scholarly journals Interventions to improve cancer survivorship among Indigenous Peoples and communities: a systematic review with a narrative synthesis

2021 ◽  
Author(s):  
Wendy Gifford ◽  
Margo Rowan ◽  
Peggy Dick ◽  
Shokoufeh Modanloo ◽  
Maggie Benoit ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cancer Survivorship ◽  
Indigenous Peoples ◽  
Psychosocial Support ◽  
Indigenous Health ◽  
Indigenous Communities ◽  
Narrative Synthesis ◽  
Holistic Wellness ◽  
Cross Sectional ◽  
Quasi Experimental

Abstract Purpose The purpose of this systematic review is to synthesize the evidence on the types of interventions that have been utilized by Indigenous Peoples living with cancer, and report on their relevance to Indigenous communities and how they align with holistic wellness. Methods A systematic review with narrative synthesis was conducted. Results The search yielded 7995 unique records; 27 studies evaluating 20 interventions were included. The majority of studies were conducted in USA, with five in Australia and one in Peru. Study designs were cross-sectional (n=13); qualitative (n=5); mixed methods (n=4); experimental (n=3); and quasi-experimental (n=2). Relevance to participating Indigenous communities was rated moderate to low. Interventions were diverse in aims, ingredients, and outcomes. Aims involved (1) supporting the healthcare journey, (2) increasing knowledge, (3) providing psychosocial support, and (4) promoting dialogue about cancer. The main ingredients of the interventions were community meetings, patient navigation, arts, and printed/online/audio materials. Participants were predominately female. Eighty-nine percent of studies showed positive influences on the outcomes evaluated. No studies addressed all four dimensions of holistic wellness (physical, mental, social, and spiritual) that are central to Indigenous health in many communities. Conclusion Studies we found represented a small number of Indigenous Nations and Peoples and did not meet relevance standards in their reporting of engagement with Indigenous communities. To improve the cancer survivorship journey, we need interventions that are relevant, culturally safe and effective, and honoring the diverse conceptualizations of health and wellness among Indigenous Peoples around the world.

Barriers and Enablers to Older Indigenous People Engaging in Physical Activity—A Qualitative Systematic Review

2021 ◽  
pp. 1-13
Author(s):  
Margaret J.R. Gidgup ◽  
Marion Kickett ◽  
Tammy Weselman ◽  
Keith Hill ◽  
Julieann Coombes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Indigenous Peoples ◽  
Indigenous Communities ◽  
Cultural Safety ◽  
Barriers And Enablers ◽  
Qualitative Systematic Review ◽  
Physical Activity Programs ◽  
Key Barrier ◽  
Appraisal Tool

The objective of this qualitative systematic review was to synthesize all evidence to understand the barriers and enablers to older Indigenous peoples (aged 40 years and older) engaging in physical activity. Four databases were searched. Study quality was assessed from an Indigenous perspective, using an Aboriginal and Torres Strait Islander quality appraisal tool. Data were analyzed using thematic synthesis. There were 4,246 articles screened with 23 articles and one report included from over 30 Indigenous communities across four countries. Cultural Safety and Security was a key enabler, including developing physical activity programs which are led by Indigenous communities and preference Indigenous values. Colonization was a key barrier that created mistrust and uncertainty. Social Determinants of Health, including cost, were supported by successful programs, but if not addressed, were demotivators of engagement. Older Indigenous peoples identified barriers and enablers that can direct the development of sustainable, culturally appropriate physical activity programs.

Cancer survivorship services for indigenous peoples: where we stand, where to improve? A systematic review

2015 ◽  
Vol 10 (2) ◽  
pp. 330-341 ◽  
Author(s):  
Bridget M. Cavanagh ◽  
Claire E. Wakefield ◽  
Jordana K. McLoone ◽  
Gail Garvey ◽  
Richard J. Cohn
Keyword(s):  
Systematic Review ◽  
Cancer Survivorship ◽  
Indigenous Peoples

scholarly journals The second clinical survey of the population-based study on health and living conditions in regions with Sami and Norwegian populations – the SAMINOR 2 Clinical Survey: Performing indigenous health research in a multiethnic landscape

2019 ◽  
Vol 48 (6) ◽  
pp. 583-593 ◽  
Author(s):  
Ann Ragnhild Broderstad ◽  
Solrunn Hansen ◽  
Marita Melhus
Keyword(s):  
Ethnic Groups ◽  
Indigenous Health ◽  
Participation Rate ◽  
Indigenous Communities ◽  
Glycated Haemoglobin ◽  
Population Based ◽  
Living Conditions ◽  
Future Research ◽  
Cross Sectional ◽  
Clinical Survey

Background Globally, there is a huge lack of relevant research about widespread lifestyle diseases and living conditions in indigenous communities. Northern and Middle Norway have a history of multiple ethnic groups and the Sami has been acknowledged as the indigenous people of Norway by the Norwegian State. The SAMINOR 2 Clinical Survey, a part of the SAMINOR Study, was carried out to provide health information about the Sami population in Norway. Methods The cross-sectional population-based SAMINOR 2 Clinical Survey consists of both questionnaires and a clinical examination performed in 10 municipalities during 2012–2014. Results In total, 6004 men and women (participation rate 48%) aged 40–79 years took part in this study. In inland Finnmark, the Sami are in the majority (80–90%) as opposed to the coastline of Troms and Nordland, where the Sami population form a minority (20%). More women than men participated (54% versus 43%, respectively). Obesity was prevalent in this sample and a high mean glycated haemoglobin was observed. Conclusions: This article describes the methods and data collection of the SAMINOR 2 Clinical Survey and presents some characteristics of the sample. The definition of ethnic groups is a core question in the survey and includes several criteria. To ensure that indigenous values and priorities are reflected in the research themes, we recommend that future research projects be directed in close collaboration with the Sami Parliament and the local communities.

scholarly journals Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective

2021 ◽  
Vol 11 (4) ◽  
pp. 942-954
Author(s):  
Mauricio Viana Gomes Oliveira ◽  
Ângela Maria Mendes Abreu ◽  
James R. Welch ◽  
Carlos E. A. Coimbra
Keyword(s):  
Primary Care ◽  
Nursing Education ◽  
Indigenous Peoples ◽  
Keyword Search ◽  
Indigenous Health ◽  
Indigenous Communities ◽  
National Standards ◽  
Clinical Communication ◽  
Manual Search

Our objective is to critically review the literature addressing the strategic role of nurses in the daily primary care of arterial hypertension in Indigenous communities in Brazil. We selected studies based on an initial keyword search of major bibliographic indexing databases for the years 2000 to 2020 and manual search. Further selection was based on topical, methodological, and thematic relevance, as well as evaluation of scholarship quality and pertinence to our chosen narrative. The literature demonstrates Indigenous peoples do not receive health services that measure up to national standards in large part due to a marked lack of academic and employer preparation for nurses operating in transcultural settings. Inequities were apparent in recurrent reports of victim-blaming, deficient clinical communication with patients, clinical malpractice, devaluation of hypertension as a problem for Indigenous peoples, insufficient intercultural training for nurses, and discrimination against Indigenous students in nursing education programs. This systemic problem needs to be addressed by universities and the Indigenous Health Care Subsystem in Brazil.

scholarly journals PSYCHOSPIRITUAL, STRESS, AND COPING STRATEGY OF PULMONARY TUBERCULOSIS PATIENT: A LITERATURE REVIEW

2021 ◽  
Vol 10 (2) ◽  
pp. 358-369
Author(s):  
Suhendra Agung Wibowo ◽  
Muhammad Amin ◽  
Laily Hidayati
Keyword(s):  
Systematic Review ◽  
Coping Strategies ◽  
Coping Strategy ◽  
Stress And Coping ◽  
Cross Sectional ◽  
Pulmonary Tb ◽  
Stress Symptoms ◽  
Quasi Experimental ◽  
Cross Sectional Design ◽  
And Coping

Background: Tuberculosis can cause psychological disorders in a person. Spiritual approaches can be used to improve coping strategies to suppress stress symptoms that arise. Objective: The purpose of this study is to describe the psychospiritual conditions, stress and coping strategies that occur in patients with tuberculosis. Design: The research design uses systematic review based on PRISMA checklist. Data Sources: Using three databases; Scopus, Science Direct and EBSCO. The search was conducted from January to March 2021. The keyword “tuberculosis” OR “pulmonary TB’ OR “psychology” OR “spiritual” OR “stress” OR “coping strategy” was used in this systematic review with journal articles, 2016-2021 publication years and English as searching limitation. Review Methods: JBI Critical Appraisal Tool used to assess the quality of the articles and PRISMA checklist used as a guideline to filter articles. Results: 10 articles were obtained according to the inclusion criteria. The results of the analysis showed 7 articles using a cross sectional design, 2 quasi-experimental, and 1 qualitative study. The number of samples with a cross-sectional design ranged from 45 to 1,342, while articles with a quasi-experimental, qualitative and comparative study design had 32, 15 and 78 patients with pulmonary TB as respondents. Almost all of the psychological conditions in pulmonary TB patients experience stress and coping disorders. The results of the analysis show that spirituality can be used to improve the coping strategies used so as to suppress the stress symptoms that arise. Conclusion: Psychospiritual strategies can be used as a way to improve the coping of TB sufferers and reduce the stress they experience.

scholarly journals HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Brianna Poirier ◽  
Sneha Sethi ◽  
Gail Garvey ◽  
Joanne Hedges ◽  
Karen Canfell ◽  
...  
Keyword(s):  
Systematic Review ◽  
Indigenous Peoples ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Indigenous Communities ◽  
Developed Countries ◽  
Healthcare Research ◽  
Vaccine Uptake ◽  
Indigenous Populations ◽  
Qualitative Systematic Review

Abstract Background Indigenous populations have a high prevalence of Human Papillomavirus (HPV) infection and a high incidence of HPV associated cancers, such as cervical and oropharyngeal cancer. There is an effective HPV vaccination program in almost all developed countries to prevent the incidence of cervical cancer, but reports suggest that the uptake of these vaccinations by Indigenous populations is low. The objective of this qualitative systematic review was to explore the knowledge and beliefs of global Indigenous populations regarding HPV vaccines. This review was performed to identify the barriers faced by Indigenous peoples and to provide evidence for more effective and acceptable execution of vaccination policies for Indigenous peoples. Methods Two investigators independently searched MEDLINE, PubMed, SCOPUS, and Web of Science databases using a pre-specified search strategy to identify qualitative studies on narratives of Indigenous peoples regarding HPV vaccine awareness, knowledge and experiences across all geographic and income-level settings. Results After performing the literature search and quality appraisals 5 papers were included in the final review. Three core synthesised findings were identified: reasons for acceptance or hesitancy, and areas for improvement. Lack of correct knowledge and mistrust in the healthcare system were important categories observed in all papers included in the review. Other categories within the conceptual model included prioritising disease prevention, health professional guidance, family support and supportive community environment. Conclusion Qualitative systematic reviews are an excellent means of exploring the gaps in current healthcare practices. Indigenous healthcare research should be grounded in community experiences and feedback. This review provides insights into HPV vaccination understanding and acceptance amongst Indigenous populations, from which recommendations for increasing resonance of vaccination strategies with Indigenous communities can be formed.

scholarly journals What is the prevalence of current alcohol dependence and how is it measured for Indigenous people in Australia, New Zealand, Canada and the United States of America? A systematic review

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Teagan J. Weatherall ◽  
Katherine M. Conigrave ◽  
James H. Conigrave ◽  
K. S. Kylie Lee
Keyword(s):  
United States ◽  
Systematic Review ◽  
New Zealand ◽  
Alcohol Dependence ◽  
United States Of America ◽  
Indigenous Communities ◽  
The United States ◽  
Indigenous Populations ◽  
Cross Sectional ◽  
Current Alcohol

Abstract Background Alcohol affects Indigenous communities globally that have been colonised. These effects are physical, psychological, financial and cultural. This systematic review aims to describe the prevalence of current (12-month) alcohol dependence in Indigenous Peoples in Australia, New Zealand, Canada and the United States of America, to identify how it is measured, and if tools have been validated in Indigenous communities. Such information can help inform estimates of likely treatment need. Methods A systematic search of the literature was completed in six electronic databases for reports on current alcohol dependence (moderate to severe alcohol use disorder) published between 1 January 1989–9 July 2020. The following data were extracted: (1) the Indigenous population studied; country, (2) prevalence of dependence, (3) tools used to screen, assess or diagnose current dependence, (4) tools that have been validated in Indigenous populations to screen, assess or diagnose dependence, and (5) quality of the study, assessed using the Appraisal Tool for Cross-Sectional Studies. Results A total of 11 studies met eligibility criteria. Eight were cross-sectional surveys, one cohort study, and two were validation studies. Nine studies reported on the prevalence of current (12-month) alcohol dependence, and the range varied widely (3.8–33.3% [all participants], 3–32.8% [males only], 1.3–7.6% [females only]). Eight different tools were used and none were Indigenous-specific. Two tools have been validated in Indigenous (Native American) populations. Conclusion Few studies report on prevalence of current alcohol dependence in community or household samples of Indigenous populations in these four countries. Prevalence varies according to sampling method and site (for example, specific community versus national). Prior work has generally not used tools validated in Indigenous contexts. Collaborations with local Indigenous people may help in the development of culturally appropriate ways of measuring alcohol dependence, incorporating local customs and values. Tools used need to be validated in Indigenous communities, or Indigenous-specific tools developed, validated and used. Prevalence findings can inform health promotion and treatment needs, including funding for primary health care and specialist treatment services.

scholarly journals Conversational agents in healthcare: a systematic review

2018 ◽  
Vol 25 (9) ◽  
pp. 1248-1258 ◽  
Author(s):  
Liliana Laranjo ◽  
Adam G Dunn ◽  
Huong Ly Tong ◽  
Ahmet Baki Kocaballi ◽  
Jessica Chen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Natural Language ◽  
Depression Symptoms ◽  
Conversational Agent ◽  
Conversational Agents ◽  
Cross Sectional ◽  
Evaluation Measures ◽  
Health Related ◽  
Quasi Experimental ◽  
Language Input

Abstract Objective Our objective was to review the characteristics, current applications, and evaluation measures of conversational agents with unconstrained natural language input capabilities used for health-related purposes. Methods We searched PubMed, Embase, CINAHL, PsycInfo, and ACM Digital using a predefined search strategy. Studies were included if they focused on consumers or healthcare professionals; involved a conversational agent using any unconstrained natural language input; and reported evaluation measures resulting from user interaction with the system. Studies were screened by independent reviewers and Cohen’s kappa measured inter-coder agreement. Results The database search retrieved 1513 citations; 17 articles (14 different conversational agents) met the inclusion criteria. Dialogue management strategies were mostly finite-state and frame-based (6 and 7 conversational agents, respectively); agent-based strategies were present in one type of system. Two studies were randomized controlled trials (RCTs), 1 was cross-sectional, and the remaining were quasi-experimental. Half of the conversational agents supported consumers with health tasks such as self-care. The only RCT evaluating the efficacy of a conversational agent found a significant effect in reducing depression symptoms (effect size d = 0.44, p = .04). Patient safety was rarely evaluated in the included studies. Conclusions The use of conversational agents with unconstrained natural language input capabilities for health-related purposes is an emerging field of research, where the few published studies were mainly quasi-experimental, and rarely evaluated efficacy or safety. Future studies would benefit from more robust experimental designs and standardized reporting. Protocol Registration The protocol for this systematic review is registered at PROSPERO with the number CRD42017065917.

scholarly journals The use of pasung for people with mental illness: a systematic review and narrative synthesis

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Muhamad Taufik Hidayat ◽  
Sharon Lawn ◽  
Eimear Muir-Cochrane ◽  
Candice Oster
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Illness ◽  
Community Mental Health ◽  
Community Mental Health Services ◽  
Rehabilitation Program ◽  
Narrative Synthesis ◽  
Community Based ◽  
Cross Sectional ◽  
People With Mental Illness

Abstract Background Pasung is the term used in Indonesia and a number of other countries for seclusion and restraint of people with mental illness in the community, usually at home by their family. While pasung has been banned because it is contrary to human rights, its practice continues to exist within the community, particularly where community mental health services are limited, and in the absence of adequate social support, and pervasive negatives beliefs about mental illness. It is essential to understand the reasons for the ongoing use of pasung and to examine potential solutions. Methods A systematic review and narrative synthesis of peer-reviewed international literature was conducted to identify the socio-cultural contexts for pasung use, and interventions to address it. The analysis draws on the socio-ecological framework, which focused on relationships between the individual and their environment. Result Fifty published articles were included in the review; all studies were conducted in Asia and Africa, with 32 undertaken in Indonesia. Most studies were qualitative (n = 21). Others included one case–control study, one cross-sectional study, and seven surveys; only four studies examined the application of an intervention, and each used a pre and post methodology. Of these, two studies tested psychoeducational interventions which aimed to overcome family burden due to pasung, and each suggested a community mental health approach. The remaining two studies evaluated the intervention of ‘unlocking’; one study used a community-based culturally sensitive approach, and the other used a community-based rehabilitation program. Reasons for pasung given by family appear to be as a last resort and in the absence of other supports to help them care for the person with severe mental illness. Conclusion The findings highlight that a mixture of individual, interpersonal, community and policy interventions are needed to reduce the use of pasung. While consumer and carer involvement as part of a socio-ecological approach is understood to be effective in reducing pasung, an understanding of how to elaborate this in the management of pasung remains elusive. Review Registration CRD42020157543: CRD

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