{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:41:59Z","timestamp":1777858919217,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Family medicine providers are at the forefront of serving homeless persons. It is important to prepare family medicine residents for this responsibility during residency. In the current study, we aimed to assess the effect of a series of enrichment activities on the attitudes toward homeless persons held by residents, faculty, and staff in a rural family medicine residency program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The residency program implemented a 6-month enrichment activities series that provided various educational experiences and aimed to improve the participants\u2019 knowledge of and attitudes toward homeless persons. Participants completed 2 anonymous online surveys before and after the enrichment series: (1) the Health Professional\u2019s Attitude Toward the Homeless Inventory (HPATHI) and (2) a short survey assessing the understanding of local issues that affected homeless persons. Two-tailed Student t tests were used to compare the survey results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the 48 eligible participants, 42 (88%) completed the surveys before enrichment activities and 41 (85%) completed the surveys afterward. Engagement in the enrichment series was associated with a significant improvement in attitudes supporting social advocacy, but it did not affect self-reported levels of cynicism or personal advocacy. Participant knowledge of local homelessness issues improved, but the difference was not statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The longitudinal enrichment activities series, which was implemented in a rural family medicine residency program and aimed to provide experiences working with homeless individuals, was effective in improving attitudes supporting social advocacy among participants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2150132720949778","type":"journal-article","created":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T03:28:18Z","timestamp":1597289298000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Improving the Attitudes to Homeless Persons in a Family Medicine Residency"],"prefix":"10.1177","volume":"11","author":[{"given":"Mengyi","family":"Zha","sequence":"first","affiliation":[{"name":"Family Health Clinic, Mayo Clinic Health System\u2014Southwest Wisconsin Region, La Crosse, WI, USA"},{"name":"Columbia Basin Health Association, Othello, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9000-6291","authenticated-orcid":false,"given":"Cheri L.","family":"Olson","sequence":"additional","affiliation":[{"name":"Family Health Clinic, Mayo Clinic Health System\u2014Southwest Wisconsin Region, La Crosse, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol","family":"Goulet","sequence":"additional","affiliation":[{"name":"Family Health Clinic, Mayo Clinic Health System\u2014Southwest Wisconsin Region, La Crosse, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,8,12]]},"reference":[{"key":"bibr1-2150132720949778","unstructured":"Health Resources & Services Administration. Glossary: 330(h) Homeless Population. https:\/\/bphc.hrsa.gov\/programrequirements\/compliancemanual\/glossary.html. Published 2018. Accessed September 24, 2019."},{"key":"bibr2-2150132720949778","unstructured":"U.S. Department of Housing and Urban Development. The 2019 Annual Homeless Assessment Report (AHAR) to Congress. https:\/\/files.hudexchange.info\/resources\/documents\/2019-AHAR-Part-1.pdf. Accessed May 18, 2020."},{"key":"bibr3-2150132720949778","unstructured":"American Academy of Family Physicians. Homelessness. https:\/\/www.aafp.org\/about\/policies\/all\/homelessness.html. Published 2018. Accessed September 24, 2019."},{"key":"bibr4-2150132720949778","doi-asserted-by":"publisher","DOI":"10.1023\/A:1007372800998"},{"key":"bibr5-2150132720949778","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12009"},{"key":"bibr6-2150132720949778","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.076190"},{"key":"bibr7-2150132720949778","first-page":"634","volume":"89","author":"Maness DL","year":"2014","journal-title":"Am Fam Physician"},{"key":"bibr8-2150132720949778","unstructured":"National Health Care for the Homeless Council. Core Competencies Curriculum. https:\/\/nhchc.org\/clinical-practice\/homeless-services\/core-competencies-curriculum\/. Published 2019. Accessed September 24, 2019."},{"key":"bibr9-2150132720949778","unstructured":"Accreditation Council for Graduate Medical Education, American Board of Family Medicine. The Family Medicine Milestone Project 2015. https:\/\/www.acgme.org\/Portals\/0\/PDFs\/Milestones\/FamilyMedicineMilestones.pdf. Accessed September 24, 2019."},{"key":"bibr10-2150132720949778","doi-asserted-by":"publisher","DOI":"10.1177\/0091217417730288"},{"key":"bibr11-2150132720949778","doi-asserted-by":"publisher","DOI":"10.22454\/FamMed.2019.320104"},{"key":"bibr12-2150132720949778","unstructured":"Poverty Simulation, https:\/\/www.greatriversunitedway.org\/our-work\/poverty-simulation\/. Accessed June 8, 2020."},{"key":"bibr13-2150132720949778","unstructured":"https:\/\/cclse.org\/la-crosse-warming-center-location\/. Accessed June 8, 2020."},{"key":"bibr14-2150132720949778","unstructured":"La Crosse website, https:\/\/www.cityoflacrosse.org\/your-government\/departments\/police-parking\/about-lcpd\/neighborhood-resource-officers. Accessed June 8, 2020."},{"key":"bibr15-2150132720949778","unstructured":"Lacrosstribune.com, https:\/\/lacrossetribune.com\/news\/local\/mayo-franciscan-resident-presses-to-improve-homeless-health-care\/article_cab59f87-ee21-5ec6-ae92-500f466d4af2.html. Accessed June 8, 2020."},{"key":"bibr16-2150132720949778","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"bibr17-2150132720949778","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6920-5-2"},{"key":"bibr18-2150132720949778","first-page":"e1748","volume":"9","author":"Sibley A","year":"2017","journal-title":"Cureus"},{"key":"bibr19-2150132720949778","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6920-13-112"},{"key":"bibr20-2150132720949778","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ap.10080112"},{"key":"bibr21-2150132720949778","unstructured":"Street Medicine Institute. https:\/\/www.streetmedicine.org\/. Published 2018. Accessed September 24, 2019."},{"key":"bibr22-2150132720949778","author":"Crow SM.","year":"2013","journal-title":"MedEd-PORTAL"}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150132720949778","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2150132720949778","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150132720949778","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:22:11Z","timestamp":1777508531000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2150132720949778"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":22,"alternative-id":["10.1177\/2150132720949778"],"URL":"https:\/\/doi.org\/10.1177\/2150132720949778","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"article-number":"2150132720949778"}}