HomelessnessNCT06425458
Transitioning Youth Out of Homelessness 2.5 (TYOH 2.5)
A study testing Co-Designed Strengths-Based Leadership Program in people with Homelessness and Youth, run by Unity Health Toronto at 1 site in Canada.
Trial summary
The idea for this study came from the research team's current study called Transitioning Youth Out of Homelessness (TYOH) 2.0, which provides coaching and a leadership guide to youth transitioning out of homelessness. Read more about this study
- Who is it for?
- Ages 16 to 24 yearsHealthy volunteers can take part
- Conditions the study is for
- Homelessness, Youth
- What is being tested?
- Co-Designed Strengths-Based Leadership Program
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 25 participants
- Where
- 1 siteCanada
- Study dates
- 11 Jun 2024to 9 Aug 2024
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 16 to 24 years
- All sexes
- Healthy volunteers accepted
- Child, Adult
Who may be able to join
- Be able to provide free and informed consent.
- Be able to understand English (leadership program and data collection will be conducted in English).
- Have experienced homelessness (e.g., unstable housing arrangements including shelter stays, foster care, and couch surfing) for 3 consecutive months in the past 12 months.
- Be able to consistently attend the four-week leadership program.
Who cannot join
- Enrolled in a program or study with similar features to the TYOH 2.5 leadership program.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Transitioning Youth Out of Homelessness 2.5: A Co-Designed Strengths-Based Leadership Program for Young People Transitioning Out of Homelessness
The idea for this study came from the research team's current study called Transitioning Youth Out of Homelessness (TYOH) 2.0, which provides coaching and a leadership guide to youth transitioning out of homelessness. Based on feedback from youth and coaches involved in that study, the research team plans to make small changes to the leadership guide and see if it works better as an in-person, four-week leadership program.
All participants in this study will be invited to attend an in-person, four-week leadership program. There will be two programs running at the same time: one in St. Catharines and one in Toronto. The goal is to have 15 participants in each program.
The main purpose of the study is to learn what participants think of the program. The second purpose is to see if there are changes in identity capital (feeling a sense of purpose and confidence in achieving goals) and knowledge about things that are covered in the program, when the research team compares participants' answers at the beginning and at the end of the program.
Read the detailed description
This project builds on the research team's current community-based randomized clinical trial (Transitioning Youth Out of Homelessness 2.0) utilizing coaching and a co-designed leadership guide to target identity capital (purpose, control, self-efficacy, and self-esteem) for youth transitioning out of homelessness (all participants are also receiving rent subsidies). Based on preliminary feedback from study youth and coaches involved in the intervention arm, the research team will modify the leadership guide and pilot it in the form of an in-person, four-week leadership program (vs. independent learning in the current study).
The overarching objective of this mixed methods pilot project is to co-develop and test a strengths-based leadership program targeting identity capital for youth (16-24 years of age) transitioning out of homelessness. Specifically, the objectives are to:
- Modify the leadership guide being used in the research team's current study so it can be delivered as an in-person leadership program.
- Co-develop and pilot a four-week, strengths-based leadership program for young people transitioning out of homelessness.
- Determine the feasibility and acceptability of the leadership guide when delivered as a four-week, in-person program (as opposed to independent learning in the current study).
- Examine whether self-reported measures of identity capital and knowledge of program material show improvement immediately post-program compared to baseline.
- Explore whether there are differences in outcomes by sub-groups (e.g., gender, age, identification as 2SLGBTQ+, child welfare involvement) and/or program participation levels.
If this modified delivery of the leadership guide shows promise, the research team plans to incorporate it into a national scale-up alongside rent subsidies and coaching.
- Conditions
- Homelessness, Youth
- Being tested
- Co-Designed Strengths-Based Leadership Program
- Keywords
- Identity Capital, Youth, Coach, Self-Efficacy, Self-Esteem, Control, Purpose, Socioeconomic Inclusion, Homelessness, Transition
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Co-Designed Strengths-Based Leadership ProgramBehavioural
Please see arm description.
| Study group | Role | What they receive |
|---|---|---|
| Co-Designed Strengths-Based Leadership Program | Experimental | Young people transitioning out of homelessness will attend a four-week, strengths-based leadership program.
Two four-week leadership programs (15 youth per program) will be led by coaches from the research team's current TYOH 2.0 study with youth advisors participating as paid leadership interns. Receives: Behavioral: Co-Designed Strengths-Based Leadership Program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Intervention Feasibility and Acceptability (Assessed by Recruitment/Enrolment/Completion Metrics)
Quantitative measures consisting of recruitment/enrolment/completion metrics will be utilized.
The recruitment rate will be estimated as the proportion of contacted individuals who express interest in participating in the study (T0).
The enrolment rate will be calculated as the proportion of recruited individuals who are eligible and consent to participate in the study (T0).
Participants were considered to have completed the study if they attended the final program session and completed final data collection (T2).
Measured: Assessed at T0 (pre-intervention), T1 (first day of intervention) and T2 (last day of intervention).
Intervention Feasibility and Acceptability (Assessed by Program Attendance)
Program attendance was calculated as the percentage of total possible leadership program sessions attended (maximum 8 sessions).
Measured: Assessed at T2 (last day of intervention).
Intervention Feasibility and Acceptability (Assessed by Program Feedback Questionnaire)
This 4-item anonymous questionnaire was developed for this study to collect information about participants' view of the leadership program, the impact of the program on them, and their view of the individuals running the program.
Measured: Assessed at T2 (last day of intervention).
Intervention Feasibility and Acceptability (Informed by Focus Groups)
Focus group discussions (at T2) with program participants primarily centered around intervention acceptability but also explored the impact of the intervention on identity capital (e.g., sense of purpose and control) and socioeconomic inclusion (e.g., connection to broader social networks). Qualitative data analysis was conducted using reflexive thematic analysis with a critical social theoretical lens. During analysis, focus group transcripts were coded and codes were organized in a code book, clustered into categories, and eventually synthesized into key themes and sub-themes.
Measured: Assessed at T2 (last day of intervention).
Secondary outcomes (2)
Pre-post Intervention Change in Identity Capital (Assessed by Multi-Measure Agentic Personality Scale)
The Multi-Measure Agentic Personality Scale (MAPS20) is a 20-item validated self-report measure that explores domains related to identity capital. The MAPS20 contains the following sub-scales: Self-Esteem; Purpose in Life; Internal Locus of Control; Self-Efficacy/Ego Strength. Each subscale has a score range of 5-30, with higher scores indicating greater identity capital.
Measured: Assessed at T1 (first day of intervention) and T2 (last day of intervention).
Pre-post Intervention Change in Knowledge of Program Material
The composite knowledge assessment scale is 16-item self-report measure that was developed for this study and explores concepts from the program curriculum, such as: mindfulness; core values; purpose; goal setting; growth mindset; identity; and courage. Reported values represent the percentage of participants who answered the question correctly (i.e., agreeing with a correct statement or disagreeing with an incorrect statement).
Measured: Assessed at T1 (first day of intervention) and T2 (last day of intervention).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 May 2024
- Study start11 Jun 2024
- Primary completion9 Aug 2024
- Study completion9 Aug 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HomelessnessStudies of the same condition, open and under way.
- More trials run by Unity Health TorontoThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 25 participants (actual)
Sponsor and investigators
- Lead sponsor
- Unity Health Toronto
- Sponsor type
- University, hospital or other
- Collaborators
- Covenant House Toronto, StepStones for Youth, Resource Association for Teens
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06425458
- Sponsor's protocol ID
- 24-072
- Status last verified
- Sep 2024
- First submitted
- 17 May 2024
- Last updated
- 15 Sep 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Côté, J. (2016). The identity capital model: A handbook of theory, methods, and findings.
Study at a glance
From the registry record, last updated by the sponsor on 15 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Transitioning Youth Out of Homelessness 2.5: A Co-Designed Strengths-Based Leadership Program for Young People Transitioning Out of Homelessness
- ClinicalTrials.gov ID
- NCT06425458
- Acronym / sponsor ID
- 24-072
- Conditions
- Homelessness, Youth
- Keywords
- Identity Capital, Youth, Coach, Self-Efficacy, Self-Esteem, Control, Purpose, Socioeconomic Inclusion
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 25 participants (actual)
- Lead sponsor
- Unity Health TorontoUniversity, hospital or other
- Collaborators
- Covenant House Toronto, StepStones for Youth, Resource Association for Teens
- Study start
- 11 Jun 2024 (actual)
- Primary completion
- 9 Aug 2024 (actual)
- Study completion
- 9 Aug 2024 (actual)
- First posted
- 22 May 2024 (actual)
- Results
- Posted 15 Sep 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The idea for this study came from the research team's current study called Transitioning Youth Out of Homelessness (TYOH) 2.0, which provides coaching and a leadership guide to youth transitioning out of homelessness. Based on feedback from youth and coaches involved in that study, the research team plans to make small changes to the leadership guide and see if it works better as an in-person, four-week leadership program.
All participants in this study will be invited to attend an in-person, four-week leadership program. There will be two programs running at the same time: one in St. Catharines and one in Toronto. The goal is to have 15 participants in each program.
The main purpose of the study is to learn what participants think of the program. The second purpose is to see if there are changes in identity capital (feeling a sense of purpose and confidence in achieving goals) and knowledge about things that are covered in the program, when the research team compares participants' answers at the beginning and at the end of the program.
Detailed description
This project builds on the research team's current community-based randomized clinical trial (Transitioning Youth Out of Homelessness 2.0) utilizing coaching and a co-designed leadership guide to target identity capital (purpose, control, self-efficacy, and self-esteem) for youth transitioning out of homelessness (all participants are also receiving rent subsidies). Based on preliminary feedback from study youth and coaches involved in the intervention arm, the research team will modify the leadership guide and pilot it in the form of an in-person, four-week leadership program (vs. independent learning in the current study).
The overarching objective of this mixed methods pilot project is to co-develop and test a strengths-based leadership program targeting identity capital for youth (16-24 years of age) transitioning out of homelessness. Specifically, the objectives are to:
- Modify the leadership guide being used in the research team's current study so it can be delivered as an in-person leadership program.
- Co-develop and pilot a four-week, strengths-based leadership program for young people transitioning out of homelessness.
- Determine the feasibility and acceptability of the leadership guide when delivered as a four-week, in-person program (as opposed to independent learning in the current study).
- Examine whether self-reported measures of identity capital and knowledge of program material show improvement immediately post-program compared to baseline.
- Explore whether there are differences in outcomes by sub-groups (e.g., gender, age, identification as 2SLGBTQ+, child welfare involvement) and/or program participation levels.
If this modified delivery of the leadership guide shows promise, the research team plans to incorporate it into a national scale-up alongside rent subsidies and coaching.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Co-Designed Strengths-Based Leadership Program | Experimental | Behavioral: Co-Designed Strengths-Based Leadership ProgramYoung people transitioning out of homelessness will attend a four-week, strengths-based leadership program. Two four-week leadership programs (15 youth per program) will be led by coaches from the research team's current TYOH 2.0 study with youth advisors participating as paid leadership interns. |
Who may qualify
- Ages
- 16 to 24 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (4 listed)
- Be able to provide free and informed consent.
- Be able to understand English (leadership program and data collection will be conducted in English).
- Have experienced homelessness (e.g., unstable housing arrangements including shelter stays, foster care, and couch surfing) for 3 consecutive months in the past 12 months.
- Be able to consistently attend the four-week leadership program.
Key exclusion criteria (1 listed)
- Enrolled in a program or study with similar features to the TYOH 2.5 leadership program.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Co-Designed Strengths-Based Leadership ProgramPlease see arm description. | Behavioural | Co-Designed Strengths-Based Leadership Program |
Primary outcome
Intervention Feasibility and Acceptability (Assessed by Recruitment/Enrolment/Completion Metrics)
Time frame: Assessed at T0 (pre-intervention), T1 (first day of intervention) and T2 (last day of intervention).
Quantitative measures consisting of recruitment/enrolment/completion metrics will be utilized. The recruitment rate will be estimated as the proportion of contacted individuals who express interest in participating in the study (T0). The enrolment rate will be calculated as the proportion of recruited individuals who are eligible and consent to participate in the study (T0). Participants were considered to have completed the study if they attended the final program session and completed final data collection (T2).
Intervention Feasibility and Acceptability (Assessed by Program Attendance)
Time frame: Assessed at T2 (last day of intervention).
Program attendance was calculated as the percentage of total possible leadership program sessions attended (maximum 8 sessions).
Intervention Feasibility and Acceptability (Assessed by Program Feedback Questionnaire)
Time frame: Assessed at T2 (last day of intervention).
This 4-item anonymous questionnaire was developed for this study to collect information about participants' view of the leadership program, the impact of the program on them, and their view of the individuals running the program.
Intervention Feasibility and Acceptability (Informed by Focus Groups)
Time frame: Assessed at T2 (last day of intervention).
Focus group discussions (at T2) with program participants primarily centered around intervention acceptability but also explored the impact of the intervention on identity capital (e.g., sense of purpose and control) and socioeconomic inclusion (e.g., connection to broader social networks). Qualitative data analysis was conducted using reflexive thematic analysis with a critical social theoretical lens. During analysis, focus group transcripts were coded and codes were organized in a code book, clustered into categories, and eventually synthesized into key themes and sub-themes.
2 secondary outcomes
Pre-post Intervention Change in Identity Capital (Assessed by Multi-Measure Agentic Personality Scale)
Time frame: Assessed at T1 (first day of intervention) and T2 (last day of intervention).
Pre-post Intervention Change in Knowledge of Program Material
Time frame: Assessed at T1 (first day of intervention) and T2 (last day of intervention).
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Sep 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- BackgroundCôté, J. (2016). The identity capital model: A handbook of theory, methods, and findings.
- Describes the Multi-Measure Agentic Personality Scale (MAPS20), which is being utilized in the current study.Link provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Co-Designed Strengths-Based Leadership Program in people with Homelessness and Youth, run by Unity Health Toronto at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Sep 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Intervention Feasibility and Acceptability (Assessed by Recruitment/Enrolment/Completion Metrics) (time frame: Assessed at T0 (pre-intervention), T1 (first day of intervention) and T2 (last day of intervention).). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06425458, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Sep 2025; AzTrials last refreshed its copy on 8 Nov 2026.