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Open Access 06-09-2024 | Original Paper

Interventions to Improve Health Among Refugees in the United States: A Systematic Review

Authors: Leandra Bitterfeld, Mustafa Ozkaynak, Andrea H. Denton, Cornelius A. Normeshie, Rupa S. Valdez, Noor Sharif, Priscilla A. Caldwell, Fern R. Hauck

Published in: Journal of Community Health

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Abstract

Refugees arriving to the U.S. experience a high burden of both communicable and non-communicable diseases. There is a potential to improve health outcomes for refugees through well-developed, comprehensive interventions, but the effectiveness of such interventions is poorly understood. The purpose of this review is to identify, characterize and evaluate the effectiveness of patient-level healthcare interventions for U.S. refugee populations. We conducted a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Medline via PubMed, Web of Science, Embase, and CINAHL were searched for articles that included a population of refugees of any age, included an intervention aimed at improving health, included an evaluation of the intervention’s outcomes, and were conducted in the U.S. from 2000 to 2022. Thirty-seven studies were included, and we identified three main intervention modalities: healthcare provision/management, resource provision, and education. Interventions targeted general health, infectious disease, women’s health, diet/exercise, health literacy, oral health, diabetes, family health, and substance use. The outcomes measured included knowledge, satisfaction, behavioral outcomes, and physical health markers. This review demonstrates that a few health conditions, namely tuberculosis, have been addressed with large-scale, sustained interventions. Other conditions (general health and women’s health) have been addressed through piecemeal, short-term interventions. The evaluation of interventions often focuses on knowledge or satisfaction rather than health or behavior change outcomes. Future work should focus on the best strategies for developing sustainable interventions that meet the needs of the diverse population of refugees in the U.S.
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Literature
8.
go back to reference Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Bmj, 372, n71. https://doi.org/10.1136/bmj.n71CrossRefPubMedPubMedCentral Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Bmj, 372, n71. https://​doi.​org/​10.​1136/​bmj.​n71CrossRefPubMedPubMedCentral
9.
go back to reference Uphoff, E., Robertson, L., Cabieses, B., Villalón, F. J., Purgato, M., Churchill, R., & Barbui, C. (2020). An overview of systematic reviews on mental health promotion, prevention, and treatment of common mental disorders for refugees, asylum seekers, and internally displaced persons. Cochrane Database Systematic Review, 9(9), Cd013458. https://doi.org/10.1002/14651858.CD013458.pub2CrossRef Uphoff, E., Robertson, L., Cabieses, B., Villalón, F. J., Purgato, M., Churchill, R., & Barbui, C. (2020). An overview of systematic reviews on mental health promotion, prevention, and treatment of common mental disorders for refugees, asylum seekers, and internally displaced persons. Cochrane Database Systematic Review, 9(9), Cd013458. https://​doi.​org/​10.​1002/​14651858.​CD013458.​pub2CrossRef
10.
go back to reference Hong, Q. N., Gonzalez-Reyes, A., & Pluye, P. (2018). Improving the usefulness of a tool for appraising the quality of qualitative, quantitative and mixed methods studies, the mixed methods appraisal tool (MMAT). Journal of Evaluation in Clinical Practice, 24(3), 459–467. https://doi.org/10.1111/jep.12884CrossRefPubMed Hong, Q. N., Gonzalez-Reyes, A., & Pluye, P. (2018). Improving the usefulness of a tool for appraising the quality of qualitative, quantitative and mixed methods studies, the mixed methods appraisal tool (MMAT). Journal of Evaluation in Clinical Practice, 24(3), 459–467. https://​doi.​org/​10.​1111/​jep.​12884CrossRefPubMed
11.
14.
go back to reference Carter, K. L., Gabrellas, A. D., Shah, S., & Garland, J. M. (2017). Improved latent tuberculosis therapy completion rates in refugee patients through use of a clinical pharmacist. The International Journal of Tuberculosis and Lung Disease: The Official Journal of the International Union against Tuberculosis and Lung Disease, 21(4), 432–437. https://doi.org/10.5588/ijtld.16.0575CrossRefPubMed Carter, K. L., Gabrellas, A. D., Shah, S., & Garland, J. M. (2017). Improved latent tuberculosis therapy completion rates in refugee patients through use of a clinical pharmacist. The International Journal of Tuberculosis and Lung Disease: The Official Journal of the International Union against Tuberculosis and Lung Disease, 21(4), 432–437. https://​doi.​org/​10.​5588/​ijtld.​16.​0575CrossRefPubMed
16.
go back to reference Goldberg, S. V., Wallace, J., Jackson, J. C., Chaulk, C. P., & Nolan, C. M. (2004). Cultural case management of latent tuberculosis infection. The International Journal of Tuberculosis and Lung Disease: The Official Journal of the International Union against Tuberculosis and Lung Disease, 8(1), 76–82.PubMed Goldberg, S. V., Wallace, J., Jackson, J. C., Chaulk, C. P., & Nolan, C. M. (2004). Cultural case management of latent tuberculosis infection. The International Journal of Tuberculosis and Lung Disease: The Official Journal of the International Union against Tuberculosis and Lung Disease, 8(1), 76–82.PubMed
17.
go back to reference Kowatsch-Beyer, K., Norris-Turner, A., Love, R., Denkowski, P., & Wang, S. H. (2013). Utilization of a latent tuberculosis infection referral system by newly resettled refugees in central Ohio. The International Journal of Tuberculosis and Lung Disease: The Official Journal of the International Union against Tuberculosis and Lung Disease, 17(3), 320–325. https://doi.org/10.5588/ijtld.12.0439CrossRefPubMed Kowatsch-Beyer, K., Norris-Turner, A., Love, R., Denkowski, P., & Wang, S. H. (2013). Utilization of a latent tuberculosis infection referral system by newly resettled refugees in central Ohio. The International Journal of Tuberculosis and Lung Disease: The Official Journal of the International Union against Tuberculosis and Lung Disease, 17(3), 320–325. https://​doi.​org/​10.​5588/​ijtld.​12.​0439CrossRefPubMed
19.
go back to reference Subedi, P., Drezner, K. A., Dogbey, M. C., Newbern, E. C., Yun, K., Scott, K. C., Garland, J. M., Altshuler, M. J., & Johnson, C. C. (2015). Evaluation of latent tuberculous infection and treatment completion for refugees in Philadelphia, PA, 2010–2012. The International Journal of Tuberculosis and Lung Disease: The Official Journal of the International Union against Tuberculosis and Lung Disease, 19(5), 565–569. https://doi.org/10.5588/ijtld.14.0729CrossRefPubMed Subedi, P., Drezner, K. A., Dogbey, M. C., Newbern, E. C., Yun, K., Scott, K. C., Garland, J. M., Altshuler, M. J., & Johnson, C. C. (2015). Evaluation of latent tuberculous infection and treatment completion for refugees in Philadelphia, PA, 2010–2012. The International Journal of Tuberculosis and Lung Disease: The Official Journal of the International Union against Tuberculosis and Lung Disease, 19(5), 565–569. https://​doi.​org/​10.​5588/​ijtld.​14.​0729CrossRefPubMed
20.
27.
go back to reference Ornelas, I. J., Ho, K., Jackson, J. C., Moo-Young, J., Le, A., Do, H. H., Lor, B., Magarati, M., Zhang, Y., & Taylor, V. M. (2018). Results from a pilot video intervention to increase cervical cancer screening in refugee women. Health Education & Behavior: The Official Publication of the Society for Public Health Education, 45(4), 559–568. https://doi.org/10.1177/1090198117742153CrossRef Ornelas, I. J., Ho, K., Jackson, J. C., Moo-Young, J., Le, A., Do, H. H., Lor, B., Magarati, M., Zhang, Y., & Taylor, V. M. (2018). Results from a pilot video intervention to increase cervical cancer screening in refugee women. Health Education & Behavior: The Official Publication of the Society for Public Health Education, 45(4), 559–568. https://​doi.​org/​10.​1177/​1090198117742153​CrossRef
32.
go back to reference Berkson, S. Y., Tor, S., Mollica, R., Lavelle, J., & Cosenza, C. (2014). An innovative model of culturally tailored health promotion groups for Cambodian survivors of torture. Torture: Quarterly Journal on Rehabilitation of Torture Victims and Prevention of Torture, 24(1), 1–16.PubMed Berkson, S. Y., Tor, S., Mollica, R., Lavelle, J., & Cosenza, C. (2014). An innovative model of culturally tailored health promotion groups for Cambodian survivors of torture. Torture: Quarterly Journal on Rehabilitation of Torture Victims and Prevention of Torture, 24(1), 1–16.PubMed
38.
go back to reference McElrone, M., Colby, S., Fouts, H. N., Spence, M., Kavanagh, K., Franzen-Castle, L., Olfert, M. D., Kattelmann, K. K., & White, A. A. (2020). Feasibility and acceptability of implementing a culturally adapted cooking curriculum for Burundian and Congolese refugee families. Ecology of Food and Nutrition, 59(6), 598–614. https://doi.org/10.1080/03670244.2020.1759575CrossRefPubMed McElrone, M., Colby, S., Fouts, H. N., Spence, M., Kavanagh, K., Franzen-Castle, L., Olfert, M. D., Kattelmann, K. K., & White, A. A. (2020). Feasibility and acceptability of implementing a culturally adapted cooking curriculum for Burundian and Congolese refugee families. Ecology of Food and Nutrition, 59(6), 598–614. https://​doi.​org/​10.​1080/​03670244.​2020.​1759575CrossRefPubMed
39.
go back to reference Wagner, J., Kong, S., Kuoch, T., Scully, M. F., Tan, H. K., & Bermudez-Millan, A. (2015). Patient reported outcomes of ‘eat, walk, sleep’: A cardiometabolic lifestyle program for Cambodian Americans delivered by community health workers. Journal of Health Care for the Poor and Underserved, 26(2), 441–452. https://doi.org/10.1353/hpu.2015.0029CrossRefPubMed Wagner, J., Kong, S., Kuoch, T., Scully, M. F., Tan, H. K., & Bermudez-Millan, A. (2015). Patient reported outcomes of ‘eat, walk, sleep’: A cardiometabolic lifestyle program for Cambodian Americans delivered by community health workers. Journal of Health Care for the Poor and Underserved, 26(2), 441–452. https://​doi.​org/​10.​1353/​hpu.​2015.​0029CrossRefPubMed
42.
go back to reference Alrashdi, M., Hameed, A., Cervantes Mendez, M. J., & Farokhi, M. (2021). Education intervention with respect to the oral health knowledge, attitude, and behaviors of refugee families: A randomized clinical trial of effectiveness. Journal of Public Health Dentistry, 81(2), 90–99. https://doi.org/10.1111/jphd.12415CrossRefPubMed Alrashdi, M., Hameed, A., Cervantes Mendez, M. J., & Farokhi, M. (2021). Education intervention with respect to the oral health knowledge, attitude, and behaviors of refugee families: A randomized clinical trial of effectiveness. Journal of Public Health Dentistry, 81(2), 90–99. https://​doi.​org/​10.​1111/​jphd.​12415CrossRefPubMed
46.
go back to reference Wieland, M. L., Njeru, J. W., Hanza, M. M., Boehm, D. H., Singh, D., Yawn, B. P., Patten, C. A., Clark, M. M., Weis, J. A., Osman, A., Goodson, M., Capetillo, P., Hared, M. D., Hasley, A., Guzman-Corrales, R., Sandler, L., Hernandez, R., Novotny, V., Sloan, P. J., J. A., & Sia, I. G. (2017). Pilot feasibility study of a digital storytelling intervention for immigrant and refugee adults with diabetes. The Diabetes Educator, 43(4), 349–359. https://doi.org/10.1177/0145721717713317CrossRefPubMedPubMedCentral Wieland, M. L., Njeru, J. W., Hanza, M. M., Boehm, D. H., Singh, D., Yawn, B. P., Patten, C. A., Clark, M. M., Weis, J. A., Osman, A., Goodson, M., Capetillo, P., Hared, M. D., Hasley, A., Guzman-Corrales, R., Sandler, L., Hernandez, R., Novotny, V., Sloan, P. J., J. A., & Sia, I. G. (2017). Pilot feasibility study of a digital storytelling intervention for immigrant and refugee adults with diabetes. The Diabetes Educator, 43(4), 349–359. https://​doi.​org/​10.​1177/​0145721717713317​CrossRefPubMedPubMedCentral
48.
49.
go back to reference Shi, L. L., Bradford, E., Depalo, D. E., & Chen, A. Y. (2019). Betel quid use and oral cancer in a high-risk refugee community in the USA: The effectiveness of an awareness initiative. Journal of Cancer Education: The Official Journal of the American Association for Cancer Education, 34(2), 309–314. https://doi.org/10.1007/s13187-017-1303-7CrossRefPubMed Shi, L. L., Bradford, E., Depalo, D. E., & Chen, A. Y. (2019). Betel quid use and oral cancer in a high-risk refugee community in the USA: The effectiveness of an awareness initiative. Journal of Cancer Education: The Official Journal of the American Association for Cancer Education, 34(2), 309–314. https://​doi.​org/​10.​1007/​s13187-017-1303-7CrossRefPubMed
56.
go back to reference Smock, L., Martelon, M., Metallinos-Katsaras, E., Nguyen, T., Cochran, J., & Geltman, P. L. (2020). Recovery from malnutrition among refugee children following participation in the special supplemental nutrition for women, infants, and children (WIC) program in Massachusetts, 1998–2010. Journal of Public Health Management and Practice: Jphmp, 26(1), 71–79. https://doi.org/10.1097/PHH.0000000000000995CrossRefPubMed Smock, L., Martelon, M., Metallinos-Katsaras, E., Nguyen, T., Cochran, J., & Geltman, P. L. (2020). Recovery from malnutrition among refugee children following participation in the special supplemental nutrition for women, infants, and children (WIC) program in Massachusetts, 1998–2010. Journal of Public Health Management and Practice: Jphmp, 26(1), 71–79. https://​doi.​org/​10.​1097/​PHH.​0000000000000995​CrossRefPubMed
61.
go back to reference Azizi, Z., Broadwin, C., Islam, S., Schenk, J., Din, N., Hernandez, M. F., Wang, P., Longenecker, C. T., Rodriguez, F., & Sandhu, A. T. (2024). Digital health interventions for heart failure management in underserved rural areas of the United States: A systematic review of randomized trials. Journal of the American Heart Association, 13(2), e030956. https://doi.org/10.1161/JAHA.123.030956CrossRefPubMedPubMedCentral Azizi, Z., Broadwin, C., Islam, S., Schenk, J., Din, N., Hernandez, M. F., Wang, P., Longenecker, C. T., Rodriguez, F., & Sandhu, A. T. (2024). Digital health interventions for heart failure management in underserved rural areas of the United States: A systematic review of randomized trials. Journal of the American Heart Association, 13(2), e030956. https://​doi.​org/​10.​1161/​JAHA.​123.​030956CrossRefPubMedPubMedCentral
Metadata
Title
Interventions to Improve Health Among Refugees in the United States: A Systematic Review
Authors
Leandra Bitterfeld
Mustafa Ozkaynak
Andrea H. Denton
Cornelius A. Normeshie
Rupa S. Valdez
Noor Sharif
Priscilla A. Caldwell
Fern R. Hauck
Publication date
06-09-2024
Publisher
Springer US
Published in
Journal of Community Health
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-024-01400-2