The impact of community engagement as a public health intervention to support the mental well-being of single mothers and children living under housing insecure conditions - a rapid literature review.
Children
Community engagement
Homelessness
Housing insecurity
Mental health
Mothers
Public health interventions
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
26 Sep 2023
26 Sep 2023
Historique:
received:
16
12
2022
accepted:
31
08
2023
medline:
27
11
2023
pubmed:
27
9
2023
entrez:
26
9
2023
Statut:
epublish
Résumé
In the UK, the population of homelessness and housing insecurity is increasing among families headed by mothers. The unique stressors of housing insecurity and living in accommodations ill-suited to long-term dwellings increase mental distress for mothers and children. Community engagement interventions present a public health opportunity to alleviate adverse outcomes for vulnerable families. To synthesise and evaluate evidence of the impact of community engagement interventions in supporting the mental well-being of mothers and children living under housing insecure conditions. To synthesise the components of community engagement interventions as a public health intervention in alleviating mental well-being and non-health outcomes of mothers and children living under housing insecurity. A systematic search of five online bibliographic databases (MEDLINE, EMBASE, PsychINFO, Global Health and Child Development & Adolescent Studies) and grey literature (Carrot2) was conducted in May 2022. Primary studies with community engagement components and housing-insecure single-mother families were included. Intervention data was extracted using the TIDieR checklist and a community engagement keywording tool. The studies' quality was critically appraised using the MetaQAT framework. Ten studies meeting inclusion criteria were identified, across two countries (USA & UK). Data from the studies reported positive significant effects for health and personal maternal outcomes in addition to higher positive effects for child health outcomes (e.g., decrease in depression symptoms). Interventions targeting social support and self-efficacy demonstrated potential to improve maternal and child outcomes via the maternal-child relationship. Community engagement at the design, delivery and evaluation intervention stages increased the level of community engagement, however there were tentative links to directly improving mental well-being outcomes. There is evidence to suggest that community engagement may be applied as an effective intervention in supporting the mental well-being of mothers and children living under housing insecurity. Proposed intervention effectiveness may be achieved via psychosocial pathways such as improved maternal self-efficacy and social support. However, more embedded long-term process evaluations of these interventions are needed to establish maintenance of these observed benefits and to understand to what extent the findings apply to the UK context.
Sections du résumé
BACKGROUND
BACKGROUND
In the UK, the population of homelessness and housing insecurity is increasing among families headed by mothers. The unique stressors of housing insecurity and living in accommodations ill-suited to long-term dwellings increase mental distress for mothers and children. Community engagement interventions present a public health opportunity to alleviate adverse outcomes for vulnerable families.
AIM
OBJECTIVE
To synthesise and evaluate evidence of the impact of community engagement interventions in supporting the mental well-being of mothers and children living under housing insecure conditions. To synthesise the components of community engagement interventions as a public health intervention in alleviating mental well-being and non-health outcomes of mothers and children living under housing insecurity.
METHODS
METHODS
A systematic search of five online bibliographic databases (MEDLINE, EMBASE, PsychINFO, Global Health and Child Development & Adolescent Studies) and grey literature (Carrot2) was conducted in May 2022. Primary studies with community engagement components and housing-insecure single-mother families were included. Intervention data was extracted using the TIDieR checklist and a community engagement keywording tool. The studies' quality was critically appraised using the MetaQAT framework.
RESULTS
RESULTS
Ten studies meeting inclusion criteria were identified, across two countries (USA & UK). Data from the studies reported positive significant effects for health and personal maternal outcomes in addition to higher positive effects for child health outcomes (e.g., decrease in depression symptoms). Interventions targeting social support and self-efficacy demonstrated potential to improve maternal and child outcomes via the maternal-child relationship. Community engagement at the design, delivery and evaluation intervention stages increased the level of community engagement, however there were tentative links to directly improving mental well-being outcomes.
CONCLUSION
CONCLUSIONS
There is evidence to suggest that community engagement may be applied as an effective intervention in supporting the mental well-being of mothers and children living under housing insecurity. Proposed intervention effectiveness may be achieved via psychosocial pathways such as improved maternal self-efficacy and social support. However, more embedded long-term process evaluations of these interventions are needed to establish maintenance of these observed benefits and to understand to what extent the findings apply to the UK context.
Identifiants
pubmed: 37752475
doi: 10.1186/s12889-023-16668-7
pii: 10.1186/s12889-023-16668-7
pmc: PMC10523618
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1866Informations de copyright
© 2023. The Author(s).
Références
Parent Sci Pract. 2020;20(3):177-199
pubmed: 33716580
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
Int J Soc Psychiatry. 2001 Winter;47(4):30-40
pubmed: 11694056
Health Policy. 2020 Mar;124(3):298-302
pubmed: 31959393
Behav Modif. 2004 Jul;28(4):565-78
pubmed: 15186516
BMC Med Res Methodol. 2018 Jan 18;18(1):12
pubmed: 29347910
Int J Family Med. 2011;2011:490634
pubmed: 22312546
Health Promot Int. 2023 Jun 1;38(3):
pubmed: 35134939
Prim Care Companion CNS Disord. 2016 Apr 21;18(2):
pubmed: 27486545
Health Policy Plan. 2021 Mar 26;36(2):205-217
pubmed: 33543248
Public Health. 2016 Jul;136:57-65
pubmed: 26993202
Int J Soc Psychiatry. 2011 Jul;57(4):362-74
pubmed: 20197456
Eur J Public Health. 2017 Oct 1;27(suppl_4):18-21
pubmed: 29028245
J Abnorm Child Psychol. 2010 Apr;38(3):421-32
pubmed: 20049523
J Reprod Infant Psychol. 2018 Sep;36(4):434-448
pubmed: 29999404
Glob Health Action. 2015 Dec 18;8:29842
pubmed: 26689460
Biochem Med (Zagreb). 2012;22(3):276-82
pubmed: 23092060
Am J Orthopsychiatry. 2014;84(1):73-81
pubmed: 24826830
Int J Environ Res Public Health. 2020 Apr 18;17(8):
pubmed: 32325635
Syst Rev. 2016 Aug 17;5(1):140
pubmed: 27535658
Health Soc Care Community. 2007 May;15(3):246-53
pubmed: 17444988
J Epidemiol Community Health. 2008 Oct;62(10):932-6
pubmed: 18791052
J Fam Psychol. 2015 Apr;29(2):242-52
pubmed: 25844493
Child Care Health Dev. 2012 May;38(3):425-34
pubmed: 21651608
Clin Child Psychol Psychiatry. 2020 Oct;25(4):860-876
pubmed: 32475147
Soc Sci Med. 2011 Mar;72(5):763-72
pubmed: 21272968
J Public Health (Oxf). 2021 Sep 22;43(3):581-586
pubmed: 32426828
BMJ. 2018 May 16;361:k1079
pubmed: 29769210
J Epidemiol Community Health. 2006 Feb;60(2):108-15
pubmed: 16415258
BMC Med Res Methodol. 2019 Jun 28;19(1):132
pubmed: 31253092
Lancet. 2014 Oct 25;384(9953):1529-40
pubmed: 25390578