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Housing First: a new approach to help homeless people in Barcelona
Last registered on December 13, 2017

Pre-Trial

Trial Information
General Information
Title
Housing First: a new approach to help homeless people in Barcelona
RCT ID
AEARCTR-0002291
Initial registration date
October 23, 2017
Last updated
December 13, 2017 4:38 AM EST
Location(s)
Region
Primary Investigator
Affiliation
Catalan Institute of Public Policy Evaluation
Other Primary Investigator(s)
PI Affiliation
Catalan Institute of Public Policy Evaluation
Additional Trial Information
Status
On going
Start date
2015-06-01
End date
2018-06-30
Secondary IDs
Abstract
The Barcelona City council launched in 2015 a Housing First pilot programme to test a new approach to help homeless people in the city. The pilot programme, similar to other Housing First programmes, provides secure housing to long-term rough sleepers with no housing readiness requirements. Complementary socio-educative support is also offered to help them integrate into society. The pilot seeks to test the effectivity of the Housing First approach in Barcelona in relation to its objectives. The experimental design of the programme will allow randomly selecting participants from the target population (long-term rough sleepers in Barcelona) and comparing their outcomes to those who have not been selected to participate. The evaluation aims to understand whether the Housing First programme improves participants´ health status and quality of life, decision making ability and personal autonomy, social inclusion and economic independence.
Registration Citation
Citation
Kirchner, Laura and Jordi Sanz. 2017. "Housing First: a new approach to help homeless people in Barcelona." AEA RCT Registry. December 13. https://doi.org/10.1257/rct.2291-4.0.
Former Citation
Kirchner, Laura, Jordi Sanz and Jordi Sanz. 2017. "Housing First: a new approach to help homeless people in Barcelona." AEA RCT Registry. December 13. http://www.socialscienceregistry.org/trials/2291/history/23939.
Sponsors & Partners

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Experimental Details
Interventions
Intervention(s)
The Housing First programme launched in Barcelona provides housing to long-term rough sleepers in the city of Barcelona with no “housing readiness” requirements. Additionally, socio-educative support is offered to facilitate social inclusion.
Intervention Start Date
2015-06-01
Intervention End Date
2018-05-31
Primary Outcomes
Primary Outcomes (end points)
• Quality of life and health
• Personal recovery
• General self-efficacy
• Social relations
Primary Outcomes (explanation)
• Quality of life and health: Rough-sleeping affects negatively health conditions and consequently homeless people life quality. Therefore, it is key to measure health status to assess the effectivity of the intervention. Measured using the Health Questionnaire SF-36 (Vilagut et al. 2005)

• Recovery: Recovering from a mental health problem or substance addiction is part of a personal transformation contributing to improve one’s ability to take decisions and participation in social networks. Measured using an adaptation of the questionnaire Stages of Recovery (STORI) (Andresen, Caputi, and Oades 2006)

• General self-efficacy: Rough-sleeping also affects the ability to deal with and solve day-to-day problems as well as self-perception and the confidence to face these. Thus, an important outcome of the programme should be the ability to overcome day-to-day challenges and achieve one’s day-to-day objetives. Measured using the General Self-Efficacy Scale (Schwarzer and Baessler 1996)

• Social relations: Social networks will be progressively lost after some time sleeping in the streets. We should expect an improvement in social network and personal relations after participating in the programme. Measured using a questionnaire about social networks developed by (García-Cubillana et al. 2006)
Secondary Outcomes
Secondary Outcomes (end points)
n.a.
Secondary Outcomes (explanation)
n.a.
Experimental Design
Experimental Design
The programme offered 50 places (50 single apartments). Out of 139 eligible homeless people, 19 were randomly selected to form the “reserve group”. From the 120 remaining individuals, 50 were randomly assigned to treatment (i.e. be offered a single apartment and additional socio-educative support) and the remaining 70 were assigned to the control group.
Experimental Design Details
The programme offered 50 places (50 single apartments). Out of 139 eligible homeless people, 19 were randomly selected to form the “reserve group”. From the 120 remaining individuals, 50 were randomly assigned to treatment (i.e. be offered a single apartment and additional socio-educative support) and the remaining 70 were assigned to the control group.
Randomization Method
Randomization done in office by a computer
Randomization Unit
long-term rough sleepers (>1 year sleeping in the streets)
Was the treatment clustered?
No
Experiment Characteristics
Sample size: planned number of clusters
0
Sample size: planned number of observations
139 long-term rough sleepers
Sample size (or number of clusters) by treatment arms
19 in reserve group, 50 in treatment group, 70 in control group
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
For this study we calculated a standardised MDE for a sample of 120 people, assuming a=0.05 and b=0.8 and the proportion of people assigned to treatment was 0.4 - no prior studies were available with comparable outcomes. The standarised MDE was the capaccity to detect a medium effect in terms of Cohen's coefficient effec size.
IRB
INSTITUTIONAL REVIEW BOARDS (IRBs)
IRB Name
IRB Approval Date
IRB Approval Number
Analysis Plan
Analysis Plan Documents
Analysis Plan

MD5: 2482a4a89cb45cfd2b778cfde9324377

SHA1: 3c812aa3d8ccc944744f170b94f836157c635c4c

Uploaded At: October 24, 2017

Post-Trial
Post Trial Information
Study Withdrawal
Intervention
Is the intervention completed?
No
Is data collection complete?
Data Publication
Data Publication
Is public data available?
No
Program Files
Program Files
Reports, Papers & Other Materials
Relevant Paper(s)
REPORTS & OTHER MATERIALS