• Evaluation of the Broseley Health Technology Pilot

      Mabhala, Mzwandile A.; Bailey, Jan; Davies, Miriam; Enyinna, Chinwe; University of Chester
      This document reports on the evaluation of a health technology pilot, which was delivered by Shropshire Council’s Public Health Team. This service evaluation explored the usability and acceptability of three consumer smart devices in a group of older adults who live within the community. The devices are the “Echo Dot”, “Echo Show” and “Fitness Tracker”. The intention of the evaluation was to identify whether these devices meet the needs of its users, their experiences using the equipment and the impact of having and using this equipment.
    • Homelessness Is Socially Created: Cluster Analysis of Social Determinants of Homelessness (SODH) in North West England in 2020

      Mabhala, Mzwandile; Esealuka, Winifred Adaobi; Nwufo, Amanda Nkolika; Enyinna, Chinwe; Mabhala, Chelsea Nonkosi; Udechukwu, Treasure; Reid, John; Yohannes, Asmait; University of Chester; University of East Anglia; École des Hautes Études en Santé Publique; Asmait Skincare and Design
      Abstract: Poverty creates social conditions that increase the likelihood of homelessness. These include exposure to traumatic life experiences; social disadvantages such as poor educational experiences; being raised in a broken family, care homes or foster care; physical, emotional, and sexual abuse; and neglect at an early age. These conditions reduce people’s ability to negotiate through life challenges. This cross-sectional study documents the clustering and frequency of adverse social conditions among 152 homeless people from four cities in North West England between January and August 2020. Two-step cluster analysis showed that having parents with a criminal record, care history, and child neglect/abuse history was predictive of homelessness. The cluster of indicator variables among homeless people included sexual abuse (χ2 (N = 152) = 220.684, p < 0.001, Cramer’s V = 0.7), inappropriate sexual behaviour (χ2 (N = 152) = 207.737, p < 0.001, Cramer’s V = 0.7), emotional neglect (χ2 (N = 152) = 181.671, p < 0.001, Cramer’s V = 0.7), physical abuse by step-parent (χ2 (N = 152) = 195.882, p < 0.001, Cramer’s V = 0.8), and physical neglect (χ2 (N = 152) = 205.632, p < 0.001, Cramer’s V = 0.8). Poverty and homelessness are intertwined because of the high prevalence of poverty among the homeless. Poverty sets up a chain of interactions between social conditions that increase the likelihood of unfavourable outcomes: homelessness is at the end of the interaction chain. Interventions supporting families to rise out of poverty may also reduce entry into homelessness.