Emerging Ideas. Families Together: Supporting family resilience during the COVID‐19 pandemic

Objective: This study evaluated a rapidly developed program designed to support family resilience during the COVID‐19 pandemic. Background: Grounded in Walsh's family resilience framework, Families Tackling Tough Times Together (FT) disseminated weekly evidence‐informed content through a public Facebook group, partner organizations, and on a dedicated website. Method: Facebook and website analytics and weekly brief usage surveys (n with at least one = 74) documented program use, and pre‐ and post‐FT surveys (n with at least one = 49) assessed family connectedness, positive outlook, purpose in life, and stress. Results: The program was widely used and received favorable feedback. Participants reported less stress in weeks when they engaged in more program activities, and more family connectedness in weeks when they spent more time engaged in program materials. No significant changes were observed, however, in overall family resilience, self‐efficacy, family functioning, or stress. Conclusion: The FT program was widely used and appraised positively. Program involvement was favorably correlated with less stress and family connectedness within weeks, although long‐term changes post‐program were not observed. Implications for Emerging Ideas: Social media can be used as an effective mechanism for reaching families during times of adversity and provides preliminary data that can guide refinement of FT and other disaster‐responsive programs. [ FROM AUTHOR] Copyright of Family Relations is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Emerging Ideas. Families Together: Supporting family resilience during the COVID‐19 pandemic

Objective Background Method Results Conclusion Implications for Emerging Ideas This study evaluated a rapidly developed program designed to support family resilience during the COVID‐19 pandemic.Grounded in Walsh's family resilience framework, Families Tackling Tough Times Together (FT) disseminated weekly evidence‐informed content through a public Facebook group, partner organizations, and on a dedicated website.Facebook and website analytics and weekly brief usage surveys (n with at least one = 74) documented program use, and pre‐ and post‐FT surveys (n with at least one = 49) assessed family connectedness, positive outlook, purpose in life, and stress.The program was widely used and received favorable feedback. Participants reported less stress in weeks when they engaged in more program activities, and more family connectedness in weeks when they spent more time engaged in program materials. No significant changes were observed, however, in overall family resilience, self‐efficacy, family functioning, or stress.The FT program was widely used and appraised positively. Program involvement was favorably correlated with less stress and family connectedness within weeks, although long‐term changes post‐program were not observed.Social media can be used as an effective mechanism for reaching families during times of adversity and provides preliminary data that can guide refinement of FT and other disaster‐responsive programs. [ FROM AUTHOR] Copyright of Family Relations is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

"COVID knocked me straight into the dirt": perspectives from people experiencing homelessness on the impacts of the COVID-19 pandemic.

BACKGROUND: People experiencing homelessness are uniquely susceptible and disproportionately affected by the impacts of the COVID-19 pandemic. Understanding context-specific challenges, responses, and perspectives of people experiencing homelessness is essential to improving pandemic response and mitigating the long-term consequences of the pandemic on this vulnerable population. METHODS: As part of an ongoing community-based participatory research study in partnership with a homeless service organization in Indiana, semi-structured interviews were conducted with a total of 34 individuals experiencing homelessness between January and July 2021. Guided by the NIMHD Health Disparities Research Framework, which builds on the socio-ecological model, data was thematically coded using Nvivo12 qualitative coding software and themes were organized by levels of influence (individual, interpersonal, community, societal) and domains of influence (biological, behavioral, physical/built environment, sociocultural environment, health care system). RESULTS: Narratives revealed numerous and compounding factors affecting COVID-19 risks and health outcomes among people experiencing homelessness across all levels and domains of influence. At the individual level, people experiencing homelessness face unique challenges that heightened their susceptibility to COVID-19, including pre-existing physical and mental health conditions, substance use and behavioral health risks, socioeconomic precarity, and low health literacy and COVID-related knowledge. At the interpersonal level, poor communication between people experiencing homelessness and service providers led to limited understanding of and poor compliance with COVID safety measures. At the community level, closures and service disruptions restricted access to usual spaces and resources to meet basic needs. At a policy level, people experiencing homelessness were disregarded in ways that made pandemic relief resources largely inaccessible to them. CONCLUSIONS: Our findings reveal important and mitigable issues with ongoing pandemic response efforts in homeless populations through direct, first-hand accounts of their experiences during COVID-19. These insights offer opportunities for multilevel interventions to improve outreach, communication, and impact mitigation strategies for people experiencing homelessness. This study highlights the importance of centering the voices of vulnerable communities to inform future pandemic response for homeless and other underserved and marginalized populations.

Homelessness during COVID-19: challenges, responses, and lessons learned from homeless service providers in Tippecanoe County, Indiana.

BACKGROUND: The COVID-19 pandemic laid bare some of the United States' most devastating health and social inequities faced by people experiencing homelessness. Homeless populations experience disproportionate rates of underlying health conditions, stigma and marginalization that often disenfranchise them from health and social services, and living conditions that potentiate the risk of COVID-19 transmission and adverse outcomes. METHODS: Guided by the socio-ecological model, this community-based participatory research study examined the impacts of the COVID-19 public health crisis on people experiencing homelessness in Tippecanoe County, Indiana, and the ways in which homeless service providers prepared for, experienced, and responded to the pandemic. Eighteen (18) semi-structured interviews were conducted with representatives of 15 community-based organizations, including shelters and other homeless service providers. RESULTS: Qualitative content analysis revealed myriad challenges at the individual and interpersonal levels faced by people experiencing homelessness as a result of the pandemic, and multilevel responses for COVID-19 impact mitigation in this community. Many of the emergency measures put in place by homeless service providers in Tippecanoe County, Indiana created opportunities for innovative solutions to longstanding challenges faced by homeless populations that are informing better service delivery moving forward, even beyond the COVID-19 pandemic. CONCLUSIONS: Community-based organizations, including homeless shelters, are uniquely qualified to inform pandemic response and disaster risk mitigation in order to respond appropriately to the specific needs of people experiencing homelessness. The lessons learned and shared by homeless service providers on the frontline during the COVID-19 pandemic have important implications to improve future disaster response for homeless and other vulnerable populations.