Scoping review of the characteristics assessed by vulnerability indices applied to people experiencing homelessness.

<h4>Background</h4>The objectives of this scoping review are to investigate the characteristics assessed by existing vulnerability indices and the health outcomes achieved by applying them to people experiencing homelessness. This review forms part of the development and implementation o...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jane Currie, Elizabeth Grech, Erin Longbottom, Jasmine Yee, Ruth Hastings, Amy Aitkenhead, Amy Cason, Karin Obrecht
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/920c749405fe4ae79e36e7b231b0d0fb
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:920c749405fe4ae79e36e7b231b0d0fb
record_format	dspace
spelling	oai:doaj.org-article:920c749405fe4ae79e36e7b231b0d0fb2021-12-02T20:09:23ZScoping review of the characteristics assessed by vulnerability indices applied to people experiencing homelessness.1932-620310.1371/journal.pone.0254100https://doaj.org/article/920c749405fe4ae79e36e7b231b0d0fb2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254100https://doaj.org/toc/1932-6203<h4>Background</h4>The objectives of this scoping review are to investigate the characteristics assessed by existing vulnerability indices and the health outcomes achieved by applying them to people experiencing homelessness. This review forms part of the development and implementation of a novel tool to prioritise people experiencing homelessness for healthcare based on their need and capacity to access healthcare.<h4>Methods</h4>Included papers were primary research, published in the English language, participants were experiencing homelessness and aged over 18 years at the time of the study, a vulnerability index was used in the study, sample size was greater than 30, and the study had a health focus. Databases searched were MEDLINE, Embase, CINAHL, Scopus, PubMed and Web of Science, between January-April 2020. The Joanna Briggs Appraisal criteria were used to quality appraise the included studies. Results were synthesised narratively.<h4>Results</h4>Six papers were included, a total of 27,509 participants. The reported use of the indices varied; they included screening and profiling homeless populations, comparing homeless populations, and two studies evaluated the predictive capacity, reliability and validity of the indices. One vulnerability index focused on screening for human immunodeficiency virus, one used a 50-item index and four used a nine-item index. No direct health outcomes were reported from applying the vulnerability indices. The studies identified limitations of using vulnerability indices, including the potential bias of relying on self-reported data and two studies highlighted the need for further psychometric testing to ensure validity and reliability of the indices.<h4>Discussion</h4>The sample of included studies was small. Vulnerability indices are reportedly a useful and easily accessible method of gaining valuable data on the health status and health needs of people experiencing homelessness. The variety of characteristics included in the vulnerability indices suggests the importance of tailoring vulnerability indices to the needs of the population to which it is to be applied. Conducting appropriate psychometric testing is critical so that an index can be used to accurately inform decision making and accurately prioritise people experiencing homelessness who are most at risk of mortality and morbidity. A specific tool that prioritises people experiencing homelessness for access to health care is not yet available. The review was funded by a St Vincent's Network Inclusive Health grant.Jane CurrieElizabeth GrechErin LongbottomJasmine YeeRuth HastingsAmy AitkenheadAmy CasonKarin ObrechtPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254100 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jane Currie Elizabeth Grech Erin Longbottom Jasmine Yee Ruth Hastings Amy Aitkenhead Amy Cason Karin Obrecht Scoping review of the characteristics assessed by vulnerability indices applied to people experiencing homelessness.
description	<h4>Background</h4>The objectives of this scoping review are to investigate the characteristics assessed by existing vulnerability indices and the health outcomes achieved by applying them to people experiencing homelessness. This review forms part of the development and implementation of a novel tool to prioritise people experiencing homelessness for healthcare based on their need and capacity to access healthcare.<h4>Methods</h4>Included papers were primary research, published in the English language, participants were experiencing homelessness and aged over 18 years at the time of the study, a vulnerability index was used in the study, sample size was greater than 30, and the study had a health focus. Databases searched were MEDLINE, Embase, CINAHL, Scopus, PubMed and Web of Science, between January-April 2020. The Joanna Briggs Appraisal criteria were used to quality appraise the included studies. Results were synthesised narratively.<h4>Results</h4>Six papers were included, a total of 27,509 participants. The reported use of the indices varied; they included screening and profiling homeless populations, comparing homeless populations, and two studies evaluated the predictive capacity, reliability and validity of the indices. One vulnerability index focused on screening for human immunodeficiency virus, one used a 50-item index and four used a nine-item index. No direct health outcomes were reported from applying the vulnerability indices. The studies identified limitations of using vulnerability indices, including the potential bias of relying on self-reported data and two studies highlighted the need for further psychometric testing to ensure validity and reliability of the indices.<h4>Discussion</h4>The sample of included studies was small. Vulnerability indices are reportedly a useful and easily accessible method of gaining valuable data on the health status and health needs of people experiencing homelessness. The variety of characteristics included in the vulnerability indices suggests the importance of tailoring vulnerability indices to the needs of the population to which it is to be applied. Conducting appropriate psychometric testing is critical so that an index can be used to accurately inform decision making and accurately prioritise people experiencing homelessness who are most at risk of mortality and morbidity. A specific tool that prioritises people experiencing homelessness for access to health care is not yet available. The review was funded by a St Vincent's Network Inclusive Health grant.
format	article
author	Jane Currie Elizabeth Grech Erin Longbottom Jasmine Yee Ruth Hastings Amy Aitkenhead Amy Cason Karin Obrecht
author_facet	Jane Currie Elizabeth Grech Erin Longbottom Jasmine Yee Ruth Hastings Amy Aitkenhead Amy Cason Karin Obrecht
author_sort	Jane Currie
title	Scoping review of the characteristics assessed by vulnerability indices applied to people experiencing homelessness.
title_short	Scoping review of the characteristics assessed by vulnerability indices applied to people experiencing homelessness.
title_full	Scoping review of the characteristics assessed by vulnerability indices applied to people experiencing homelessness.
title_fullStr	Scoping review of the characteristics assessed by vulnerability indices applied to people experiencing homelessness.
title_full_unstemmed	Scoping review of the characteristics assessed by vulnerability indices applied to people experiencing homelessness.
title_sort	scoping review of the characteristics assessed by vulnerability indices applied to people experiencing homelessness.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/920c749405fe4ae79e36e7b231b0d0fb
work_keys_str_mv	AT janecurrie scopingreviewofthecharacteristicsassessedbyvulnerabilityindicesappliedtopeopleexperiencinghomelessness AT elizabethgrech scopingreviewofthecharacteristicsassessedbyvulnerabilityindicesappliedtopeopleexperiencinghomelessness AT erinlongbottom scopingreviewofthecharacteristicsassessedbyvulnerabilityindicesappliedtopeopleexperiencinghomelessness AT jasmineyee scopingreviewofthecharacteristicsassessedbyvulnerabilityindicesappliedtopeopleexperiencinghomelessness AT ruthhastings scopingreviewofthecharacteristicsassessedbyvulnerabilityindicesappliedtopeopleexperiencinghomelessness AT amyaitkenhead scopingreviewofthecharacteristicsassessedbyvulnerabilityindicesappliedtopeopleexperiencinghomelessness AT amycason scopingreviewofthecharacteristicsassessedbyvulnerabilityindicesappliedtopeopleexperiencinghomelessness AT karinobrecht scopingreviewofthecharacteristicsassessedbyvulnerabilityindicesappliedtopeopleexperiencinghomelessness
_version_	1718375076460494848

Scoping review of the characteristics assessed by vulnerability indices applied to people experiencing homelessness.

Ejemplares similares