A systematic review of interventions for homeless women

Speirs, Vivienne; Johnson, Maree; Jirojwong, Sansnee

doi:10.1111/jocn.12056

Cited by 32 publications

(52 citation statements)

References 40 publications

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“…For example, in faith-based communities, nurses use advocacy to design and provide health promotion and disease prevention programs, and appropriate health services for the elderly population (McGinnis & Zoske, 2008). To reduce the risk of homelessness for women without permanent shelter, Speirs, Johnson, and Jirojwong (2013) reported that community health nurses use advocacy to develop structured education, support sessions, and therapeutic communities. They also noted that these interventions act to reduce psychological distress, improve self-esteem, and encourage the use of health care services.…”

Section: Uses Of [Chn] Advocacymentioning

confidence: 98%

“…This attribute is most evident among vulnerable populations such as the homeless (Speirs et al, 2013), students (Ratts et al, 2007), and military families (Military One Source, 2014). Also, immigrant families need assistance and support to access health programs and resources (McElmurry et al, 2003) as well as the elderly (McGinnis & Zoske, 2008) and those living with chronic conditions such as cancer (Hagan & Donovan, 2012;Jennings-Sanders & Anderson, 2003).…”

Section: Defining Attributesmentioning

confidence: 98%

“…Health promotion through education (a) helps communities to develop skills and knowledge that support changes in lifestyle and health behavior and (b) provides communities with tools to prevent disease and injury (Jennings-Sanders & Anderson, 2003;Speirs et al, 2013).…”

Section: Defining Attributesmentioning

confidence: 99%

“…Active engagement with clients and decision makers (Eisenberg, 2012;Johnson et al, 2012;Maryland & Gonzalez, 2012;Speirs et al, 2013), 2. Education or information sharing sessions about issues to ensure that everyone involved is well informed (Kohnke, 1982;Rasberry, 2008), and 3.…”

Section: Empirical Referentsmentioning

confidence: 99%

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Community Health Nursing Advocacy: A Concept Analysis

Ezeonwu

2015

Journal of Community Health Nursing

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The purpose of this article is to present an in-depth analysis of the concept of community health nursing (CHN) advocacy. Walker and Avant's (2010) 8-step concept analysis methodology was used. A broad inquiry into the literature between 1994 and 2014 resulted in the identification of the uses, defining attributes, empirical referents, antecedents, and consequences, as well as the articulation of an operational definition of CHN advocacy. Model and contrary cases were identified to demonstrate the concept's application and to clarify its meaning. This analysis contributes to the advancement of knowledge of CHN advocacy and provides nurse clinicians, educators, and researchers with some conceptual clarity to help improve community health outcomes.

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Section: Uses Of [Chn] Advocacymentioning

confidence: 98%

Section: Defining Attributesmentioning

confidence: 98%

Section: Defining Attributesmentioning

confidence: 99%

Section: Empirical Referentsmentioning

confidence: 99%

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Community Health Nursing Advocacy: A Concept Analysis

Ezeonwu

2015

Journal of Community Health Nursing

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“…Previous reviews of interventions for homeless persons have been limited to a narrative synthesis of the empirical evidence on the effectiveness of interventions for homeless people (Hwang, Tolomiczenko, Kouyoumdjian, & Garner, ), homeless women (Speirs, Johnson, & Jirojwong, ), and homeless youth (Altena, Brilleslijper‐Kater, & Wolf, ). Existing evidence to determine psychosocial interventions that can have demonstrable effects on psychosocial outcomes among homeless adults is sparse.…”

Section: Introductionmentioning

confidence: 99%

Systematic review and meta‐analyses of randomized control trials of the effectiveness of psychosocial interventions for homeless adults

Hyun

Bae

Noh

2019

Journal of Advanced Nursing

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Aims To evaluate the effect of psychosocial interventions for homeless adults on their psychosocial outcomes. Design A systematic review and meta‐analyses were performed for critical appraisal and synthesis of the included studies. Data sources A systematic search of studies published before 10 September 2018 was performed using PubMed, Cochrane Library, EMBASE, PsycINFO, and CINAHL. Review methods The review included randomized controlled trials conducting psychosocial interventions and assessing psychosocial outcomes for homeless adults. After systematically describing study and intervention characteristics, we conducted meta‐analyses by the type of outcome and subgroup meta‐analyses by the type of intervention and outcome. Fourteen studies were included in this review and 11 were included in the meta‐analyses. Results A significant effect of psychosocial interventions in reducing anxiety and enhancing mental health status among homeless adults was noted. Conclusion The meta‐analyses showed that psychosocial interventions may reduce anxiety and enhance the mental health status of homeless people. Specifically, we suggest that relaxation response training may be effective in improving anxiety and mental health status and cognitive behavioural therapy may reduce anxiety. Impact Although psychosocial interventions for homeless persons have been implemented for a decade, their impact for psychosocial outcomes among homeless adults has not been evaluated. This review suggest that psychosocial interventions may improve anxiety and mental health status among homeless adults. The findings of the present study may provide directions for developing psychosocial interventions to help vulnerable homeless adults in managing psychological outcomes.

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The effectiveness of psychological interventions for people experiencing homelessness: A systematic review and meta‐analysis

Bodley‐Scott,

Ward,

Tarabay

et al. 2024

Community & Applied Soc Psy

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Homelessness is a complex social, economic and psychological issue, and compared with the general population, people experiencing homelessness suffer disproportionately from mental health and substance use issues. Evidence suggests that psychological interventions can improve the quality‐of‐life of people experiencing homelessness. A systematic review and meta‐analysis were conducted on studies identified in five databases. Global studies published before July 2023 were included. A total of 35 studies were identified from 30 independent trials conducted in five countries. Outcomes were divided into six domains: substance use, mental health, psychological wellbeing, health behaviour, antisocial behaviour and social outcomes. A meta‐analysis was performed on data from 22 studies investigating outcomes of substance use, abstinence, anxiety, depression and PTSD. Evidence demonstrates the effectiveness of psychological interventions for a range of outcomes affecting people experiencing homelessness. Cognitive behaviour therapy and motivational interviewing were deemed particularly effective across a range of outcomes and were also considered a cost‐effective option. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement.

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A systematic review of interventions for homeless women

Abstract: Community nursing can develop and trial programmes for homeless women including content within group sessions, counselling or advocacy within or without a therapeutic community, as presented in this review.

Cited by 32 publications

References 40 publications

Community Health Nursing Advocacy: A Concept Analysis

Community Health Nursing Advocacy: A Concept Analysis

Systematic review and meta‐analyses of randomized control trials of the effectiveness of psychosocial interventions for homeless adults

The effectiveness of psychological interventions for people experiencing homelessness: A systematic review and meta‐analysis

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