RNRCTNursing research2024

Mediation of Psychological Capital in Youth Experiencing Homelessness.

Lynn Rew, Natasha Slesnick, Shelli Kesler and 1 others

PMID 38652691

WHAT IT FOUND

In 602 young people experiencing homelessness, psychological capital did not mediate links between risk factors and safer sex or life satisfaction.

The model fit poorly. Do not assume hope, resilience or optimism explain behavior change here.

Key findings

01No significant direct or indirect effects of risk factors on healthy behavior outcomes were found, and psychological capital did not mediate those paths in the intervention group or the combined sample.

02The mediation model fit was poor for both the intervention group and the combined sample.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The reported analysis focused on mediation of risk factors through psychological capital, not on whether the intervention directly changed behavior. The model fit was poor for both the intervention group and the combined sample. The combined sample included both intervention and services-as-usual participants, which may have obscured intervention-specific mediation; the authors then analysed the intervention group only. Psychological capital was measured with added social connectedness and gratitude, and with domain-specific self-efficacy, not established for this population. Important external factors of homelessness, such as victimization, hunger, fear and pain, were not measured in the model. The sites differed in service availability and participant composition, and posttest assessments were higher in Ohio than Texas. The intervention was delivered by graduate research assistants, not routine clinical staff.

Declared interests

The supplied text does not include an author conflicts-of-interest declaration. The publication types list NIH extramural research support.

The easy way to misread this

Do not read the null mediation as proof that the intervention does not work. This analysis tested mechanisms, not direct intervention efficacy, and the model fit poorly.

Read it on PubMed →