Supporting Social & Economic Equity, Disrupting Cycles of Homelessness, And Nurturing Growth & Empowerment
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-24
SponsorUnity Health Toronto
About this trial
The goal of the SEED CHANGE pilot study is to co-design and test a wraparound intervention for young people transitioning away from homelessness. This study will provide information about the types of supports these young people need to live meaningful and thriving lives, and the best ways to deliver these supports. The main questions it aims to answer are:
* Is the wraparound intervention feasible? (i.e., Will young people engage in the study and supports?) * Is the wraparound intervention acceptable? (i.e., Do young people find the supports satisfactory and/or beneficial?)
Participants will engage in an 18-month wraparound intervention including the following supports:
* Job Placement * Housing Stabilization Funds * Grocery Supplements * Community Connections Worker * Coaching * Tools for Intentional Living Program
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 18 - 24 years
Experienced homelessness (defined as unstable/time-limited housing arrangements like shelter stays, foster care, or couch surfing) for at least seven consecutive days in the past year
Living in market rent housing (defined as non-subsidized housing, inclusive of both formal and informal rental agreements) in the Greater Toronto Area or Niagara Region for at least one month preceding study start
Willing to actively participate in all components of the intervention
Disqualifiers
In imminent danger of losing their housing (e.g., facing eviction)
Planning to move out of the Greater Toronto Area or Niagara Region in the next 18 months
Employed full-time or enrolled in an education or training program that requires a long-term (>4 weeks) full-time work placement (coinciding with the duration of the study intervention)
Receiving rent subsidies (does not include shelter allowance through social welfare programs such as Ontario Works or the Ontario Disability Support Program)
Trial design
Design model
Single group
Treatments tested in this trial
Wraparound Intervention
BehavioralAn 18-month wraparound intervention including the following supports: * Job Placement * Housing Stabilization Funds * Grocery Supplements * Community Connections Worker * Coaching * Tools for Intentional Living Program
Treatment groups
42 Participants
are divided into 1 treatment groupGroup A: Wraparound InterventionExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Feasibility and Acceptability: Recruitment, Enrolment, and Dropout Metrics
Recruitment, enrolment, and dropout metrics were documented by the research team. The recruitment total is the total number of individuals who express interest in participating in the study. The enrolment total is the total number of recruited individuals who are eligible and consent to participate in the study. The dropout total is the total number of enrolled participants who drop out during the study. Participants are considered to have dropped out of the study if they explicitly request to withdraw from the study, or cease participating in all intervention and research activities (i.e., no contact).
Time frame
Recruitment and enrolment metrics are assessed at T0 (Baseline; pre-intervention). Dropout metrics are assessed at T4 (Month 18; end of intervention).2
Feasibility and Acceptability: Employment Placement Engagement
Employment placement engagement is defined as the length of time participants remain in their job placement (self-reported).
Time frame
Assessed at T4 (Month 18; end of intervention).3
Feasibility and Acceptability: Coaching Engagement
Coaching Engagement is defined as the proportion of total possible coaching sessions (max. 36) that a participant attends (reported by coaches).
Time frame
Assessed at T4 (Month 18; end of intervention).4
Feasibility and Acceptability: Group Program Engagement
Group Program Engagement is defined as the proportion of total possible Tools for Intentional Living program sessions that a participant attends (reported by program facilitators).
Time frame
Assessed at T4 (Month 18; end of intervention).Secondary outcomes
1
Economic Capital: Employment
Employment is assessed by self-report; participants are asked whether they are currently working (in their study job placement or elsewhere). Employment rate will be reported as the number of participants who are currently employed.
Time frame
Assessed at T1 (Baseline), T2 (Month 6), T3 (Month 12), T4 (Month 18), and T5 (Month 24).2
Economic Capital: Education
Education and training is assessed by self-report; participants are asked whether they are currently attending secondary or post-secondary classes or participating in a training/trades program. Education rate will be reported as the number of participants who are currently in an education or training program.
Time frame
Assessed at T1 (Baseline), T2 (Month 6), T3 (Month 12), T4 (Month 18), and T5 (Month 24).3
Economic Capital: Housing Security
Housing security is assessed using the Housing Security Scale V.3. This 19-item self-report measure explores domains related to: housing need; subjective stability; safety net; threats to stability. Housing need is a 2-item composite dichotomous indicator (Yes=presence of housing need \[i.e., poor housing security\]). Subjective Stability is a 5-item subscale (range 5-30); higher scores indicate greater housing security. Safety Net is a 3-item subscale (range 3-18); higher scores indicate greater housing security. Threats to Stability is a 7-item subscale (range 3-18); higher scores indicate poorer housing security. Two additional items assessing Housing History are reported separately and are not part of any subscale.
Time frame
Assessed at T1 (Baseline), T2 (Month 6), T3 (Month 12), T4 (Month 18), and T5 (Month 24).4
Economic Capital: Income
Income is self-reported; participants are asked their average monthly income (including income from their job placement, additional jobs, and social assistance).
Time frame
Assessed at T1 (Baseline), T2 (Month 6), T3 (Month 12), T4 (Month 18), and T5 (Month 24).Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Unity Health Toronto
Lead sponsor
Covenant House Toronto
Collaborator
StepStones for Youth
Collaborator
Resource Association for Teens
Collaborator
Source ClinicalTrials.gov