title: Factors Associated with Community Participation among Individuals Who Have Experienced Homelessness.
abstract: Community participation is an important goal for people who have experienced homelessness. The aim of this study was to use the International Classification of Functioning, Disability and Health (ICF) as a framework to examine factors associated with community participation among people who are homeless or recently housed through housing programs. Participants (n = 120) recruited from six housing placement and search programs completed measures of community participation (including productivity, social and leisure, and community-services-use domains), psychiatric and physical symptoms, functional limitations, and a demographic form. Multiple regression analyses were used to identify predictors of overall community participation and subdomain scores. Results suggested that cognitive and mobility limitations, relationship status, and housing status significantly predicted both overall participation and participation in productivity and social and leisure subdomains. Participants who were housed through housing programs, who had cognitive and mobility limitations, and who were single showed less community participation. The findings suggest that activity limitations and environmental and personal factors may need to be addressed in efforts to enhance community participation in this population.
authors.affiliation: Graduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei 11031, Taiwan. fhchang@tmu.edu.tw.
authors.forename: Feng-Hang
authors.initials: FH
authors.lastname: Chang
authors.affiliation: Occupational Therapy Assistant Program, Bristol Community College, New Bedford, MA 02470, USA. christinehelfrich@gmail.com.
authors.forename: Christine A
authors.initials: CA
authors.lastname: Helfrich
authors.affiliation: Department of Occupational Therapy, Boston University College of Health and Rehabilitation Sciences: Sargent College, Boston, MA 02215, USA. wjcoster@bu.edu.
authors.forename: Wendy J
authors.initials: WJ
authors.lastname: Coster
authors.affiliation: Research Division at the Center for Psychiatric Rehabilitation, Boston University, Boston, MA 02215, USA. erogers@bu.edu.
authors.forename: E Sally
authors.initials: ES
authors.lastname: Rogers
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006703:Ill-Housed Persons / Q000523:psychology*; D006798:Housing; D006801:Humans; D007899:Leisure Activities; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D012931:Social Environment; D058992:Social Participation / Q000523:psychology*; D012959:Socioeconomic Factors
keywords: ICF; environment; homeless; housing; participation