## Protocol Section
### Identification Module
**NCT ID:** NCT06425458

**Brief Title:** Transitioning Youth Out of Homelessness 2.5 (TYOH 2.5)

**Official Title:** Transitioning Youth Out of Homelessness 2.5: A Co-Designed Strengths-Based Leadership Program for Young People Transitioning Out of Homelessness

#### Organization Study ID Info
**ID:** 24-072
#### Organization
**Class:** OTHER
**Full Name:** Unity Health Toronto
### Status Module
#### Completion Date
**Date:** 2024-08

**Type:** ESTIMATED

#### Expanded Access Info
#### Last Update Post Date
**Date:** 2024-05-31

**Type:** ESTIMATED

**Last Update Submit Date:** 2024-05-28

**Overall Status:** NOT_YET_RECRUITING

#### Primary Completion Date
**Date:** 2024-08

**Type:** ESTIMATED

#### Start Date
**Date:** 2024-06

**Type:** ESTIMATED

**Status Verified Date:** 2024-05

#### Study First Post Date
**Date:** 2024-05-22
**Type:** ACTUAL
**Study First Submit Date:** 2024-05-17
**Study First Submit QC Date:** 2024-05-17
### Sponsor Collaborators Module

#### Collaborators

**Class:** OTHER

**Name:** Covenant House Toronto

**Class:** UNKNOWN

**Name:** StepStones for Youth

**Class:** UNKNOWN

**Name:** The Resource Association for Teens (RAFT)

#### Lead Sponsor

**Class:** OTHER

**Name:** Unity Health Toronto

#### Responsible Party

**Type:** SPONSOR

### Oversight Module

**Is FDA Regulated Device:** False

**Is FDA Regulated Drug:** False

### Description Module

**Brief Summary:** The idea for this study came from the research team's current study called Transitioning Youth Out of Homelessness (TYOH) 2.0, which provides coaching and a leadership guide to youth transitioning out of homelessness. Based on feedback from youth and coaches involved in that study, the research team plans to make small changes to the leadership guide and see if it works better as an in-person, four-week leadership program.

All participants in this study will be invited to attend an in-person, four-week leadership program. There will be two programs running at the same time: one in St. Catharines and one in Toronto. The goal is to have 15 participants in each program.

The main purpose of the study is to learn what participants think of the program. The second purpose is to see if there are changes in identity capital (feeling a sense of purpose and confidence in achieving goals) and knowledge about things that are covered in the program, when the research team compares participants' answers at the beginning and at the end of the program.

**Detailed Description:** This project builds on the research team's current community-based randomized clinical trial (Transitioning Youth Out of Homelessness 2.0) utilizing coaching and a co-designed leadership guide to target identity capital (purpose, control, self-efficacy, and self-esteem) for youth transitioning out of homelessness (all participants are also receiving rent subsidies). Based on preliminary feedback from study youth and coaches involved in the intervention arm, the research team will modify the leadership guide and pilot it in the form of an in-person, four-week leadership program (vs. independent learning in the current study).

The overarching objective of this mixed methods pilot project is to co-develop and test a strengths-based leadership program targeting identity capital for youth (16-24 years of age) transitioning out of homelessness. Specifically, the objectives are to:

1. Modify the leadership guide being used in the research team's current study so it can be delivered as an in-person leadership program.
2. Co-develop and pilot a four-week, strengths-based leadership program for young people transitioning out of homelessness.
3. Determine the feasibility and acceptability of the leadership guide when delivered as a four-week, in-person program (as opposed to independent learning in the current study).
4. Examine whether self-reported measures of identity capital and knowledge of program material show improvement immediately post-program compared to baseline.
5. Explore whether there are differences in outcomes by sub-groups (e.g., gender, age, identification as 2SLGBTQ+, child welfare involvement) and/or program participation levels.

If this modified delivery of the leadership guide shows promise, the research team plans to incorporate it into a national scale-up alongside rent subsidies and coaching.

### Conditions Module

**Conditions:**

- Homelessness

- Youth

**Keywords:**

- Identity Capital

- Youth

- Coach

- Self-Efficacy

- Self-Esteem

- Control

- Purpose

- Socioeconomic Inclusion

- Homelessness

- Transition

### Design Module

#### Design Info

**Allocation:** NA

**Intervention Model:** SINGLE_GROUP

##### Masking Info

**Masking:** NONE

**Primary Purpose:** TREATMENT

#### Enrollment Info

**Count:** 30

**Type:** ESTIMATED

**Phases:**

- NA

**Study Type:** INTERVENTIONAL

### Arms Interventions Module

#### Arm Group 1

**Description:** Young people transitioning out of homelessness will attend a four-week, strengths-based leadership program.

Two four-week leadership programs (15 youth per program) will be led by coaches from the research team's current TYOH 2.0 study with youth advisors participating as paid leadership interns.

**Intervention Names:**

- Behavioral: Co-Designed Strengths-Based Leadership Program

**Label:** Co-Designed Strengths-Based Leadership Program

**Type:** EXPERIMENTAL

### Interventions

#### Intervention 1

**Arm Group Labels:**

- Co-Designed Strengths-Based Leadership Program

**Description:** Please see arm description.

**Name:** Co-Designed Strengths-Based Leadership Program

**Type:** BEHAVIORAL

### Outcomes Module

#### Other Outcomes

**Description:** A baseline demographic questionnaire will be utilized (T1), session attendance will be tracked throughout the intervention (T1-T2), and focus group findings will be examined (T2).

The baseline demographic questionnaire is a 18-item self-report measure that was developed for this study and explores domains related to: age; gender; race/ethnicity; sexual orientation; immigration status; child welfare involvement; homelessness entrenchment; education; social support; financial support; and food security.

**Measure:** Explore whether there are differences in outcomes by sub-groups (e.g., gender, age, identification as 2SLGBTQ+, child welfare involvement) and/or program participation levels.

**Time Frame:** Assessed at T1 (first day of intervention) and T2 (last day of intervention).

#### Primary Outcomes

**Description:** Quantitative measures consisting of recruitment/enrolment/attendance/dropout metrics will be utilized.

The recruitment rate will be estimated as the proportion of contacted individuals who express interest in participating in the study (T0).

The enrolment rate will be calculated as the proportion of recruited individuals who are eligible and consent to participate in the study (T0).

Session attendance and dropout rates will be tracked throughout the intervention (T1-T2).

**Measure:** Intervention feasibility and acceptability as assessed by recruitment/enrolment/attendance/dropout metrics.

**Time Frame:** Assessed at T0 (pre-intervention), T1 (first day of intervention) and T2 (last day of intervention).

**Description:** This 4-item anonymous questionnaire will be used to collect information about participants' view of the leadership program, the impact of the program on them, and their view of the individuals running the program.

**Measure:** Intervention feasibility and acceptability as assessed by a composite program feedback questionnaire.

**Time Frame:** Assessed at T2 (last day of intervention).

**Description:** Focus group discussions will explore intervention feasibility and acceptability (T2).

**Measure:** Intervention feasibility and acceptability as informed by focus groups.

**Time Frame:** Assessed at T2 (last day of intervention).

#### Secondary Outcomes

**Description:** The MAPS20 is a 20-item validated self-report measure that explores domains related to identity capital: self-esteem; purpose in life; internal locus of control; self-efficacy/ego strength. Score range: 20-120; score of less than 71 indicates risk/vulnerability of being overwhelmed by any adverse circumstances (internal consistency of four sub-scales α = .61-.75; T1/T2).

**Measure:** Change in self-reported measures of identity capital as assessed by the Multi-Measure Agentic Personality Scale (MAPS20).

**Time Frame:** Assessed at T1 (first day of intervention) and T2 (last day of intervention).

**Description:** The composite knowledge assessment scale is 16-item self-report measure that was developed for this study and explores domains related to self-leadership, such as: mindfulness; core values; purpose; goal setting; growth mindset; identity; and courage (T1/T2).

**Measure:** Change in self-reported knowledge of program material as assessed by a composite knowledge assessment scale.

**Time Frame:** Assessed at T1 (first day of intervention) and T2 (last day of intervention).

### Eligibility Module

**Eligibility Criteria:** Eligible young people aged 16-24 years who have transitioned out of homelessness (e.g., no longer living in a shelter or couch surfing), defined as 3 consecutive months within the past 12 months, will be identified by community partners (note: for the purpose of this study, youth living in foster care will be considered homeless).

This age mandate was chosen because this is the age group served by the community partners. The research team has chosen to target the first year of exiting homelessness because collective experience has shown that this can be a particularly precarious time for youth in terms of mental health challenges and risk of (re)experiencing homelessness (even if youth have attempted exits in the past).

Inclusion Criteria:

* Be able to provide free and informed consent.
* Be able to understand English (leadership program and data collection will be conducted in English).
* Have experienced homelessness (e.g., unstable housing arrangements including shelter stays, foster care, and couch surfing) for 3 consecutive months in the past 12 months.
* Be able to consistently attend the four-week leadership program.

Exclusion Criteria:

* Enrolled in a program or study with similar features to the TYOH 2.5 leadership program.

**Healthy Volunteers:** True

**Maximum Age:** 24 Years

**Minimum Age:** 16 Years

**Sex:** ALL

**Standard Ages:**

- CHILD

- ADULT

### Contacts Locations Module

#### Central Contacts

**Contact 1:**

**Email:** naomi.thulien@unityhealth.to

**Name:** Naomi S Thulien, NP-PHC, PhD

**Phone:** 416-360-4000

**Role:** CONTACT

#### Locations

**Location 1:**

**City:** Toronto

**Country:** Canada

**Facility:** Unity Health Toronto

**State:** Ontario

### IPD Sharing Statement Module

**IPD Sharing:** NO

### References Module

#### References

**Citation:** Côté, J. (2016). The identity capital model: A handbook of theory, methods, and findings.

#### See Also Links

**Label:** Describes the Multi-Measure Agentic Personality Scale (MAPS20), which is being utilized in the current study.

**URL:** https://ir.lib.uwo.ca/sociologypub/38/

## Derived Section

### Misc Info Module

- Version Holder: 2024-05-31
