Clinical trial NCT04273126: Helping Families Pilot of a Family Resilience Program for Families Experiencing Homelessness
Official title: Strengthening Homeless Families
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Family Relationship
Coping Skills
Keywords: resilience, psychological
homelessness
Lead sponsor: University of California, Los Angeles
Sponsor class: OTHER
Collaborators: name: National Institute on Drug Abuse (NIDA)
name: American Academy of Child Adolescent Psychiatry.
First posted: 2020-02-17
Enrollment: 73
Sex: ALL
Minimum age (years): 8
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: The goal of this study is to pilot an adapted family resilience program among families with a recent history of homelessness in Los Angeles County and to assess for feasibility and acceptability. The investigators have adapted a family resilience program called Families Overcoming Under Stress (FOCUS), a trauma-informed intervention designed for families experiencing trauma, parental substance use, and homelessness. Our primary hypothesis is that the adapted family resilience program will be feasible and acceptable to families with a recent history of homelessness. Families that are eligible to participate in the study will be assigned to the adapted family resilience intervention. The intervention program consists of around 8-10 modules lasting up to one hour each. The program provides psychoeducation and teaches resilience skills including communication, problem solving, goal setting, and how to deal with stress. Families will be asked to fill out 3 surveys (one at the beginning of the program, one at the end of the program, and at 6 months follow-up). Some families may also be asked to participate in a hour long interview after the completion of the program for feedback on the program.

At this time, all assessments and intervention are being conducted remotely due to the pandemic.


Eligibility criteria: Inclusion Criteria:

* English speaking
* Family has a history of homelessness within the past two years (homelessness defined by the Department of Health and Human Services definition)
* Parent/guardian/caregiver has custody of and cares for a youth between the ages of 8-17
* Both youth and parent/guardian/caregiver are able to take part in an 8 module session intervention

Exclusion Criteria:

* Does not meet inclusion criteria
* Has taken part in a Families OverComing Under Stress (FOCUS) intervention previously

Primary outcomes:
measure: Feasibility of the adapted family resilience intervention for families experiencing homelessness and parental SUDs through retention rates of participants.
timeFrame: 6 months
measure: Feasibility of the adapted family resilience intervention for families experiencing homelessness and parental SUDs through completion of program core components.
timeFrame: 3 months
measure: Acceptability of the adapted family resilience intervention to families experiencing homelessness and parental SUDs through qualitative interviews with youth and parents inquiring about intervention acceptability.
timeFrame: 3 months
measure: Acceptability of the adapted family resilience intervention through a self-report intervention acceptability measure.
timeFrame: 3 months
Secondary outcomes:
measure: Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST)
timeFrame: Baseline, 3 month, 6 month
measure: Addiction Severity Index (ASI)
timeFrame: Baseline, 3 month, 6 month
measure: General Anxiety Disorder (GAD-7)
timeFrame: Baseline, 3 month, 6 month
measure: Patient Health Questionnaire (PHQ-9)
timeFrame: Baseline, 3 month, 6 month
measure: PTSD Checklist for the DSM-V (Diagnostic and Statistical Manual)
timeFrame: Baseline, 3 month, 6 month
measure: Short Form 12 (SF-12)
timeFrame: Baseline, 3 month, 6 month
measure: Connor-Davidson Resilience Scale (CD-RISC)
timeFrame: Baseline, 3 month, 6 month
measure: Medical Outcomes Study Social Support Survey (MOS-SSS)
timeFrame: Baseline, 3 month, 6 month
measure: Monitoring the Future Scale (Substance Use Scale)
timeFrame: Baseline, 3 month, 6 month
measure: Monitoring the Future Scale (Perceived Risk Scale)
timeFrame: Baseline, 3 month, 6 month
measure: Monitoring the Future Scale (Disapproval Scale)
timeFrame: Baseline, 3 month, 6 month
measure: Strength and Difficulties Questionnaire (SDQ)
timeFrame: Baseline, 3 month, 6 month
measure: Screen for Child Anxiety Related Emotional Disorders (SCARED)
timeFrame: Baseline, 3 month, 6 month
measure: Mood and Feelings Questionnaire (MFQ)
timeFrame: Baseline, 3 month, 6 month
measure: Resistance to Peer Influence Scale
timeFrame: Baseline, 3 month, 6 month
measure: Children's Coping Strategies Checklist-Revision 1 (CCSC-R1)
timeFrame: Baseline, 3 month, 6 month
measure: Resilience Youth Development Module (RYDM) of the California Healthy Kids Survey (CHKS)
timeFrame: Baseline, 3 month, 6 month
measure: Deviant Peer Affiliation Scale
timeFrame: Baseline, 3 month, 6 month
measure: McMaster Family Assessment Device (FAD)
timeFrame: Baseline, 3 month, 6 month
measure: Parental Sense of Competence Scale (PSOC)
timeFrame: Baseline, 3 month, 6 month
measure: Parental Monitoring Scale
timeFrame: Baseline, 3 month, 6 month
Other outcomes:
Locations:
city: Los Angeles
country: United States
facility: UCLA
state: California
Study officials:
affiliation: University of California, Los Angeles
name: Roya Ijadi-Maghsoodi, MD, MSHPM
role: PRINCIPAL_INVESTIGATOR
References: