经实施的干预措施很少有经验和理论基础。本研究旨在检验关键时间干预(CTI)对受虐妇女和无家可归者的有效性。在两个多中心随机对照试验中，我们调查了CTI，一种有时间限制(9个月)的外展干预措施，对于从收容所过渡到支持或独立住房的受虐妇女和无家可归者，是否比通常的照护更有效。参与者在荷兰各地的19个妇女收容所和22个无家可归者收容所招募，并随机分配到干预组(CTI)或对照组(照常照看)。他们在九个月内接受了四次采访：一次是在离开避难所之前，然后是在离开避难所后的三个月、六个月和九个月。在访谈期间，评估了生活质量(受虐妇女的主要结果)和反复失去住房(无家可归者的主要结果)以及次要结果(例如护理需求、自尊、孤独、社会支持、物质使用、心理痛苦和服务使用)。此外，在数据收集期间，对CTI的模型完整性进行了调查。根据国际研究，CTI有望成为客户从机构生活向社区生活过渡的适当干预手段。如果CTI被证明对受虐妇女和无家可归者有效，收容所服务机构可以将这种病例管理模式纳入他们的专业标准，并改善对客户的服务(质量)。NTR3463和NTR3425
One of the main priorities of Dutch organisations providing shelter services is to develop evidence-based interventions in the care for abused women and homeless people. To date, most of these organisations have not used specific intervention models and the interventions which have been implemented rarely have an empirical and theoretical foundation. The present studies aim to examine the effectiveness of critical time intervention (CTI) for abused women and homeless people. In two multi-centre randomised controlled trials we investigate whether CTI, a time-limited (nine month) outreach intervention, is more effective than care-as-usual for abused women and homeless people making the transition from shelter facilities to supported or independent housing. Participants were recruited in 19 women’s shelter facilities and 22 homeless shelter facilities across The Netherlands and randomly allocated to the intervention group (CTI) or the control group (care-as-usual). They were interviewed four times in nine months: once before leaving the shelter, and then at three, six and nine months after leaving the shelter. Quality of life (primary outcome for abused women) and recurrent loss of housing (primary outcome for homeless people) as well as secondary outcomes (e.g. care needs, self-esteem, loneliness, social support, substance use, psychological distress and service use) were assessed during the interviews. In addition, the model integrity of CTI was investigated during the data collection period. Based on international research CTI is expected to be an appropriate intervention for clients making the transition from institutional to community living. If CTI proves to be effective for abused women and homeless people, shelter services could include this case management model in their professional standards and improve the (quality of) services for clients. NTR3463 and NTR3425
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影响因子：
2.9
作者：
Culhane, Dennis P.;Metraux, Stephen;Valente, Jesse
通讯作者：
Valente, Jesse
影响因子：
1.6
作者：
Calsyn, RJ;Morse, GA;Trusty, ML
通讯作者：
Trusty, ML
影响因子：
1.2
作者：
DEJONGGIERVELD, J;KAMPHUIS, F
通讯作者：
KAMPHUIS, F
影响因子：
3.8
作者：
COX, JW;STOLTENBERG, CD
通讯作者：
STOLTENBERG, CD
影响因子：
168.9
作者：
Garcia-Moreno, Claudia;Jansen, Henrica A. F. M.;Watts, Charlotte H.
通讯作者：
Watts, Charlotte H.