Predicting Daily Sheltering Arrangements among Youth Experiencing Homelessness Using Diary Measurements Collected by Ecological Momentary Assessment

被引:7
|
作者
Suchting, Robert [1 ]
Businelle, Michael S. [2 ,3 ]
Hwang, Stephen W. [4 ]
Padhye, Nikhil S. [5 ]
Yang, Yijiong [5 ]
Santa Maria, Diane M. [5 ]
机构
[1] Univ Texas Hlth Sci Ctr Houston UTHlth, McGovern Med Sch, Faillace Dept Psychiat & Behav Sci, Houston, TX 77030 USA
[2] Univ Oklahoma, Hlth Sci Ctr, Oklahoma City, OK 73104 USA
[3] Oklahoma Tobacco Res Ctr, Stephenson Canc Ctr, Oklahoma City, OK 73104 USA
[4] St Michaels Hosp, MAP Ctr Urban Hlth Solut, Toronto, ON M5B 1W8, Canada
[5] Univ Texas Hlth Sci Ctr Houston UTHlth, Cizik Sch Nursing, Houston, TX 77030 USA
关键词
youth experiencing homelessness; daily sleeping arrangement; electronic momentary assessment; machine learning; data science; SERVICE UTILIZATION; AFRICAN-AMERICAN; ADULT LITERACY; MEDICINE REALM; RAPID ESTIMATE; SUBSTANCE USE; HEALTH-CARE; DRUG-USE; BARRIERS; FACILITATORS;
D O I
10.3390/ijerph17186873
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Youths experiencing homelessness (YEH) often cycle between various sheltering locations including spending nights on the streets, in shelters and with others. Few studies have explored the patterns of daily sheltering over time. A total of 66 participants completed 724 ecological momentary assessments that assessed daily sleeping arrangements. Analyses applied a hypothesis-generating machine learning algorithm (component-wise gradient boosting) to build interpretable models that would select only the best predictors of daily sheltering from a large set of 92 variables while accounting for the correlated nature of the data. Sheltering was examined as a three-category outcome comparing nights spent literally homeless, unstably housed or at a shelter. The final model retained 15 predictors. These predictors included (among others) specific stressors (e.g., not having a place to stay, parenting and hunger), discrimination (by a friend or nonspecified other; due to race or homelessness), being arrested and synthetic cannabinoids use (a.k.a., "kush"). The final model demonstrated success in classifying the categorical outcome. These results have implications for developing just-in-time adaptive interventions for improving the lives of YEH.
引用
收藏
页码:1 / 17
页数:17
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