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Baskin C, Zijlstra G, McGrath M, Lee C, Duncan F, Oliver E, Osborn D, Dykxhoorn J, Kaner E, Gnani S. Community interventions improving mental health in minority ethnic adults in the UK: a scoping review. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1046] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Black, Asian and Minority Ethnic (BAME) groups in the UK are disproportionately affected by poor mental health. This scoping review sought to determine the effectiveness of community interventions designed to improve the metal health and wellbeing of adults from BAME groups in the UK.
Methods
We searched six electronic academic databases for studies published between 1990- 2019. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist and the Template for Intervention description and replication (TIDieR) guide was used for data extraction and intervention descriptions. Quality was assessed using Cochrane Risk of Bias tools. Grey literature results were deemed beyond the scope of this review; numerous (>50) small scale community interventions were found without available outcomes data.
Results
Of 4,501 studies, seven met the inclusion criteria: four randomised control trials, one pre and post pilot study, one cross sectional study and one ethnographic study. Interventions included therapy-style sessions, peer-support groups, educational materials, gym access, and a family services programme. Common components included a focus on tackling social isolation, using lay health workers from within the community, signposting, and cultural adaptation. Only three studies reported a statistically significant positive outcome on mental health and six were appraised as having a high risk of bias. Knowledge gaps emerged around effective interventions for men, some BAME groups, and tackling the wider determinants of mental health.
Conclusions
There is a paucity of high-quality evidence on community interventions focussed on improving public mental health among BAME groups. Decision makers need scientific evidence to inform effective approaches to mitigating health disparities. Our next steps are to map promising community activities and interventions that are currently being provided to help identify emerging evidence.
Key messages
Evidence is limited and weak on community interventions that reduce mental health burden among minority ethnic people. Evaluation of promising interventions at scale can close the evidence gap.
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Affiliation(s)
- C Baskin
- Department of Primary Care and Public Health, Imperial College London, London, UK
| | - G Zijlstra
- Department of Primary Care and Public Health, Imperial College London, London, UK
| | - M McGrath
- Division of Psychiatry, UCL, London, UK
| | - C Lee
- Institute of Health and Society, Newcastle University, Newcastle, UK
| | - F Duncan
- Department of Sport and Exercise Sciences, Durham University, Durham, UK
| | - E Oliver
- Department of Sport and Exercise Sciences, Durham University, Durham, UK
| | - D Osborn
- Division of Psychiatry, UCL, London, UK
| | - J Dykxhoorn
- Division of Psychiatry, UCL, London, UK
- Department of Primary Care and Population Health, UCL, London, UK
| | - E Kaner
- Institute of Health and Society, Newcastle University, Newcastle, UK
| | - S Gnani
- Department of Primary Care and Public Health, Imperial College London, London, UK
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Kempen G, Zijlstra G. REDUCING FEAR OF FALLING: FROM DEVELOPMENT TO NATIONWIDE IMPLEMENTATION OF A SUCCESSFUL APPROACH. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.5111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- G. Kempen
- Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, Netherlands, Maastricht, Netherlands
| | - G. Zijlstra
- Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, Netherlands, Maastricht, Netherlands
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Metzelthin S, Zijlstra G, de Man-van Ginkel J, van Rossum E, Kempen G. DOING WITH… RATHER THAN DOING FOR… OLDER ADULTS: THE STAY ACTIVE AT HOME PROGRAM. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S. Metzelthin
- Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands,
| | - G. Zijlstra
- Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands,
| | - J. de Man-van Ginkel
- Nursing Science Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands,
| | - E. van Rossum
- Research Centre for Community Care, Faculty of Health, Zuyd University of Applied Sciences, Heerlen, Netherlands
- Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands,
| | - G. Kempen
- Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands,
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Zijlstra G, Smits D, Salden N, Hoek L. EVALUATION OF A PROGRAM TO IMPROVE SOCIAL RELATIONS BETWEEN NURSING HOME STAFF AND INFORMAL CARERS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- G. Zijlstra
- Department of Health Services Research, CAPHRI Care And Public Health Research Institute, Maastricht University, Maastricht, Netherlands,
| | - D. Smits
- Vivantes Ouderenzorg (Care for the Elderly), Geleen, Netherlands
| | - N. Salden
- Vivantes Ouderenzorg (Care for the Elderly), Geleen, Netherlands
| | - L. Hoek
- Department of Health Services Research, CAPHRI Care And Public Health Research Institute, Maastricht University, Maastricht, Netherlands,
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Schols J, Zijlstra G, Stuck A. DETECTING FRAIL OLDER PEOPLE: A VARIETY OF DOMAINS AND WHY WE SHOULD NOT FOCUS MERELY ON DEFICITS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J. Schols
- Maastricht University, Maastricht, Netherlands
| | | | - A.E. Stuck
- Department of Geriatrics, University Hospital, University of Bern, Bern, Switzerland
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van der Vorst A, Zijlstra G, De Witte N, Kempen G, Schols J. BALANCING FACTORS IN COMMUNITY-DWELLING PEOPLE AGE 60 YEARS AND OVER. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A. van der Vorst
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, Netherlands,
| | - G. Zijlstra
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, Netherlands,
| | - N. De Witte
- Faculty of Education, Health and Social Work, University College Ghent, Ghent, Belgium,
- Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Brussels, Belgium,
| | - G. Kempen
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, Netherlands,
| | - J. Schols
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, Netherlands,
- Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, Netherlands
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van der Vorst A, Zijlstra G, De Witte N, Schols J, Kempen G. DEVELOPING AN INSTRUMENT TO MEASURE FRAILTY BALANCE IN COMMUNITY-DWELLING OLDER PEOPLE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A. van der Vorst
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht, Netherlands,
| | - G. Zijlstra
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht, Netherlands,
| | - N. De Witte
- Faculty of Education, Health and Social Work, University College Ghent, Ghent, Belgium,
- Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Brussels, Belgium,
| | - J. Schols
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht, Netherlands,
- Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht, Netherlands
| | - G. Kempen
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht, Netherlands,
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Zijlstra G, Hauer K, Lach H. BRIDGING INTERNATIONAL RESEARCH ON FEAR OF FALLING: NEW FINDINGS FOR PRACTICE AND POLICY. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.5110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - K. Hauer
- AGAPLESION Bethanien Hospital, Geriatric Center at the University of Heidelberg, Heidelberg, Germany
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Vogel R, Woiwod M, Zijlstra G. OLDER ADULTS’ PREFERENCES REGARDING BEHAVIOUR CHANGE TECHNIQUES IN A FEAR OF FALLING PROGRAM. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.5112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- R. Vogel
- Department of Health Services Research, CAPHRI Care And Public Health Research Institute, Maastricht University, Maastricht, Netherlands
| | - M. Woiwod
- Department of Health Services Research, CAPHRI Care And Public Health Research Institute, Maastricht University, Maastricht, Netherlands
| | - G. Zijlstra
- Department of Health Services Research, CAPHRI Care And Public Health Research Institute, Maastricht University, Maastricht, Netherlands
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Pol L, Zijlstra G, Thalen M, Tramper J. Effect of serum concentration on production of monoclonal antibodies and on shear sensitivity of a hybridoma. ACTA ACUST UNITED AC 1990. [DOI: 10.1007/bf00369373] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Abstract
The purpose of this multicenter study was to review the results of treatment and identify complications in edentulous patients who were treated with the transmandibular implant. A total of 190 patients were treated in four university departments. These patients presented for treatment with mandibular bone heights that ranged from 4 to 18 mm (mean, 10 mm). After postoperative periods that ranged from 3 months to 5 years, 182 of the 190 implants (95.8%) were stable and functional. Three implants were removed due to perioperative fractures in mandibles with 4 to 6 mm of bone height. Five were removed due to infection which occurred within the first 3 months after surgery. Reversible complications that developed in 22.2% of the patients were treated successfully. The 182 implants in function demonstrated no mobility and no infrabony pockets around any of the transmucosal posts. The results of this study demonstrate that the transmandibular implant has acceptable predictability and reliability for reconstruction of patients with severe atrophy of the mandibular alveolar process.
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Affiliation(s)
- B Maxson
- Department of Oral Medicine/Pathology/Surgery, University of Michigan School of Dentistry, Ann Arbor 48109-1078
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Abstract
In almost any method of sialography the results depend on a sign given by the patient. In order to eliminate this very uncertain factor or to limit its effect, a procedure was established to determine the pressure in the gland after the injection of contrast medium, as well as the injection pressure during injection. The difference between injection pressure and gland pressure was minimized through the use of special cannulas. A special syringe was used. Pressure was recorded by a membrane transducer connected to electronic equipment. It appears that the pressures are below or about the same as the diastolic blood pressure. Pressure values do not correlate with the volumes injected. The standard deviation of the pressure is too large to make entirely superfluous the sign given by the patient; nevertheless, the method improves the quality and reliability of sialogram readings and extends the field of application to patients unable to give reliable subjective information.
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