Introduction: A large proportion of homeless Veterans live with severe mental health problems. We examine the impact of a Housing First program that included recovery-oriented initiatives (assertive community treatment or intensive case management) among those homeless Veterans who participated in a multisite demonstration project on homelessness and mental health. Methods: The data come from a Canadian multisite randomized trial (ISRCTN42520374), At Home/Chez Soi, with a volunteer sample of 2,285 homeless or precariously housed individuals living with mental health problems. Of this sample, 98 individuals reported being Veterans, of whom 57 were randomized to the intervention group and 41 to the control group. The data come from self-reported measures administered at baseline and after 6, 12, 18, and 24 months from Fall 2009 to Spring 2013. Data were analyzed by fitting a mixed model for each outcome variable, and special attention was given to the event × treatment × Veteran status interaction term. Results: The Housing First approach was effective in improving housing stability, social functioning, and quality of life in homeless Veterans with mental health problems. These results are consistent with the intervention’s effectiveness with other homeless Canadians with mental health problems. Discussion: These results are consistent with those of previous US studies and suggest that a Housing First approach that includes recovery-oriented support would effectively contribute to reducing homelessness in the Canadian Veteran population.
BACKGROUND Childhood obesity is a global public health concern and is a priority for researchers and policy makers. Approximately 340 million children and adolescents were obese or overweight in 2016. To overcome the epidemic of obesity, influencing factors throughout the lifespan need to be addressed, including those in the preconception period. Gaining an understanding of paternal preconception factors associated with childhood obesity is important for public health interventions. OBJECTIVE This systematic review examines the relationship between paternal preconception obesity and health behaviours and their offspring’s obesity and body weight. METHODS This review will follow the 2020 Preferred Reporting Item for Systematic reviews and Meta-Analyses (PRISMA-2020). Observational studies investigating paternal preconception obesity and health behaviours, such as smoking, alcohol consumption, sleep, psychological stress, exercise, and eating habits, and its relationship with childhood obesity and overweight will be included. Studies obtained from a specific search strategy, conducted in seven databases, will be exported to a reference management software. At least two independent researchers will conduct study selection, data extraction and management, and quality assessment. A descriptive synthesis will be used to report relevant findings from each paternal preconception exposure. RESULTS This systematic review will begin in September 2021 and is expected to be completed by the end of June 2022. CONCLUSIONS Findings from this review will provide valuable insights into the relationship between preconception paternal exposures and children’s obesity and body weight. Findings will also help support health professionals working with families during the preconception period.
Background Childhood obesity is a global public health concern and is a priority for researchers and policy makers. To overcome the epidemic of obesity, influencing factors throughout the life span need to be addressed, including those in the preconception period. A better understanding of the association between paternal preconception factors and childhood obesity is important for public health interventions. Objective This systematic review will examine the relationship between paternal preconception obesity and health behaviors and their offspring’s overweight or obesity. Methods Peer-reviewed quantitative studies and grey literature that report associations between paternal preconception obesity and health behaviors—such as smoking, exercise, and eating habits—and childhood overweight and obesity will be identified through a computerized literature search in 7 databases. The quality of each study will be assessed using the Quality Assessment Tool for Quantitative Studies. Characteristics of the included studies will be reported, and relevant findings from each paternal preconception exposure will be narratively synthesized. This review will follow the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) 2020 guidelines. Results This systematic review is anticipated to begin in December 2021 and be completed by the end of August 2022. Conclusions This systematic review will contribute to a better understanding of the relationship between preconception paternal exposures and their offspring’s overweight or obesity. Findings will help support health professionals working with prospective parents to educate fathers on the benefits of improving their weight and health behaviors during the preconception period. International Registered Report Identifier (IRRID) PRR1-10.2196/31254
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