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Review
. 2016 Jun;38(2):e125-32.
doi: 10.1093/pubmed/fdv093. Epub 2015 Jul 30.

A realist synthesis of the evidence on outreach programmes for health improvement of Traveller Communities

M Lhussier  1 , S M Carr  2 , N Forster  1
Affiliations
Review

A realist synthesis of the evidence on outreach programmes for health improvement of Traveller Communities

M Lhussier et al. J Public Health (Oxf). 2016 Jun.

Abstract

Background: Improving the health of Traveller Communities is an international public health concern but there is little evidence on effective interventions. This study aimed to explain how, for whom and in what circumstances outreach works in Traveller Communities.

Methods: A realist synthesis was undertaken. Systematic literature searches were conducted between August and November 2011. Grey literature was sought and key stakeholders were involved throughout the review process. Iterative steps of data extraction, analysis and synthesis, followed by additional searches were undertaken.

Results: An explanatory framework details how, why and in what circumstances participation, behaviour change or social capital development happened. The trust status of outreach workers is an important context of outreach interventions, in conjunction with their ability to negotiate the intervention focus. The higher the outreach worker's trust status, the lower the imperative that they negotiate the intervention focus. A 'menu' of reasoning mechanisms is presented, leading to key engagement outcomes.

Conclusions: Adopting a realist analysis, this study offers a framework with explanatory purchase as to the potential of outreach to improve health in marginalized groups.

Keywords: health promotion; population-based and preventative services; relationships.

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Figures

Fig. 1
Fig. 1
Complementary literature searches.
Fig. 2
Fig. 2
Studies selection flowchart.
Fig. 3
Fig. 3
Overall explanatory framework for outreach interventions in Traveller Communities.
See this image and copyright information in PMC

References

    1. Cook B, Wayne GF, Valentine A et al. . Revisiting the evidence on health and health care disparities among the Roma: a systematic review 2003–2012. Int J Public Health 2013;58(6):885–911. - PubMed
    1. Abdalla S, Quirke B, Daly L et al. . All Ireland Traveller Health Study: increasing gap in mortality between Traveller and general populations in the Republic of Ireland over two decades. J Epidemiol Community Health 2010;64:A23.
    1. Parry G, Van Cleemput P, Peters J et al. . Health status of Gypsies and Travellers in England. J Epidemiol Community Health 2007;61(3):198–204. - PMC - PubMed
    1. Peters J, Parry GD, Van Cleemput P et al. . Health and use of health services: a comparison between Gypsies and Travellers and other ethnic groups. Ethn Health 2009;14(4):359–77. - PubMed
    1. Maduma-Butshe A, McCarthy N. The burden and impact of measles among the Gypsy-Traveller communities, Thames Valley, 2006–09. J Public Health 2012;35(1):27–31. - PubMed

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