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Support interventions to promote health and wellbeing among women with health-related consequences following traumatic experiences linked to armed conflicts and forced migration: a scoping review
The Red Cross Treatment Center for Persons Affected by War and Torture, Sweden.
The Red Cross Treatment Center for Persons Affected by War and Torture, Sweden.
Swedish Red Cross University, Department of Health Sciences. Uppsala University, Sweden.ORCID iD: 0000-0003-4141-8692
2024 (English)In: Archives of Public Health, ISSN 0778-7367, E-ISSN 2049-3258, Vol. 82, no 1, article id 8Article in journal (Refereed) Published
Abstract [en]

BackgroundWomen exposed to armed conflicts and forced migration face significant health-related risks and consequences. Consequently, there is a need to identify and develop effective interventions that provide tailored support for them. The aim of this scoping review was to examine research evaluating support interventions promoting the health and well-being among women with traumatic experiences linked to armed conflict and/or forced migration.

MethodsA scoping review of empirical studies evaluating non-pharmacologic/non-surgical interventions promoting health and well-being among adult women with traumatic experiences linked to armed, torture, and/or forced migration, identified through systematic searches in February 2022 within five databases (AMED, CINAHL, Cochrane Library, PsycINFO, and PubMed). Methodological characteristics and results were extracted and analyzed with narrative analysis using tabulations, descriptive statistics, text-based summaries, and thematization.

ResultsAssessment of 16 748 records resulted in 13 included reports. The methodological approaches were quantitative (n = 9), qualitative (n = 2), and mixed methods (n = 2), with most reports being feasibility/pilot studies (n = 5) and/or randomized controlled trials (n = 4). The most common recruitment strategy was non-probability sampling (n = 8). Most interventions were conducted in North America (n = 4), Asia (n = 3) or Middle East (n = 3). Thirteen intra-intervention techniques and five categories of components utilized within the interventions were identified, the most common being skill building (n = 12). Ten developed the interventions through theoretical frameworks or manuals/therapy, while five developed interventions through public or stakeholder involvement. Eleven studies evaluated outcomes related to psychological health, disorders, or distress. A large proportion of the investigated outcomes showed post-exposure improvements and improvements when compared with controls. Qualitative findings highlighted improved mental and physical health, empowerment and stigma reduction, and enhanced knowledge.

ConclusionFew studies have developed and evaluated tailored support interventions for this population, containing a range of components and intra-intervention techniques. No clear focus was identified regarding outcome measures, and most studies used non-probability sampling. Few developed interventions through public contribution in collaboration with women. While limited studies show promising effects on women’s mental health, more empirical intervention research that closely corresponds to women’s needs are needed.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024. Vol. 82, no 1, article id 8
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:rkh:diva-4769DOI: 10.1186/s13690-023-01235-8PubMedID: 38225672OAI: oai:DiVA.org:rkh-4769DiVA, id: diva2:1830679
Funder
Region SkåneSwedish Red Cross
Note

Also funde by Skåne Association of Local Authorities 

Available from: 2024-01-23 Created: 2024-01-23 Last updated: 2024-01-23Bibliographically approved

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