{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T23:03:13Z","timestamp":1789340593054,"version":"build-2803163510"},"reference-count":43,"publisher":"SAGE Publications","issue":"13","license":[{"start":{"date-parts":[[2024,12,15]],"date-time":"2024-12-15T00:00:00Z","timestamp":1734220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R01 HS02800"],"award-info":[{"award-number":["R01 HS02800"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>\n                    Although chronic health conditions and homelessness are prevalent problems in the United States and globally, little research has used the lens of burden of treatment theory to examine the experiences of people facing these challenges simultaneously. This study aimed to illuminate dimensions of treatment burden, which refers to the work of being a patient with chronic conditions, and patient capacity to manage this burden in a sample of people experiencing homelessness and chronic health problems in Buffalo, New York, United States. We completed in-depth interviews with men and women recruited from a homelessness services organization (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 27) and applied core concepts from burden of treatment theory to our analysis to probe how participants navigated tasks related to treatment and self-care. Using codebook thematic analysis involving three coders, results revealed four interconnected themes of complex coordination, self-monitoring, obtaining and using prescriptions and medical supplies, and communication and explaining health issues, which were confirmed through member checking (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 6). These dimensions of treatment burden were dynamically impacted by patient capacity factors\u2014which included trauma, medical mistrust, health literacy, and social support\u2014as well as by social determinants of health such as housing and income. Findings support the need for more formal collaboration mechanisms between healthcare providers and social service agencies, active involvement of patients in their health plans, and policies such as Housing First to improve access to stable and affordable housing and social services for people with complex health issues.\n                  <\/jats:p>","DOI":"10.1177\/10497323241302673","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T00:50:32Z","timestamp":1734310232000},"page":"1450-1463","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Managing Health Without Stable Housing: Dimensions of Treatment Burden and Patient Capacity for People With Chronic Health Conditions Experiencing Homelessness"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4726-6039","authenticated-orcid":false,"given":"Elizabeth","family":"Bowen","sequence":"first","affiliation":[{"name":"State University of New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda J.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Capozziello","sequence":"additional","affiliation":[{"name":"State University of New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Hewner","sequence":"additional","affiliation":[{"name":"State University of New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,15]]},"reference":[{"key":"e_1_3_5_2_1","unstructured":"Anderson A. 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