Evaluating the Impact of Emergency Maternity Housing
Primary Purpose
Housing Problems, Pregnancy Related
Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Maternity Housing
Sponsored by
About this trial
This is an interventional supportive care trial for Housing Problems focused on measuring Housing, Homelessness, Substance-related disorders, Alcohol-related disorders, Pregnant Women
Eligibility Criteria
Inclusion Criteria:
- Each home has their own eligibility criteria. The main three criteria common across homes are that a woman must be at least 18 years old, experiencing housing instability, and pregnant. No home has an income standard because, by definition, applicants are in a precarious housing situation so most women are low-income. Each home does have slightly different eligibility criteria. For example, some homes allow other children to come with her into the home, while other homes do not. Some homes require a background check and might allow a woman to enter the home anyway depending on the prior offense.
Exclusion Criteria:
- Women who are not pregnant, men, pregnant women under 18, some homes exclude mothers who have other children currently in their care
Sites / Locations
- University of Notre DameRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Maternity Home Bed
Control
Arm Description
Receives a bed in the maternity home, wrap-around services, etc.
Referred to other services available in the community
Outcomes
Primary Outcome Measures
Difference in rates of self-reported taking baby to term between treatment and control groups
The research team will use self-reported rates of taking the baby to term between treatment and control groups
Difference in rates of self-reported retaining custody of baby between treatment and control groups
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported retaining custody of the baby
Difference in rates of self-reported loneliness and depression between treatment and control groups
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported loneliness and depression levels.
Difference in rates of self-reported life satisfaction between treatment and control groups
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported life satisfaction
Difference in rates of self-reported sense of self-efficacy between treatment and control groups
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported sense of self-efficacy
Difference in housing stability between treatment and control groups
The research team will use self-reported independent living status and whether the mom has a mortgage or lease in her own name at the time of follow to quantify the impact of receiving a bed in the maternity home on housing stability.
Difference in rates of continuum of care utilization between treatment and control groups
The research team will use mother's interactions with other local service agencies involved in the locality's continuum of care system to quantify the impact of receiving a bed in the maternity home on continuum of care interactions.
Difference in employment rates between treatment and control groups
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported employment.
Difference in safety-net utilization rates between treatment and control groups
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported amount of welfare received, for example TANF, WIC, SNAP, etc.
Difference in education rates between treatment and control groups
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported education level.
Secondary Outcome Measures
Difference in housing stability between treatment and control groups
The research team will explore using information from Infutor Data Solutions to also capture address changes and will compare these findings with the self-reported information about housing. Infutor data will only be an exploratory outcome.
Full Information
NCT ID
NCT05428514
First Posted
May 29, 2022
Last Updated
June 17, 2022
Sponsor
University of Notre Dame
Collaborators
Bethlehem House, In My Shoes, Our Lady's Inn, USA, Aid for Women, Maggie's Place, USA
1. Study Identification
Unique Protocol Identification Number
NCT05428514
Brief Title
Evaluating the Impact of Emergency Maternity Housing
Official Title
Evaluating the Impact of Emergency Maternity Housing on Mother and Child Well-being, Housing, and Employment
Study Type
Interventional
2. Study Status
Record Verification Date
May 2022
Overall Recruitment Status
Recruiting
Study Start Date
May 30, 2022 (Actual)
Primary Completion Date
December 1, 2025 (Anticipated)
Study Completion Date
December 1, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Notre Dame
Collaborators
Bethlehem House, In My Shoes, Our Lady's Inn, USA, Aid for Women, Maggie's Place, USA
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Moms will call and agencies will determine if she is eligible based on basic criteria. If she is eligible, the agency will send her an intake application link to complete, which includes a consent form. After completing the survey, if she is still eligible, she will be placed on a waitlist for services. When a bed becomes available in an individual agency, the agency will call two moms at the top of the waitlist, conduct in-person interviews to confirm eligibility and good fit. They will use a computer to randomly assign one to treatment and one to control. Agency will let moms know of their status and will allow the treatment mom to move in. Moms in treatment and control will be surveyed approximately one year post the mother's reported due date of the child.
Detailed Description
The process begins when an expectant month calls a home seeking housing. The maternity home caseworker will ask basic screening questions to determine eligibility. Those found ineligible are referred elsewhere. If the mom is eligible, the caseworker will send her a link to an online application asking a variety of questions surrounding her current housing and employment, health and mental health, other children, criminal justice involvement, etc. The application will include a brief consent form asking for permission to use her information. She will have the option of consenting or not. When she submits her response, the caseworker will be able to review her answers. If there are any answers that would make the mom ineligible at this point, the caseworker will call her and refer her to other local services. If she is still a good fit, the caseworker will call her and let her know that she is eligible but that they don't have any open beds, and that she will be put on a waitlist for the next available bed.
When a bed becomes available, a caseworker will call the top two moms on the waitlist and schedule a time for an in-person interview. They will conduct both interviews to confirm eligibility. After the interview, caseworkers might convene at the home to discuss whether the moms are good fits for group living (for example, the mothers are sometimes unwilling to abide by house rules and they might indicate hesitancy during an interview). If one is not a good fit, the caseworker will let her know she is ineligible and bring in the next mom on the list for an interview. Once two moms are found eligible, the caseworkers will put their names into a separate survey form, which on the backend will randomly assign one to treatment and one to control. The caseworker will call each mom back and let her know if they are going to be able to help her based on her randomization status. Control moms will be referred to other local services. Treatment moms will schedule a time to move in. Both consented and unconsented moms will be randomized the same - having the same odds of receiving services.
Note that three of the five homes will utilize the procedure above. The fourth and fifth homes will complete the same process up to the waitlist stage. Once a bed is available, the caseworker will call the top two moms on the waitlist to confirm they are still interested, then they will randomize them and let them know their status. Only the treatment mom will be brought in for an interview since this home is confident they will be able to determine eligibility based off of the phone and survey application screen and only need the interview to determine services for moms who will actually move into the home.
All moms will complete a follow up survey about one year after the estimated birth of the child (as reported as the due date at baseline).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Housing Problems, Pregnancy Related
Keywords
Housing, Homelessness, Substance-related disorders, Alcohol-related disorders, Pregnant Women
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Clients will be consented on a baseline application. After the application, clients will be on a waitlist. When a bed is available, the agency will bring the top two moms on the waitlist in for an in person interview to confirm they are good fits for the home. The agency will then use a computer to randomly assign one mom to treatment (receiving the bed in the home) and one mom to control (referrals to other services).
Masking
None (Open Label)
Allocation
Randomized
Enrollment
1048 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Maternity Home Bed
Arm Type
Experimental
Arm Description
Receives a bed in the maternity home, wrap-around services, etc.
Arm Title
Control
Arm Type
No Intervention
Arm Description
Referred to other services available in the community
Intervention Type
Other
Intervention Name(s)
Maternity Housing
Other Intervention Name(s)
Emergency Maternity Housing
Intervention Description
Receives a bed in the maternity home, wrap-around services, etc.
Primary Outcome Measure Information:
Title
Difference in rates of self-reported taking baby to term between treatment and control groups
Description
The research team will use self-reported rates of taking the baby to term between treatment and control groups
Time Frame
1 year after approximate due date of baby
Title
Difference in rates of self-reported retaining custody of baby between treatment and control groups
Description
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported retaining custody of the baby
Time Frame
1 year after approximate due date of baby
Title
Difference in rates of self-reported loneliness and depression between treatment and control groups
Description
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported loneliness and depression levels.
Time Frame
1 year after approximate due date of baby
Title
Difference in rates of self-reported life satisfaction between treatment and control groups
Description
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported life satisfaction
Time Frame
1 year after approximate due date of baby
Title
Difference in rates of self-reported sense of self-efficacy between treatment and control groups
Description
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported sense of self-efficacy
Time Frame
1 year after approximate due date of baby
Title
Difference in housing stability between treatment and control groups
Description
The research team will use self-reported independent living status and whether the mom has a mortgage or lease in her own name at the time of follow to quantify the impact of receiving a bed in the maternity home on housing stability.
Time Frame
1 year after approximate due date of baby
Title
Difference in rates of continuum of care utilization between treatment and control groups
Description
The research team will use mother's interactions with other local service agencies involved in the locality's continuum of care system to quantify the impact of receiving a bed in the maternity home on continuum of care interactions.
Time Frame
1 year after approximate due date of baby
Title
Difference in employment rates between treatment and control groups
Description
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported employment.
Time Frame
1 year after approximate due date of baby
Title
Difference in safety-net utilization rates between treatment and control groups
Description
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported amount of welfare received, for example TANF, WIC, SNAP, etc.
Time Frame
1 year after approximate due date of baby
Title
Difference in education rates between treatment and control groups
Description
The research team will use survey data to quantify the impact of receiving a bed in the maternity home on self-reported education level.
Time Frame
1 year after approximate due date of baby
Secondary Outcome Measure Information:
Title
Difference in housing stability between treatment and control groups
Description
The research team will explore using information from Infutor Data Solutions to also capture address changes and will compare these findings with the self-reported information about housing. Infutor data will only be an exploratory outcome.
Time Frame
1 year after approximate due date of baby
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Each home has their own eligibility criteria. The main three criteria common across homes are that a woman must be at least 18 years old, experiencing housing instability, and pregnant. No home has an income standard because, by definition, applicants are in a precarious housing situation so most women are low-income. Each home does have slightly different eligibility criteria. For example, some homes allow other children to come with her into the home, while other homes do not. Some homes require a background check and might allow a woman to enter the home anyway depending on the prior offense.
Exclusion Criteria:
Women who are not pregnant, men, pregnant women under 18, some homes exclude mothers who have other children currently in their care
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
William Evans, PhD
Phone
5746317039
Email
wevans1@nd.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Vivian Crumlish, MEd
Phone
5746311669
Email
vcrumlis@nd.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
William Evans, PhD
Organizational Affiliation
University of Notre Dame
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Adrienne Sabety, PhD
Organizational Affiliation
University of Notre Dame
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jessica Brown, PhD
Organizational Affiliation
University of South Carolina
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Notre Dame
City
Notre Dame
State/Province
Indiana
ZIP/Postal Code
46556
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
William Evans, PhD
Phone
574-631-7039
Email
wevans1@nd.edu
First Name & Middle Initial & Last Name & Degree
Vivian Crumlish, MEd
Phone
574-631-1669
Email
vcrumlis@nd.edu
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
We plan to create a de-identified dataset of participant data, which we will make available for other researchers. This dataset will contain the data necessary to replicate the analysis detailed in publications resulting from the study. We will only share data in a manner consistent with data sharing agreements which we establish with data providers. These data sharing agreements are still in process, so while we plan to share de-identified data at this time, we will only do so if our data sharing agreements allow it.
IPD Sharing Time Frame
We will make data available when we release a publication resulting from the study. There will not be an end date for when data will be available.
IPD Sharing Access Criteria
We will make our dataset available to the general public by posting it on the website for the Inter-University Consortium for Political and Social Research (ICPSR).
Learn more about this trial
Evaluating the Impact of Emergency Maternity Housing
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