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Anastas TM, Stewart JC, Rand KL, Hirsh AT. Pain in People Experiencing Homelessness: A Scoping Review. Ann Behav Med 2023; 57:288-300. [PMID: 36745022 PMCID: PMC10094969 DOI: 10.1093/abm/kaac060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Prior work suggests that people experiencing homelessness (PEH) are at heightened risk for developing pain and have a uniquely burdensome pain experience. PURPOSE The aim of this scoping review was to map the current peer-reviewed, published literature on the pain experience of PEH. METHODS In accordance with the US Annual Homeless Assessment Report, we defined homelessness as lacking shelter or a fixed address within the last year. We conceptualized the pain experience via a modified version of the Social Communication Model of Pain, which considers patient, provider, and contextual factors. Published articles were identified with CINHAL, Embase, PubMed, PsycINFO, and Web of Science databases. RESULTS Sixty-nine studies met inclusion criteria. Studies revealed that PEH have high rates of pain and experience high levels of pain intensity and interference. Substantially fewer studies examined other factors relevant to the pain experience, such as self-management, treatment-seeking behaviors, and pain management within healthcare settings. Nonetheless, initial evidence suggests that pain is undermanaged in PEH. CONCLUSIONS Future research directions to understand pain and homelessness are discussed, including factors contributing to the under-management of pain. This scoping review may inform future work to develop interventions to address the specific pain care needs of PEH.
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Affiliation(s)
- Tracy M Anastas
- Department of Psychology, Indiana University – Purdue University Indianapolis (IUPUI), Indianapolis, IN, USA
| | - Jesse C Stewart
- Department of Psychology, Indiana University – Purdue University Indianapolis (IUPUI), Indianapolis, IN, USA
| | - Kevin L Rand
- Department of Psychology, Indiana University – Purdue University Indianapolis (IUPUI), Indianapolis, IN, USA
| | - Adam T Hirsh
- Department of Psychology, Indiana University – Purdue University Indianapolis (IUPUI), Indianapolis, IN, USA
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McGowan LJ, Joyes EC, Adams EA, Coyte A, Gavin R, Richmond C, Shabaninejad H, Beyer F, Broadbridge A, Dobson K, Landes D, Moffatt S, Watt RG, Sniehotta FF, Freeman R, Paisi M, Bambra C, Craig D, Kaner E, Ramsay SE. Investigating the Effectiveness and Acceptability of Oral Health and Related Health Behaviour Interventions in Adults with Severe and Multiple Disadvantage: Protocol for a Mixed-Methods Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:11554. [PMID: 34770066 PMCID: PMC8582803 DOI: 10.3390/ijerph182111554] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 10/27/2021] [Accepted: 10/30/2021] [Indexed: 11/17/2022]
Abstract
Increasing numbers of people in England experience homelessness, substance use, and repeated offending (known as 'severe and multiple disadvantage'; SMD). Populations experiencing SMD often have extremely poor oral health, which is closely inter-linked with high levels of substance use, smoking, and poor diet. This study aims to undertake an evidence synthesis to identify the effectiveness, resource requirements, and factors influencing the implementation and acceptability of oral health and related health behaviour interventions in adults experiencing SMD. Two systematic reviews will be conducted using mixed-methods. Review 1 will investigate the effectiveness and resource implications of oral health and related health behaviours (substance use, smoking, diet) interventions; Review 2 will investigate factors influencing the implementation of such interventions. The population includes adults (≥18 years) experiencing SMD. Standard review methods in terms of searches, screening, data extraction, and quality appraisal will be conducted. Narrative syntheses will be conducted. If feasible, a meta-analysis will be conducted for Review 1 and a thematic synthesis for Review 2. Evidence from the two reviews will then be synthesised together. Input from people with experience of SMD will be sought throughout to inform the reviews. An initial logic model will be iteratively refined during the review.
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Affiliation(s)
- Laura J. McGowan
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Emma C. Joyes
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Emma A. Adams
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Aishah Coyte
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Richard Gavin
- Northumbria Healthcare, NHS Foundation Trust, Newcastle upon Tyne NE27 0QG, UK;
| | - Catherine Richmond
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Hosein Shabaninejad
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Fiona Beyer
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Angela Broadbridge
- Fulfilling Lives Newcastle/Gateshead, Gateshead NE8 4DY, UK; (A.B.); (K.D.)
| | - Kevin Dobson
- Fulfilling Lives Newcastle/Gateshead, Gateshead NE8 4DY, UK; (A.B.); (K.D.)
| | | | - Suzanne Moffatt
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Richard G. Watt
- Department of Epidemiology and Public Health, University College London, London WC1E 7HB, UK;
| | - Falko F. Sniehotta
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Ruth Freeman
- Dental Health Services Research Unit, University of Dundee, Dundee DD1 4HN, UK;
| | - Martha Paisi
- School of Nursing and Midwifery, University of Plymouth, Plymouth PL4 8AA, UK;
| | - Clare Bambra
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Dawn Craig
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Eileen Kaner
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
| | - Sheena E. Ramsay
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (E.C.J.); (E.A.A.); (A.C.); (C.R.); (H.S.); (F.B.); (S.M.); (F.F.S.); (C.B.); (D.C.); (E.K.); (S.E.R.)
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