Quality of Life for Men who Attend a Day Shelter Compared to Transitional Housing Team Quality...
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![Page 1: Quality of Life for Men who Attend a Day Shelter Compared to Transitional Housing Team Quality Comparison Ellen Drzymala, Shannon Melchior, Tawnee Cain,](https://reader035.fdocuments.us/reader035/viewer/2022062516/56649dc05503460f94ab4dea/html5/thumbnails/1.jpg)
Quality of Life for Men who Attend a Day Shelter Compared to Transitional Housing
Team Quality Comparison Ellen Drzymala, Shannon Melchior, Tawnee Cain, Kelsey Bigham, Kristen Tam, & Steph Hayden
Washington University School of Medicine Program in Occupational Therapy
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Introduction
• The Problem• 600,000 homeless
people in the U.S. • Negative impact on
occupational performance
• Impact on quality of life
• Day program vs. transitional housing
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Purpose
The purpose of this study was to observe the quality of life among men who live in permanent housing, transitional housing and those who attend a day shelter.
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Hypothesis
• In St. Louis, individuals living in permanent or transitional housing will have a greater quality of life compared to those attending day shelters.
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Methods
• Subjects:• Day shelter• Transitional housing • Permanent housing
• Development: Altered assessment WHOQOL
• Data Collection: Administration of written assessment at each of the locations
• Outcome measures: Self-perceived quality of life
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Descriptive Statistics
Table 1.
Sample Characteristics
Group N Mean Age ± SD
Permanent 12 43.4 ± 11.9
Labre 12 42.4 ± 12.2
The Bridge 4 36.8 ± 15.2
Table 2.
WHOQOL Score DistributionGroup Mean Score ± SD Min MaxPermanent 64.3 ± 4.8 56 71Labre 57.9 ± 11.7 32 75The Bridge 39.8 ± 3.8 36 45
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Statistical Data Analysis
• Kruskal Wallis Analysis• Non-parametric
•Small sample size •Cannot assume a normal distribution • Interval data
• Mann- Whitney U Analysis • Non-parametric • Detects significance
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Results
Table 3.
Comparison of QOL among Housing Groups
Group N Mean Rank
Permanent* 12 18.9
Labre* 12 13.7
The Bridge 4 3.6
* Significantly different than The Bridge p<0.05
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Results
Table 3.
Comparison of QOL among Housing Groups
Group N Mean Rank
Permanent* 12 18.9
Labre* 12 13.7
The Bridge 4 3.6
* Significantly different than The Bridge p<0.05
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Results
Table 3.
Comparison of QOL among Housing Groups
Group N Mean Rank
Permanent* 12 18.9
Labre* 12 13.7
The Bridge 4 3.6
* Significantly different than The Bridge p<0.05
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Statistical Insight
• Difficulty recruiting appropriate sample size
• Incentives failed to motivate participants
• Demographic information collection
• Sensitive topic
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Comparison to Previous Literature
• Few studies• Wolf et al. (2001): transitional housing yielded higher life satisfaction
• Bebout et al. (1997): improved QOL in stable housing
• Lack of literature on day programs and quality of life
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Adding to the Body of Knowledge
• Data from our study suggest that individuals who reside in transitional housing enjoy a higher quality of life than those attending day shelters.
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Clinical Implications & Future Work
• Informs policy makers and program designers
• Potential area for OT practice• Quality of Life
• Was OT intervention an influential factor in high QOL at the Labre center?
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Limitations
• Small & unequal sample sizes• Possible untruthful answers
• Due to environment, laziness, etc. • Social desirability bias • Limited knowledge of sample
demographics• Lack of rapport• Non-standardized assessment
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Conclusion & Summary
• Programs for homeless individuals should utilize a transitional housing format as opposed to a day-shelter design.
• More research • Generalize (other locations; different models)• Fill gaps caused by limitations
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Questions?
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References Chard, G., Faulkner, T., Chugg, A. (2009). Exploring occupation and its meaning among
homeless men. British Journal of Occupational Therapy, 72(3), 116-124. Hubley, A.M., Russel, L.B., Palepu, A., Hwang, S.W. (2012). Subjective quality of life among
individuals who are homeless: A review of current knowledge. Social Indicators Research Journal
Morrison, D.S.(2009).Homelessness as an independent risk factor for mortality:results from a retrospective cohort study.International Journal of Epidemiology. (38). p. 877-883
National Alliance to End Homelessness. (2012). The state of homelessness in America 2012.
Washington, DC: Homelessness Research Institute. Whiteford, G. (2000). Occupational deprivation: Global challenge in the new millennium. British Journal of Occupational Therapy 63(5), 200-204. Wilcock, A.A. (2005). Relationship of occupations to health and well-being. In C.H. Christiansen,
C.M. Baum and J. Bass-Haugen (Eds.) Occupational Therapy: Performance, Participation and Well-Being. 3rd edition. Thorofare, NJ: Slack, Inc.
Williams, J. I. (2000). Ready, step, stop: Reflections on assessing quality of life and the
WHOQOL-100 (U.S. version). Journal of Clinical Epidemiology, 53(I), 13-17.