Improving Health of Persons With Disabilities Living in Poverty: A Scoping Review

M. Bhattarai, S. Smedema
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Abstract

The objective of this scoping review was to identify and synthesize the literature on interventions for improving the health outcomes of people with disabilities living in poverty. This scoping review was guided by the framework proposed by Arksey and O’Malley (2005), which included identifying the research question, selecting studies, charting and collating data, and summarizing and reporting the results. The electronic databases Cumulative Index to Nursing and Allied Health Literature, PsychInfo, PubMed, ERIC, and Social Science Abstracts were searched to locate the relevant studies. Interventions for improving the health conditions or outcomes of economically disadvantaged and underserved people with disabilities were analyzed and synthesized. Seventeen studies published between 2000 and 2022 met the inclusion criteria. The selected studies were heterogeneous in terms of participant characteristics, interventions, and health outcomes. The results demonstrated that a wide array of intervention strategies could be utilized to improve various health-related outcomes among people with chronic illnesses and disabilities living in poverty. The review highlighted the effectiveness of various interventions; however, given the disparate nature of the research and interventions identified in this review, more work needs to be done in developing and testing interventions to improve health outcomes for people with disabilities living in poverty. The implications for practice and future research are discussed.
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改善贫困残疾人的健康:范围审查
本次范围审查的目的是确定和综合有关改善生活贫困的残疾人健康结果的干预措施的文献。这次范围审查是由Arksey和O 'Malley(2005)提出的框架指导的,包括确定研究问题,选择研究,绘制和整理数据,总结和报告结果。检索电子数据库《护理与相关健康文献累积索引》、《心理医学》、《PubMed》、《ERIC》和《社会科学文摘》等,查找相关研究。对改善经济上处于不利地位和服务不足的残疾人的健康状况或结果的干预措施进行了分析和综合。2000年至2022年间发表的17项研究符合纳入标准。所选的研究在参与者特征、干预措施和健康结果方面存在异质性。结果表明,可以利用一系列广泛的干预策略来改善生活在贫困中的慢性病患者和残疾人的各种健康相关结果。审查强调了各种干预措施的有效性;然而,鉴于本综述中确定的研究和干预措施的不同性质,在制定和测试干预措施以改善生活贫困的残疾人的健康结果方面需要做更多的工作。最后讨论了对实践和未来研究的启示。
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