Engaging under- and/or never-engaged populations in health services: A systematic review

Patient engagement is a mechanism used to facilitate person-centred care, however, has not been realized in all patient populations. Often, many marginalized populations still remain under- and/or never-engaged. The purpose of this systematic review was to: 1) identify methods or interventions that...

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Autores principales:	Lesley Moody, Erica Bridge, Vidhi Thakkar, Naomi Peek, Tanvi Patel, Suman Dhanju, Simron Singh
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2019
Materias:	patient-centred care patient and family engagement health equity patient participation health services research systematic review Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/d20ad9a99b684a08b0e29cfa58d972b2
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spelling	oai:doaj.org-article:d20ad9a99b684a08b0e29cfa58d972b22021-11-15T04:28:53ZEngaging under- and/or never-engaged populations in health services: A systematic review2372-0247https://doaj.org/article/d20ad9a99b684a08b0e29cfa58d972b22019-11-01T00:00:00Zhttps://pxjournal.org/journal/vol6/iss3/4https://doaj.org/toc/2372-0247Patient engagement is a mechanism used to facilitate person-centred care, however, has not been realized in all patient populations. Often, many marginalized populations still remain under- and/or never-engaged. The purpose of this systematic review was to: 1) identify methods or interventions that have been used to engage under- and/or never-engaged populations in health services and 2) identify outcomes that are associated with engaging under- and/or never-engaged populations in health services. A comprehensive search using the Ovid MEDLINE, EMBASE and CINAHL databases was conducted to examine literature between January 2002 and January 2015. Twenty-nine studies met the inclusion criteria. Data was extracted from these studies and findings are synthesized based on discrete themes that map to the research objectives. The majority of studies were quantitative, repeated-measures designs and concentrated in the United States. Hispanic and Latino/a populations were most frequently included in these studies. The main methods of recruitment included: 1) referral from a healthcare provider, 2) patient self-referral after seeing advertisements on mass media or targeted media, 3) directly approached by researcher in-person or telephone, and 4) administrative databases. Interventions occurred primarily at the individual-level, however some system-level interventions were identified. Five main outcomes resulted from the interventions, including: 1) behavioural change, 2) physiological, 3) psychosocial, 4) system and 5) process. Finally, culture-specific components were embedded in the interventions, both as surface and deep structures. This study provides future direction for patient engagement related projects, as it relates to under-and never-engaged population in healthcare. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>Lesley MoodyErica BridgeVidhi ThakkarNaomi PeekTanvi PatelSuman DhanjuSimron SinghThe Beryl Institutearticlepatient-centred carepatient and family engagementhealth equitypatient participationhealth services researchsystematic reviewMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient-centred care patient and family engagement health equity patient participation health services research systematic review Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient-centred care patient and family engagement health equity patient participation health services research systematic review Medicine (General) R5-920 Public aspects of medicine RA1-1270 Lesley Moody Erica Bridge Vidhi Thakkar Naomi Peek Tanvi Patel Suman Dhanju Simron Singh Engaging under- and/or never-engaged populations in health services: A systematic review
description	Patient engagement is a mechanism used to facilitate person-centred care, however, has not been realized in all patient populations. Often, many marginalized populations still remain under- and/or never-engaged. The purpose of this systematic review was to: 1) identify methods or interventions that have been used to engage under- and/or never-engaged populations in health services and 2) identify outcomes that are associated with engaging under- and/or never-engaged populations in health services. A comprehensive search using the Ovid MEDLINE, EMBASE and CINAHL databases was conducted to examine literature between January 2002 and January 2015. Twenty-nine studies met the inclusion criteria. Data was extracted from these studies and findings are synthesized based on discrete themes that map to the research objectives. The majority of studies were quantitative, repeated-measures designs and concentrated in the United States. Hispanic and Latino/a populations were most frequently included in these studies. The main methods of recruitment included: 1) referral from a healthcare provider, 2) patient self-referral after seeing advertisements on mass media or targeted media, 3) directly approached by researcher in-person or telephone, and 4) administrative databases. Interventions occurred primarily at the individual-level, however some system-level interventions were identified. Five main outcomes resulted from the interventions, including: 1) behavioural change, 2) physiological, 3) psychosocial, 4) system and 5) process. Finally, culture-specific components were embedded in the interventions, both as surface and deep structures. This study provides future direction for patient engagement related projects, as it relates to under-and never-engaged population in healthcare. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>
format	article
author	Lesley Moody Erica Bridge Vidhi Thakkar Naomi Peek Tanvi Patel Suman Dhanju Simron Singh
author_facet	Lesley Moody Erica Bridge Vidhi Thakkar Naomi Peek Tanvi Patel Suman Dhanju Simron Singh
author_sort	Lesley Moody
title	Engaging under- and/or never-engaged populations in health services: A systematic review
title_short	Engaging under- and/or never-engaged populations in health services: A systematic review
title_full	Engaging under- and/or never-engaged populations in health services: A systematic review
title_fullStr	Engaging under- and/or never-engaged populations in health services: A systematic review
title_full_unstemmed	Engaging under- and/or never-engaged populations in health services: A systematic review
title_sort	engaging under- and/or never-engaged populations in health services: a systematic review
publisher	The Beryl Institute
publishDate	2019
url	https://doaj.org/article/d20ad9a99b684a08b0e29cfa58d972b2
work_keys_str_mv	AT lesleymoody engagingunderandorneverengagedpopulationsinhealthservicesasystematicreview AT ericabridge engagingunderandorneverengagedpopulationsinhealthservicesasystematicreview AT vidhithakkar engagingunderandorneverengagedpopulationsinhealthservicesasystematicreview AT naomipeek engagingunderandorneverengagedpopulationsinhealthservicesasystematicreview AT tanvipatel engagingunderandorneverengagedpopulationsinhealthservicesasystematicreview AT sumandhanju engagingunderandorneverengagedpopulationsinhealthservicesasystematicreview AT simronsingh engagingunderandorneverengagedpopulationsinhealthservicesasystematicreview
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Engaging under- and/or never-engaged populations in health services: A systematic review

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