Interventions to promote the health and well-being of children under 5s experiencing homelessness in high-income countries: a scoping review

Objectives Homelessness among families with children under 5 residing in temporary accommodation is a growing global concern, especially in high-income countries (HICs). Despite significant impacts on health and development, these ‘invisible’ children often fall through the gaps in policy and servic...

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Main Authors: Monica Lakhanpaul, Kaushik Sarkar, Priti Parikh, Raghu Raghavan, Matthew Ankers, Nadia Svirydzenka, Yanxin Tu, Zoe Palfreyman, Yvonne Karen Parry
Format: Article
Language:English
Published: BMJ Publishing Group 2024-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/1/e076492.full
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author Monica Lakhanpaul
Kaushik Sarkar
Priti Parikh
Raghu Raghavan
Matthew Ankers
Nadia Svirydzenka
Yanxin Tu
Zoe Palfreyman
Yvonne Karen Parry
author_facet Monica Lakhanpaul
Kaushik Sarkar
Priti Parikh
Raghu Raghavan
Matthew Ankers
Nadia Svirydzenka
Yanxin Tu
Zoe Palfreyman
Yvonne Karen Parry
author_sort Monica Lakhanpaul
collection DOAJ
description Objectives Homelessness among families with children under 5 residing in temporary accommodation is a growing global concern, especially in high-income countries (HICs). Despite significant impacts on health and development, these ‘invisible’ children often fall through the gaps in policy and services. The study’s primary objective is to map the content and delivery methods of culturally sensitive interventions for children under 5 experiencing homelessness in HICs.Design A scoping review guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.Data sources Databases include PubMed, Medline, SCOPUS, The Cochrane Library and Google Scholar were searched up to 24 March 2022.Eligibility criteria This scoping review includes studies that describe, measure or evaluate intervention strategies aimed at improving child health programmes, specifically those yielding positive outcomes in key areas like feeding, nutrition, care practices and parenting.Data extraction and synthesis Articles were selected and evaluated by two independent reviewers, with a dispute resolution system involving a third reviewer for contested selections. The methodological quality of the studies was assessed using various tools including the Risk of Bias (RoB) tool, Cochrane RoB V.2.0, the Risk of Bias Assessment Tool for Non-randomized Studies (RoBANS) and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE), each selected according to the type of article.Results The database search yielded 951 results. After deduplication, abstract screening and full review, 13 articles met the inclusion criteria. Two predominant categories of intervention delivery methods were identified in this research: group-based interventions (educational sessions) and individual-based interventions (home visits).Conclusion This review highlights effective interventions for promoting the health and well-being of children under 5 experiencing homelessness, including educational sessions and home visits. Research has supported the importance of home visiting to be instrumental in breaking down language, cultural and health literacy barriers.
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spelling doaj.art-e54398b3c967464caefd57f12b864bc92025-02-13T18:50:12ZengBMJ Publishing GroupBMJ Open2044-60552024-01-0114110.1136/bmjopen-2023-076492Interventions to promote the health and well-being of children under 5s experiencing homelessness in high-income countries: a scoping reviewMonica Lakhanpaul0Kaushik Sarkar1Priti Parikh2Raghu Raghavan3Matthew Ankers4Nadia Svirydzenka5Yanxin Tu6Zoe Palfreyman7Yvonne Karen Parry8University College London Population Policy and Practice Research and Teaching Department, London, UKAceso Global Health Consultants Limited, London, UKThe Bartlett School of Sustainable Construction, University College London, London, UKResearch and Innovation in Social Science, De Montfort University, Leicester, UKCollege of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, AustraliaSchool of Applied Social Sciences, De Montfort University Faculty of Health and Life Sciences, Leicester, UKPopulation, Policy and Practice Research and Teaching Department, University College London Great Ormond Street Institute of Child Health, London, UKSchool of Applied Social Sciences, De Montfort University Faculty of Health and Life Sciences, Leicester, UKCollege of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, AustraliaObjectives Homelessness among families with children under 5 residing in temporary accommodation is a growing global concern, especially in high-income countries (HICs). Despite significant impacts on health and development, these ‘invisible’ children often fall through the gaps in policy and services. The study’s primary objective is to map the content and delivery methods of culturally sensitive interventions for children under 5 experiencing homelessness in HICs.Design A scoping review guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.Data sources Databases include PubMed, Medline, SCOPUS, The Cochrane Library and Google Scholar were searched up to 24 March 2022.Eligibility criteria This scoping review includes studies that describe, measure or evaluate intervention strategies aimed at improving child health programmes, specifically those yielding positive outcomes in key areas like feeding, nutrition, care practices and parenting.Data extraction and synthesis Articles were selected and evaluated by two independent reviewers, with a dispute resolution system involving a third reviewer for contested selections. The methodological quality of the studies was assessed using various tools including the Risk of Bias (RoB) tool, Cochrane RoB V.2.0, the Risk of Bias Assessment Tool for Non-randomized Studies (RoBANS) and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE), each selected according to the type of article.Results The database search yielded 951 results. After deduplication, abstract screening and full review, 13 articles met the inclusion criteria. Two predominant categories of intervention delivery methods were identified in this research: group-based interventions (educational sessions) and individual-based interventions (home visits).Conclusion This review highlights effective interventions for promoting the health and well-being of children under 5 experiencing homelessness, including educational sessions and home visits. Research has supported the importance of home visiting to be instrumental in breaking down language, cultural and health literacy barriers.https://bmjopen.bmj.com/content/14/1/e076492.full
spellingShingle Monica Lakhanpaul
Kaushik Sarkar
Priti Parikh
Raghu Raghavan
Matthew Ankers
Nadia Svirydzenka
Yanxin Tu
Zoe Palfreyman
Yvonne Karen Parry
Interventions to promote the health and well-being of children under 5s experiencing homelessness in high-income countries: a scoping review
BMJ Open
title Interventions to promote the health and well-being of children under 5s experiencing homelessness in high-income countries: a scoping review
title_full Interventions to promote the health and well-being of children under 5s experiencing homelessness in high-income countries: a scoping review
title_fullStr Interventions to promote the health and well-being of children under 5s experiencing homelessness in high-income countries: a scoping review
title_full_unstemmed Interventions to promote the health and well-being of children under 5s experiencing homelessness in high-income countries: a scoping review
title_short Interventions to promote the health and well-being of children under 5s experiencing homelessness in high-income countries: a scoping review
title_sort interventions to promote the health and well being of children under 5s experiencing homelessness in high income countries a scoping review
url https://bmjopen.bmj.com/content/14/1/e076492.full
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