For information
Paul

Paul Bywaters
Professor of Social Work,
Child and Family Research,
CTEHR, Richard Crossman Building,
Faculty of Health and Life Sciences,
Coventry University,
Priory Street, Coventry CV1 5FB
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To join the Child Welfare Inequalities Network go to www.jiscmail.ac.uk and search for ChildWelfareInequalities or email me directly.



________________________________________
From: Contacts and Members of SW and Health Inequalities Network <[log in to unmask]> on behalf of Duncombe, Rohena <[log in to unmask]>
Sent: 26 February 2017 23:06
To: [log in to unmask]
Subject: FW: [SDOH] Family-centred interventions for Indigenous childhood wellbeing in Australia, Canada, New Zealand and the United States: a systematic scoping review.

For your consideration:
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of Payman Salamati
Sent: Sunday, 26 February 2017 11:47 PM
To: [log in to unmask]
Subject: [SDOH] Family-centred interventions by primary healthcare services for Indigenous early childhood wellbeing in Australia, Canada, New Zealand and the United States: a systematic scoping review.

Dear colleagues

https://www.ncbi.nlm.nih.gov/pubmed/28222689


Abstract
BACKGROUND:
Primary healthcare services in Australia, Canada, New Zealand and the United States have embraced the concept of family-centred care as a promising approach to supporting and caring for the health of young Indigenous children and their families. This scoping review assesses the quality of the evidence base and identifies the published literature on family- centred interventions for Indigenous early childhood wellbeing.
METHODS:
Fourteen electronic databases, grey literature sources and the reference lists of Indigenous maternal and child health reviews were searched to identify relevant publications from 2000 to 2015. Studies were included if the intervention was: 1) focussed on Indigenous children aged from conception to 5 years from the abovementioned countries; 2) led by a primary healthcare service; 3) described or evaluated; and 4) scored greater than 50% against a validated scale for family-centredness. The study characteristics were extracted and quality rated. Reported aims, strategies, enablers and outcomes of family-centredcare were identified using grounded theory methods.
RESULTS:
Eighteen studies (reported in 25 publications) were included. Three were randomised controlled studies; most were qualitative and exploratory in design. More than half of the publications were published from 2012 to 2015. The overarching aim of interventions was to promote healthy families. Six key strategies were to: support family behaviours and self- care, increase maternal knowledge, strengthen links with the clinic, build the Indigenous workforce, promote cultural/ community connectedness and advocate for social determinants of health. Four enablers were: competent and compassionate program deliverers, flexibility of access, continuity and integration of healthcare, and culturally supportive care. Health outcomes were reported for Indigenous children (nutritional status; emotional/behavioural; and prevention of injury and illness); parents/caregivers (depression and substance abuse; and parenting knowledge, confidence and skills); health services (satisfaction; access, utilization and cost) and community/cultural revitalisation.
DISCUSSION AND CONCLUSION:
The evidence for family-centred interventions is in the early stages of development, but suggests promise for generating diverse healthcare outcomes for Indigenous children and their parents/caregivers, as well as satisfaction with and utilisation of healthcare, and community/cultural revitalisation. Further research pertaining to the role of fathers in family-centred care, and the effects and costs of interventions is needed.

Regards

Payman Salamati, MD, MPH,
Professor of Social Medicine,
Tehran University of Medical Sciences, Tehran, Iran.
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Rohena Duncombe
School of Humanities and Social Science
Charles Sturt University (Mon-Wed)

+61 2 6685 5867
+61 434 493 577

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I acknowledge the Bundjalung people as traditional owners of the land on which I work and live.