Effectiveness of a Functional Literacy Program for Formerly Homeless Adults

NCT ID: NCT03580915

Last Updated: 2019-01-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

23 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-24

Study Completion Date

2018-12-28

Brief Summary

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The purpose of this study is to assess a functional literacy program for formerly homeless adults now residing in supported housing who have difficulty performing daily life skills requiring functional literacy (e.g., bill paying, medication management, community transportation) needed to maintain housing placements. The hypothesis is that intervention group participants will improve in functional literacy compared to the control group that does not receive the intervention.

Detailed Description

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Sixty-five percent of homeless adults are reported to be illiterate or marginally literate. The lack of literacy in a high technological society negatively impacts this population's ability to participate in daily life activities including finding and maintaining employment, renting and maintaining an apartment, seeking health care, using public transportation, and managing finances. Poor literacy marginalizes this population from societal participation and maintains this group in a state of lack and deficiency.

A literacy program will be delivered to participants who are formerly homeless and now residing in supported shelter. Participants will be randomly assigned to an intervention (n=20) or control (n=20) group. The intervention group will receive the functional literacy intervention over 8 weeks, twice weekly. Intervention sessions will allow participants to learn literacy skills within the context of real-life daily activities like grocery shopping, preparing a meal, and purchasing subway cards. Control group participants will not receive intervention.

Conditions

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Literacy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Approximately 10 participants will be randomly assigned to an intervention group; another 10 will be randomly assigned to a control group.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Functional Literacy Intervention

The intervention group will receive the functional literacy program in which, in small groups, participants learn literacy skills in the context of daily life activities such as shopping, meal preparation, and transportation use.

Group Type EXPERIMENTAL

Functional Literacy Program

Intervention Type BEHAVIORAL

The intervention will be provided twice weekly in 2-hour sessions, over 8 weeks. The 16 intervention sessions will provide the opportunity for participants to learn functional literacy skills to (1) manage an apartment, (2) access community resources, (3) manage finances, (4) access free recreational activities. All sessions will address literacy skills needed to complete basic daily life activities in the home and community environments. Literacy skills will first be learned and practiced within the supported shelter, and then extended to the community.

Usual Care Management Services

Intervention Type BEHAVIORAL

The control group will receive the usual housing services without additional intervention.

Functional Literacy Control

The control group will not receive intervention but the Usual Care Management Services.

Group Type ACTIVE_COMPARATOR

Usual Care Management Services

Intervention Type BEHAVIORAL

The control group will receive the usual housing services without additional intervention.

Interventions

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Functional Literacy Program

The intervention will be provided twice weekly in 2-hour sessions, over 8 weeks. The 16 intervention sessions will provide the opportunity for participants to learn functional literacy skills to (1) manage an apartment, (2) access community resources, (3) manage finances, (4) access free recreational activities. All sessions will address literacy skills needed to complete basic daily life activities in the home and community environments. Literacy skills will first be learned and practiced within the supported shelter, and then extended to the community.

Intervention Type BEHAVIORAL

Usual Care Management Services

The control group will receive the usual housing services without additional intervention.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Resident of a supported shelter environment (after homelessness)
* Self-reported difficulty with basic reading skills needed to participate in desired daily life activities
* English-speaking

Exclusion Criteria

* Severe behavioral management disorder that would make cooperation and direction following problematic
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Columbia University

OTHER

Sponsor Role lead

Responsible Party

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Sharon Gutman

Professor of Rehabilitation and Regenerative Medicine (Occupatio, Rehab & Regenerative Med OT)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sharon Gutman, MD

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Locations

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Columbia University Medical Center

New York, New York, United States

Site Status

Countries

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United States

Other Identifiers

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AAAR8206

Identifier Type: -

Identifier Source: org_study_id

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