6.2 Impact of a Smartphone-Based Intervention on Substance Use Amongst Homeless Youth

Chao, Samantha H.; Glover, Angela C; Rufa, Anne K.; Boley, Randy A.; Schueller, Stephen M.; Zalta, Alyson K.; Karnik, Niranjan S.

doi:10.1016/j.jaac.2017.09.347

Cited by 3 publications

(10 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The interrater reliability coefficient indicated moderate agreement for the first screening level (Cohen κ=0.4138) and almost perfect agreement for the second level (Cohen κ=0.877). Two reports (a poster and published abstract) identified during the screening process described the same study and population [ 36 , 37 ]. We decided to focus mainly on data from the poster [ 36 ] because it contained the most information.…”

Section: Resultsmentioning

confidence: 99%

“…Two reports (a poster and published abstract) identified during the screening process described the same study and population [ 36 , 37 ]. We decided to focus mainly on data from the poster [ 36 ] because it contained the most information. In addition, 2 other reports, Linnemayr et al [ 38 ] and Tucker et al [ 39 ], reported data concerning the same study intervention but including different sample populations.…”

Section: Resultsmentioning

confidence: 99%

“…Among the 3 studies that reported on sexuality [ 38 , 40 , 41 ], most participants (135/526, 25.7%) were heterosexual, 3.2% (17/526) were homosexual or bisexual, and 5.1% (27/526) reported other as sexuality. A total of 9 studies [ 19 , 36 , 38 , 40 - 45 ] reported ethnicity; 42.9% (226/526) of the participants were Black and African American, 11% (58/526) were Hispanic and Latin American, 9.3% (49/526) were White, 6.8% (36/526) were mixed, and 4.9% (26/526) were other ethnicities. Regarding mental illness conditions, 6 studies [ 19 , 40 , 43 - 46 ] included participants who were diagnosed with a psychiatric disorder (dysthymia, depression and bipolar disorder, anxiety, posttraumatic stress disorder, adjustment disorder, psychosis, attention-deficit hyperactivity disorder, personality disorders, or emotion regulation issues), 5 studies (6 reports) [ 36 , 38 , 39 , 42 , 44 , 45 ] included participants who used or abused substances such as alcohol, tobacco, or marijuana, and 2 studies [ 41 , 43 ] included only participants without any type of mental disorder.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 9 studies [ 19 , 36 , 38 , 40 - 45 ] reported ethnicity; 42.9% (226/526) of the participants were Black and African American, 11% (58/526) were Hispanic and Latin American, 9.3% (49/526) were White, 6.8% (36/526) were mixed, and 4.9% (26/526) were other ethnicities. Regarding mental illness conditions, 6 studies [ 19 , 40 , 43 - 46 ] included participants who were diagnosed with a psychiatric disorder (dysthymia, depression and bipolar disorder, anxiety, posttraumatic stress disorder, adjustment disorder, psychosis, attention-deficit hyperactivity disorder, personality disorders, or emotion regulation issues), 5 studies (6 reports) [ 36 , 38 , 39 , 42 , 44 , 45 ] included participants who used or abused substances such as alcohol, tobacco, or marijuana, and 2 studies [ 41 , 43 ] included only participants without any type of mental disorder. Table 1 also shows that 4 studies [ 19 , 36 , 40 , 42 ] recruited participants from homeless shelters, and the rest recruited participants from transitional housing [ 43 , 45 ], drop-in center [ 38 , 39 , 44 ], or various other services [ 40 , 41 ] for YEH.…”

Section: Resultsmentioning

confidence: 99%

“… c Age range was obtained from the age ranges provided as inclusion criteria by each study, except for the studies by Glover et al [ 40 ] and Thompson et al [ 42 ], who reported the actual sample age range. Two studies [ 36 , 47 ] did not report on age ranges, but their mean ages were 19.13 (SD 0.9) and 17.5 (SD 1.1) years, respectively. d YEH: youth experiencing homelessness.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

The Use of Technology to Provide Mental Health Services to Youth Experiencing Homelessness: Scoping Review

Lal¹,

Elias²,

Sieu³

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

Background There is growing interest in using information and communication technologies (ICTs) to improve access to mental health services for youth experiencing homelessness (YEH); however, limited efforts have been made to synthesize this literature. Objective This study aimed to review the research on the use of ICTs to provide mental health services and interventions for YEH. Methods We used a scoping review methodology following the Arksey and O’Malley framework and guidelines from the Joanna Briggs Institute Manual for Evidence Synthesis. The results are reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). A systematic search was conducted from 2005 to 2021 in MEDLINE, Embase, CINAHL, PsycInfo, Cochrane, Web of Science, and Maestro and in ProQuest Thesis and Dissertations, Papyrus, Homeless Hub, and Google Scholar for gray literature. Studies were included if participants’ mean age was between 13 and 29 years, youth with mental health issues were experiencing homelessness or living in a shelter, ICTs were used as a means of intervention, and the study provided a description of the technology. The exclusion criteria were technology that did not allow for interaction (eg, television) and languages other than French or English. The data were analyzed using descriptive statistics and qualitative approaches. Two reviewers were involved in the screening and data extraction process in consultation with a third reviewer. The data were summarized in tables and by narrative synthesis. Results From the 2153 abstracts and titles screened, 12 were included in the analysis. The most common types of ICTs used were communication technologies (eg, phone, video, and SMS text messages) and mobile apps. The intervention goals varied widely across studies; the most common goal was reducing risky behaviors, followed by addressing cognitive functioning, providing emotional support, providing vital resources, and reducing anxiety. Most studies (9/11, 82%) focused on the feasibility of interventions. Almost all studies reported high levels of acceptability (8/9, 89%) and moderate to high frequency of use (5/6, 83%). The principal challenges were related to technical problems such as the need to replace phones, issues with data services, and phone charging. Conclusions Our results indicate the emerging role of ICTs in the delivery of mental health services to YEH and that there is a high level of acceptability based on early feasibility studies. However, our results should be interpreted cautiously, considering the limited number of studies included in the analysis and the elevated levels of dropout. There is a need to advance efficacy and effectiveness research in this area with larger and longer studies. International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2022-061313

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The Use of Technology to Provide Mental Health Services to Youth Experiencing Homelessness: Scoping Review

Lal¹,

Elias²,

Sieu³

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

show abstract

Digital Interventions for Older People Experiencing Homelessness: A Systematic Scoping Review (Preprint)

Adams,

Donaghy,

Sanders

et al. 2024

Journal of Medical Internet Research

View full text Add to dashboard Cite

Digital Interventions for Older People Experiencing Homelessness: A Systematic Scoping Review (Preprint)

Adams,

Donaghy,

Sanders

et al. 2024

Preprint

View full text Add to dashboard Cite

BACKGROUND Older people experiencing homelessness (OPEH) can have mental and physical indicators of ageing several decades earlier than the general population and experience premature mortality due to age-related chronic conditions. Emerging literature suggests digital interventions could positively impact the health and well-being of People Experiencing Homelessness (PEH) [1]. However, the increased reliance on digital delivery may also perpetuate digital inequalities for socially excluded groups. The potential triple disadvantage of being older, homeless, and digitally excluded creates a uniquely problematic situation that warrants further research. Limited efforts have been made to synthesise the available literature on digital interventions for OPEH. OBJECTIVE This scoping review examined the usage, range, and nature of digital interventions available to OPEH and organisations that support OPEH. METHODS The scoping review was conducted following Arksey and O’Malley’s proposed methodology [2], the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews [3] and recent guidelines from the Joanna Briggs Institute [4]. We searched 14 databases (Including Medline, Embase, PsycINFO, CINAHL and Association for Computing Machinery Digital Library (ACMDL)). Grey literature sources were searched to supplement the electronic database search. A narrative synthesis approach was conducted on the included articles, and common themes were identified inductively through thematic analysis. RESULTS A total of 19915 records were identified through database and grey literature searching. We identified 10 articles reporting on digital interventions that had a clearly defined participant age group of over 50 or the mean participant age was over 50. Nine of ten studies were published in the USA. Study design included descriptive studies [5, 6], uncontrolled pilot studies [7-11] and pilot randomised controlled trials (RCT)[12-14]. No studies aimed to deliver an intervention exclusively to OPEH or organisations that supported OPEH. Four types of intervention were identified: telecare for PEH, distributing technology to enable digital inclusion, text message reminders, and interventions delivered digitally. Interventions delivered digitally included smoking cessation support, vocational training, physical activity promotion and Cognitive Behavioural Therapy (CBT). Overall, the included studies demonstrated evidence for the acceptability and feasibility of digital interventions for OPEH, and all ten studies reported some improvements in digital inclusion or enhanced engagement among participants. However, several barriers to digital interventions were identified, particularly aspects related to digital inclusion such as infrastructure, digital literacy, and age. Proposed facilitators for digital interventions included organisational and peer support. CONCLUSIONS Our findings highlight a paucity of evaluated digital interventions targeted at OPEH. However, the included studies demonstrated evidence of the acceptability and feasibility of digital interventions for OPEH. Further research on digital interventions that provide services and support OPEH is required. Future interventions must address the barriers OPEH face when accessing digital technology with the input of those with lived experience of homelessness. CLINICALTRIAL Not applicable

show abstract

6.2 Impact of a Smartphone-Based Intervention on Substance Use Amongst Homeless Youth

Cited by 3 publications

References 0 publications

The Use of Technology to Provide Mental Health Services to Youth Experiencing Homelessness: Scoping Review

The Use of Technology to Provide Mental Health Services to Youth Experiencing Homelessness: Scoping Review

Digital Interventions for Older People Experiencing Homelessness: A Systematic Scoping Review (Preprint)

Digital Interventions for Older People Experiencing Homelessness: A Systematic Scoping Review (Preprint)

Contact Info

Product

Resources

About