Occupational Therapy, Faculty of Health Sciences, Elborn College, Western University, London, ON, Canada.
Occupational Therapy, Faculty of Health and Human Sciences, Peninsula Allied Health Centre, University of Plymouth, Plymouth, UK.
Scand J Occup Ther. 2021 Apr;28(3):171-187. doi: 10.1080/11038128.2020.1764094. Epub 2020 Jun 1.
Although systematic and scoping reviews have identified a range of interventions for persons experiencing homelessness, no known reviews have captured the range and quality of intervention studies aimed at supporting a transition from homelessness.
To capture the range and quality of occupational therapy intervention studies aimed at supporting a transition to housing following homelessness.
Using Joanna Briggs Institute (JBI) guidelines, we conducted a systematic review including a critical appraisal and narrative synthesis of experimental studies.
Eleven studies were included. Critical appraisal scores ranged from 33.3 to 88.9 of a possible score of 100 (Mdn = 62.5; IQR = 33.4). The majority of studies evaluated interventions for the development of life skills ( = 9; 81.8%), and all were conducted in the USA. Several of the included studies were exploratory evaluation and feasibility studies, and all were quasi-experimental in design. Only three studies (27.2%) incorporated a control group. Intervention strategies included (1) integrated group and individual life skills interventions ( = 6); (2) group-based life skills interventions ( = 3); and (3) psychosocial and consultative interventions ( = 2).
Research evaluating occupational therapy interventions aimed at supporting homeless individuals as they transition to housing is in an early stage of development.
Implications for research and practice are discussed.
尽管系统评价和范围评价已经确定了一系列针对无家可归者的干预措施，但目前尚无任何评价能够涵盖旨在支持无家可归者过渡到住房的干预研究的范围和质量。
捕捉旨在支持无家可归者过渡到住房的职业治疗干预研究的范围和质量。
使用乔安娜·布里格斯研究所（JBI）的指南，我们进行了一项系统评价，包括对实验研究的批判性评价和叙述性综合。
纳入了 11 项研究。批判性评价分数范围为 33.3 到 88.9（满分 100 分）（中位数= 62.5；四分位距= 33.4）。大多数研究评估了生活技能发展的干预措施（9 项；81.8%），并且所有研究均在美国进行。纳入的研究中有几项是探索性评估和可行性研究，并且均采用准实验设计。只有 3 项研究（27.2%）纳入了对照组。干预策略包括（1）综合小组和个体生活技能干预（6 项）；（2）基于小组的生活技能干预（3 项）；以及（3）心理社会和咨询干预（2 项）。
评估旨在支持无家可归者过渡到住房的职业治疗干预的研究尚处于早期阶段。
讨论了对研究和实践的影响。
