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Co-Developed Community-Based Health Interventions with Children Under 18 and Families Experiencing Homelessness in

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Summary

Co-developed interventions show promise for improving the health and well-being of families experiencing homelessness. Future research should prioritize community-based participatory approaches for more reliable and reproducible data.

Keywords:
childrenco-creationco-designco-developmentco-productioncommunity engagementcommunity healthcommunity-based interventioncommunity-based participatory researchfamilieshealth disparitieshealth equityhealth promotionhomelessnessinclusion healthparticipatory methodsreciprocityshelter

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Area of Science:

  • Public Health
  • Community Psychology
  • Social Work

Background:

  • Homelessness among families with children in the U.S. reached a record high in 2024, with 259,473 individuals affected.
  • Co-developed interventions may enhance engagement and health program effectiveness for vulnerable populations.

Purpose of the Study:

  • To systematically review evidence on co-developed community-based interventions for children and families experiencing homelessness (CFEH).
  • To assess the impact of these interventions on health and well-being outcomes in high-income countries.

Main Methods:

  • Searched seven databases and four additional scholarly sources (January 2000 - February 2025).
  • Assessed methodological quality based on internal validity and the extent of CFEH involvement.

Main Results:

  • Nine studies featured co-developed interventions with CFEH in the U.S. (6) and UK (3).
  • Interventions were categorized as socio-structural, behavioral, or combined.
  • Five studies reported positive engagement; three indicated improved mental health outcomes.

Conclusions:

  • Co-developed interventions show potential for improving CFEH's mental, physical, and process-based outcomes.
  • Limitations include varied definitions and lack of transparency regarding CFEH involvement.
  • Future research should utilize community-based participatory research for reliable and reproducible findings.