Scoping Review of interventions that support regional and rural humanitarian migrants
Creators: name: Freire, Katharine
name: Momartin, Shakeh
name: Coello, Mariano
Publisher: name: Open Science Framework
Year: 2022
Subjects: subject: Medicine and Health Sciences

description: Exploring interventions that support the health and wellbeing of refugees and asylum seekers resettled in regional and rural Australia: a scoping review protocol Reviewers: Kate Freire, Shakeh Momartin, Mariano Coello Introduction (not complete) Most research involving refugee populations in Australia has been focused upon those that have resettled in metropolitan areas of Australia. As a result,little is known about what interventions support the health and wellbeing of those who have resettled in regional communities. A preliminary search for existing scoping reviews and systematic reviews on the topic was conducted using the following databases: JBI Evidence Synthesis, Cochrane Library, and PROSPERO. Currently no identified reviews have provided an overview of interventions that support the health and well-being of refugees and asylum seekers settling in regional and rural locations in Australia. Hence, the objective of this review is to examine the current evidence base of interventions that address the health and well-being of humanitarian migrants settling in rural and regional areas. It will aim to identify, map, and summarise key concepts and types of evidence relating to the interventions, including research approaches (e.g., quantitative, mixed method, participatory) and any frameworks that were utilised. In addition, it will identify and summarise any facilitators and barriers to the interventions that have reported. The review will also identify gaps in the research to inform future interventions and research. It is hoped that gaining further insights and reliable evidence on these aspects will assist with the development of future health programs. To address the aim stated above, the following primary research question has been developed: • What interventions have been utilised to support the health and well-being of refugees and asylum seekers who have settled in regional and rural areas in Australia? Two sub-questions have also been identified: • What approaches and frameworks did these interventions utilise? (e.g., participatory etc). • What facilitators and barriers have been reported relating to engagement and success of the intervention? Methods The scoping review will follow guidance from Chapter 11 of the Joanna Briggs Institute Manual for Evidence Synthesis (Peters et al., 2020) and the PRISMA-ScR statement (Tricco et al., 2018). Eligibility of sources Inclusion criteria • Peer-reviewed primary research articles, short communications, systematically conducted reviews, reports of primary or secondary research, theses and dissertations. • Publication Date: 1997 to present (25 years, the actual date the search is conducted to be recorded). • Published in English or a language other than English which is translatable using Google Translate or translatable by colleagues who can read and interpret relevant languages. • Australian regional and rural areas. The Modified Monash Model (MMM) (https://www.health.gov.au/health-topics/rural-health-workforce/classifications/mm) will be used to include all studies that took place in regional and remote areas (MMM 2-7). It is anticipated that some studies won’t the study’s context using the MMM, but there should be enough description to allow a decision between metropolitan areas (MMM 1) and regional, rural, and remote areas (MMM 2-7). • Literature involving people from refugee and refugee-like background, as well as asylum seekers, humanitarian migrants, from both offshore and onshore situations; irrespective of their age, gender, nationality, type of visa or health status. • Literature investigating interventions that support the health and well-being of people from refugee and refugee-like background, and any facilitators and barriers to the interventions. Exclusion criteria • Narrative literature reviews, opinion pieces, editorials, letters/correspondence, conference materials, protocols, guidelines, single case studies, books, eBooks, non-print resources, news articles, magazine articles, pamphlets, trade publications, websites and blogs. • Published or gray literature that has not outlined a research or data analysis method or appropriate eligibility criteria. • Studies that have not obtained ethics approval where it would be appropriate. • Published prior to 1997. • Published in a language other than English that is not translatable using Google Translate, or by colleagues who can read and interpret relevant languages. • Studies that took place in metropolitan areas of Australia (MMM1) and studies that do not provide a description of context that allows the authors to make a judgement between metropolitan areas (MM 1) and regional, rural and remote areas (MMM 2-7). International studies. • Literature in which data for studies in MMM 2-7 locations, is not separable from data pertaining to MMM 1. • Full text is not available. Search strategy design A three-step search strategy has been developed following the recommendations of the JBI Manual for Evidence Synthesis (Peters et al., 2020) and in consultation with a librarian. Firstly, an initial search, using keywords will be conducted of the following two databases: EBSCOhost: CINAHL and ProQuest: MEDLINE. Additional keywords will be identified by analysing of the text words contained in the titles and abstracts of a selection of retrieved papers and their index terms. Subsequently, a second search using all identified keywords will be used to extend the searches of the following databases: • EBSCOhost: Academic Search Complete, CINAHL Plus with Full Text, SocINDEX with Full Text, Education Research Complete, Open Dissertations, ERIC, Psychology and Behavioural Sciences Collection • ProQuest: Health &amp; Medicine Databases (MEDLINE, Health &amp; Medical Collection, Nursing &amp; Allied Health Database, Psychology Database), ProQuest Dissertations &amp; Theses Global • Ovid: Ovid Emcare, APA PsycINFO • Scopus: gray lit • Informit Health Collection • Google Scholar • Google Advanced Search limiting by domain names (e.g., org.au). • The following organisations websites will be searched to see if they have any relevant research or reports: STARTTS, The Australian Red Cross, Australian Refugee Health, Good reason – centre for refugee research at UNSW, Refugee Council of Australia, Australian Government, Department of Home Affairs – immigration and citizenship, NSW Health, Specialist multicultural and refugee health services, UNHCR, World Bank, International Organisation for Migration (OIM), Settlement Services International (SSI). Finally, citation tracking of all papers identified as eligible for the scoping review will be searched for any additional sources. The search is designed to be deliberately broad to ensure all potentially relevant studies are included in the scoping review. Keywords Humanitarian migrant, refugee, refugee-like, asylum seekers, Australia Sample search strategy ‘asylum seekers’ OR refugees OR ‘refugee like’ OR ‘humanitarian migrant’ Filters: geographics to Australia and New Zealand, date range 1997 to current Evidence selection Once duplicates have been removed, initial screening of title and abstracts will be performed by the first reviewer, based upon inclusion and exclusion criteria. Full text screening will be conducted by two reviewers (KF, SM). Discussion with third reviewer (MC) will resolve any disagreements. Data extraction Data extraction will utilise a charting table which will be piloted on two included papers to ensure that all relevant findings are extracted. KF will extract the data; and SM and MC will check her extraction. Any disagreements to be resolve by discussion between three authors. Analysis and presentation of results: Descriptive map and presentation of results. References Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis, JBI, 2020. https://synthesismanual.jbi.global. https://doi.org/10.46658/JBIMES-20-12 Tricco, AC, Lillie, E, Zarin, W, O'Brien, KK, Colquhoun, H, Levac, D, Moher, D, Peters, MD, Horsley, T, Weeks, L, Hempel, S et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018,169(7):467-473. doi:10.7326/M18-0850.