A systematic review of effective local, community or peer-delivered interventions to improve well-being and employment in regional, rural and remote areas of Australia

IF 1.9 4区 医学 Q2 NURSING Australian Journal of Rural Health Pub Date : 2024-03-27 DOI:10.1111/ajr.13113
Jennifer Luke PhD, Cristy Bartlett PhD, Sonja March PhD, Peter McIlveen PhD
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Abstract

Objective

To systematically review evaluated local, community or peer-delivered well-being and employment interventions delivered within regional, rural and remote Australia.

Design

Searches within nine databases retrieved peer-reviewed and grey literature from an initial pool of 3186 papers published between 2012 and 2022. PRISMA guidelines were adhered to, and the Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of the well-being or employment (or both) articles.

Findings

A total of 19 items met the inclusion criteria, which included two quantitative, 12 qualitative and five mixed-methods evaluations. Intervention cohorts included Indigenous Australians, youth, older people, workers and the general community. The average methodological rating was 83%. The overall level of evidence for the interventions was low due to mostly descriptive studies.

Discussion

Interventions that appeared effective in improving well-being tended to focus on addressing social connectedness and self-determination. Unexpected employment outcomes were evident across many of the studies, which highlighted the reciprocity between well-being and employment.

Conclusion

This review highlights promising interventions for improving well-being by focusing on social connectedness and self-determination. Further empirical evidence is encouraged to explore the reciprocal relationship between well-being and employment, emphasising the significance of social connectedness and self-determination in this context.

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对有效的地方、社区或同伴干预措施进行系统审查,以改善澳大利亚地区、农村和偏远地区的福利和就业状况。
目的对澳大利亚地区、农村和偏远地区的地方、社区或同伴提供的福利和就业干预措施进行系统回顾:设计:在九个数据库中进行检索,从 2012 年至 2022 年间发表的 3186 篇论文中初步筛选出经同行评审的文献和灰色文献。研究遵循PRISMA指南,并使用混合方法评估工具(MMAT)评估福利或就业(或两者)文章的质量:共有 19 项符合纳入标准,其中包括 2 项定量评估、12 项定性评估和 5 项混合方法评估。干预人群包括澳大利亚土著居民、青少年、老年人、工人和普通社区。平均方法评级为 83%。由于大多是描述性研究,干预措施的总体证据水平较低:讨论:看来能有效改善幸福感的干预措施往往侧重于解决社会联系和自决问题。在许多研究中都出现了意想不到的就业结果,这凸显了幸福感与就业之间的互惠关系:本综述强调了通过关注社会联系和自我决定来改善幸福感的有前途的干预措施。我们鼓励进一步的实证研究来探索幸福感与就业之间的相互关系,强调社会联系和自我决定在这方面的重要性。
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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