Setting and Trial Design
This randomized clinical trial was developed through a community-academic partnership and was approved by the Oregon Health & Science University Institutional Review Board. Participants provided written informed consent. The SUMMIT intervention and trial design were described previously,The study took place at Central City Concern, an urban FQHC designated to provide health care for individuals experiencing homelessness.The clinic engaged its academic partner to conduct an evaluation of the SUMMIT intervention. Over the course of planning meetings among the research team, clinic staff and leadership, and clinic patient advisory board, we determined that a 6-month wait-list control design would allow all participants to eventually receive the SUMMIT intervention while preserving the evaluative benefits of randomization. Here, we present our 6-month outcomes. Clinic staff implemented the SUMMIT intervention and were unaware of the results until trial completion.