Identifying the Health Educational Needs of Refugees: Empirical Evidence from a Delphi Study.
Health education
Health literacy
Minority health
Needs assessment
Refugees
Journal
Journal of immigrant and minority health
ISSN: 1557-1920
Titre abrégé: J Immigr Minor Health
Pays: United States
ID NLM: 101256527
Informations de publication
Date de publication:
05 Sep 2024
05 Sep 2024
Historique:
accepted:
14
08
2024
medline:
6
9
2024
pubmed:
6
9
2024
entrez:
5
9
2024
Statut:
aheadofprint
Résumé
Refugees experience poorer health outcomes especially which can be exacerbated by or can be a result of low health literacy of refugee populations. To address poor health outcomes, health literacy, and health usage in refugee populations, it is essential to develop health educational interventions for refugees' healthcare integration. To do so, learning objectives must be identified based on refugees' health knowledge gaps. Therefore, the overall aim of this study is to identify these knowledge gaps. A modified Delphi method was employed for this study with three rounds of survey: the first to identify learning objectives, the second to prioritise learning objectives, and the third to categorise the learning objectives as not recommended, partially recommended, or highly recommended. An overarching theme of utilising the healthcare system and its various services effectively and efficiently was recognised to be an important learning objective for educational interventions to address refugees' health integration. Overall, learning objectives within the theme self-care and preventative health were ranked as most important.
Identifiants
pubmed: 39237850
doi: 10.1007/s10903-024-01626-1
pii: 10.1007/s10903-024-01626-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Erasmus+
ID : 2019-1-SE01-KA204-060563
Informations de copyright
© 2024. The Author(s).
Références
Bradby H, Humphris R, Newall D, Phillimore J. Public health aspects of migrant health: A review of the evidence on health status for refugees and asylum seekers in the European region. Copenhagen: WHO Regional Office for Europe; 2015. (Health Evidence Network Synthesis Report, No. 44.) Available from: https://www.ncbi.nlm.nih.gov/books/NBK379418/
Wångdahl J, Lytsy P, Mårtensson L, Westerling R. Health literacy among refugees in Sweden - a cross-sectional study. BMC Public Health. 2014;14:1030.
doi: 10.1186/1471-2458-14-1030
pubmed: 25278109
pmcid: 4195944
Blackmore R, Boyle JA, Fazel M, Ranasinha S, Gray KM, Fitzgerald G, Misso M, Gibson-Helm M. The prevalence of mental illness in refugees and asylum seekers: A systematic review and meta-analysis. PLoS Med. 2020;17(9): e1003337. https://doi.org/10.1371/journal.pmed.1003337 .
doi: 10.1371/journal.pmed.1003337
pubmed: 32956381
pmcid: 7505461
Yayan EH, Düken ME, Özdemir AA, Çelebioğlu A. Mental health problems of syrian refugee children: post-traumatic stress. Depression and Anxiety J Pediatr Nurs. 2020. https://doi.org/10.1016/j.pedn.2019.06.012 .
doi: 10.1016/j.pedn.2019.06.012
pubmed: 31255362
Bryant RA, Edwards B, Creamer M, O’Donnell M, Forbes D, Felmingham KL, Silove D, Steel Z, McFarlane AC, Van Hooff M, Nickerson A, Hadzi-Pavlovic D. Prolonged grief in refugees, parenting behaviour and children’s mental health. Aust N Z J Psychiatry. 2021;55(9):863–73. https://doi.org/10.1177/0004867420967420 .
doi: 10.1177/0004867420967420
pubmed: 33124446
Khanom A, Alanazy W, Couzens L, Evans BA, Fagan L, Fogarty R, John A, Khan T, Kingston MR, Moyo S, Porter A, Rhydderch M, Richardson G, Rungua G, Russell I, Snooks H. Asylum seekers’ and refugees’ experiences of accessing health care: a qualitative study. BJGP Open. 2021. https://doi.org/10.3399/BJGPO.2021.0059 . (PMID: 34376383).
doi: 10.3399/BJGPO.2021.0059
pubmed: 34376383
pmcid: 9447303
Stathakarou N, Konstantinidis S, Wharrad H, Spachos D, Bamidis PD, Aparici Tortajada L, Traver Salcedo V, Karlgren K. Co-creating digital learning resources to enhance refugees’ health integration in Europe. In: Gómez Chova L, López Martínez A, Candle Torres I, editors. INTED2020 proceedings: 14th International Technology, Education and Development Conference; 2020 March 2–4; Valencia, Spain. Spain: IATED Academy; 2020. p. 3799–803.
doi: 10.21125/inted.2020.1056
The UN Refugee Agency. What is a refugee? [Internet]. Geneva: UNHCR; [cited 2023 Feb 1] Available from: https://www.unhcr.org/what-is-a-refugee.html
World Health Organization. Report on the health of refugees and migrants in the WHO European Region: No public health without refugee and migrant health. Copenhagen: WHO Regional Office for Europe; 2018.
Wångdahl J, Lytsy P, Mårtensson L, Westerling R. Poor health and refraining from seeking healthcare are associated with comprehensive health literacy among refugees: a Swedish cross-sectional study. Int J Public Health. 2018;63(3):409–19.
doi: 10.1007/s00038-017-1074-2
pubmed: 29480325
Al-Adhami M, Berglund E, Wångdahl J, Salari R. A cross-sectional study of health and well-being among newly settled refugee migrants in Sweden-The role of health literacy, social support and self-efficacy. PLoS ONE. 2022;17(12): e0279397. https://doi.org/10.1371/journal.pone.0279397 .
doi: 10.1371/journal.pone.0279397
pubmed: 36534679
pmcid: 9762600
Assi R, Özger-İlhan S, İlhan MN. Health needs and access to health care: the case of Syrian refugees in Turkey. Public Health. 2019;172:146–52. https://doi.org/10.1016/j.puhe.2019.05.004 . (Epub 2019 Jun 22 PMID: 31235210).
doi: 10.1016/j.puhe.2019.05.004
pubmed: 31235210
Liem A, Natari RB, Jimmy HBJ. Digital health applications in mental health care for immigrants and refugees: a rapid review. Telemed J E Health. 2021;27(1):3–16. https://doi.org/10.1089/tmj.2020.0012 .
doi: 10.1089/tmj.2020.0012
pubmed: 32498658
Chuah FLH, Tan ST, Yeo J, Legido-Quigley H. Health system responses to the health needs of refugees and asylum-seekers in Malaysia: A qualitative study. Int J Environ Res Public Health. 2019;16(9):1584. https://doi.org/10.3390/ijerph16091584 .
doi: 10.3390/ijerph16091584
pubmed: 31064139
pmcid: 6539766
J J, Linstone H, Turoff M. The Delphi method. Technometrics. 1976;18(3):363–4.
Phillips AC, Lewis LK, McEvoy MP, Galipeau J, Glasziou P, Hammick M, Moher D, Tilson JK, Williams MT. A Delphi survey to determine how educational interventions for evidence-based practice should be reported: stage 2 of the development of a reporting guideline. BMC Med Educ. 2014;14:159. https://doi.org/10.1186/1472-6920-14-159 .
doi: 10.1186/1472-6920-14-159
pubmed: 25081371
pmcid: 4128547
Jones J, Hunter D. Qualitative Research: Consensus methods for medical and health services research. BMJ. 1995;311(7001):376–80.
doi: 10.1136/bmj.311.7001.376
pubmed: 7640549
pmcid: 2550437
Mitzman J, King AM, Fastle RK, Hopson LR, Hoyle JD Jr, Levasseur KA, Mitchell MS, O’Neill JC, Pazderka PA, Perry MA, Reynolds M, Shah PG, Skarbek-Borowska S, Way DP, Stanley RM. A modified delphi study for development of a pediatric curriculum for emergency medicine residents. AEM Educ Train. 2017;1(2):140–50. https://doi.org/10.1002/aet2.10021 .
doi: 10.1002/aet2.10021
pubmed: 30051025
pmcid: 6001585
Barrett D, Heale R. What are Delphi studies? Evid Based Nurs. 2020;23(3):68–9.
doi: 10.1136/ebnurs-2020-103303
pubmed: 32430290
Brady SR. Utilizing and adapting the delphi method for use in qualitative research. Int J Qualitative Methods. 2015. https://doi.org/10.1177/1609406915621381 .
doi: 10.1177/1609406915621381
Woodcock T, Adeleke Y, Goeschel C, Pronovost P, Dixon-Woods M. A modified Delphi study to identify the features of high quality measurement plans for healthcare improvement projects. BMC Med Res Methodol. 2020;20(1):8–8.
doi: 10.1186/s12874-019-0886-6
pubmed: 31937262
pmcid: 6961316
Yeheskel A, Rawal S. Exploring the “Patient Experience” of individuals with limited english proficiency: a scoping review. J Immigr Minor Health. 2019;21(4):853–78. https://doi.org/10.1007/s10903-018-0816-4 . (PMID: 30203377).
doi: 10.1007/s10903-018-0816-4
pubmed: 30203377
Lebano A, Hamed S, Bradby H, Gil-Salmerón A, Durá-Ferrandis E, Garcés-Ferrer J, Azzedine F, Riza E, Karnaki P, Zota D, Linos A. Migrants’ and refugees’ health status and healthcare in Europe: a scoping literature review. BMC Public Health. 2020;20(1):1039. https://doi.org/10.1186/s12889-020-08749-8.PMID:32605605;PMCID:PMC7329528 .
doi: 10.1186/s12889-020-08749-8.PMID:32605605;PMCID:PMC7329528
pubmed: 32605605
pmcid: 7329528
Hawkey AJ, Ussher JM, Perz J. What do women want? Migrant and refugee women’s preferences for the delivery of sexual and reproductive healthcare and information. Ethn Health. 2022;27(8):1787–805. https://doi.org/10.1080/13557858.2021.1980772 . (Epub 2021 Sep 26 PMID: 34569377).
doi: 10.1080/13557858.2021.1980772
pubmed: 34569377
Fahme SA, Khater B, Dagher M, DeJong J, Abdulrahim S. Developing a sexual and reproductive health educational intervention for adolescent Syrian refugee girls: Challenges and lessons learned. Front Reprod Health. 2022;4: 780157. https://doi.org/10.3389/frph.2022.780157.PMID:36303636;PMCID:PMC9580768 .
doi: 10.3389/frph.2022.780157.PMID:36303636;PMCID:PMC9580768
pubmed: 36303636
pmcid: 9580768
Lyles BE, Chua S, Barham Y, Pfieffer-Mundt K, Spiegel P, Burton A, Doocy S. Improving diabetes control for Syrian refugees in Jordan: a longitudinal cohort study comparing the effects of cash transfers and health education interventions. Confl Health. 2021;15(1):41. https://doi.org/10.1186/s13031-021-00380-7.PMID:34034780;PMCID:PMC8145855 .
doi: 10.1186/s13031-021-00380-7.PMID:34034780;PMCID:PMC8145855
pubmed: 34034780
pmcid: 8145855
Ponce-Gonzalez I, Cheadle A, Aisenberg G, Cantrell LF. Improving oral health in migrant and underserved populations: evaluation of an interactive, community-based oral health education program in Washington state. BMC Oral Health. 2019;19(1):30. https://doi.org/10.1186/s12903-019-0723-7.PMID:30760255;PMCID:PMC6375135 .
doi: 10.1186/s12903-019-0723-7.PMID:30760255;PMCID:PMC6375135
pubmed: 30760255
pmcid: 6375135
Bhusari S, Ilechukwu C, Elwishahy A, Horstick O, Winkler V, Antia K. Dental caries among refugees in europe: a systematic literature review. Int J Environ Res Public Health. 2020;17(24):9510. https://doi.org/10.3390/ijerph17249510.PMID:33353039;PMCID:PMC7766449 .
doi: 10.3390/ijerph17249510.PMID:33353039;PMCID:PMC7766449
pubmed: 33353039
pmcid: 7766449
Alrashdi M, Cervantes Mendez MJ, Farokhi MR. A randomized clinical trial preventive outreach targeting dental caries and oral-health-related quality of life for refugee children. Int J Environ Res Public Health. 2021;18(4):1686. https://doi.org/10.3390/ijerph18041686.PMID:33578661;PMCID:PMC7916325 .
doi: 10.3390/ijerph18041686.PMID:33578661;PMCID:PMC7916325
pubmed: 33578661
pmcid: 7916325
Sacca L, Markham C, Fares J. Using intervention mapping to develop health education and health policy components to increase breast cancer screening and chemotherapy adherence among Syrian and Iraqi refugee women in Beirut, Lebanon. Front Public Health. 2020;8:101. https://doi.org/10.3389/fpubh.2020.00101.PMID:32351923;PMCID:PMC7174686 .
doi: 10.3389/fpubh.2020.00101.PMID:32351923;PMCID:PMC7174686
pubmed: 32351923
pmcid: 7174686
Dratsiou I, Varella A, Stathakarou N, Konstantinidis S, Bamidis P. Supporting healthcare integration of refugees exploiting reusable learning objects: The ASPIRE framework. Stud Health Technol Inform. 2021;281:565–9. https://doi.org/10.3233/SHTI210234 . (PMID: 34042639).
doi: 10.3233/SHTI210234
pubmed: 34042639