University of Sydney, Sydney, New South Wales, Australia.
Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Health Serv Res. 2021 Dec;56(6):1114-1125. doi: 10.1111/1475-6773.13653. Epub 2021 Mar 22.
To assess the outcomes reported and measured in evaluations of complex health interventions in Indigenous communities.
We searched all publications indexed in MEDLINE, PreMEDLINE, EMBASE, PsycINFO, EconLit, and CINAHL until January 2020 and reference lists from included papers were hand-searched for additional articles.
Systematic review.
DATA COLLECTION/EXTRACTION METHODS: We included all primary studies, published in peer-reviewed journals, where the main objective was to evaluate a complex health intervention developed specifically for an Indigenous community residing in a high-income country. Only studies published in English were included. Quantitative and qualitative data were extracted and summarized.
Of the 3523 publications retrieved, 62 evaluation studies were included from Australia, the United States, Canada, and New Zealand. Most studies involved less than 100 participants and were mainly adults. We identified outcomes across 13 domains: clinical, behavioral, process-related, economic, quality of life, knowledge/awareness, social, empowerment, access, environmental, attitude, trust, and community. Evaluations using quantitative methods primarily measured outcomes from the clinical and behavioral domains, while the outcomes reported in the qualitative studies were mostly from the process-related and empowerment domains.
The outcomes from qualitative evaluations, which better reflect the impact of the intervention on participant health, remain different from the outcomes routinely measured in quantitative evaluations. Measuring the outcomes from qualitative evaluations alongside outcomes from quantitative evaluations could result in more relevant evaluations to inform decision making in Indigenous health.
评估针对高收入国家原住民社区制定的复杂卫生干预措施评估报告中所报告和测量的结果。
我们检索了 MEDLINE、PreMEDLINE、EMBASE、PsycINFO、EconLit 和 CINAHL 中所有索引的出版物，并对纳入文献的参考文献进行了手工检索，以查找其他文章。
系统评价。
资料收集/提取方法：我们纳入了所有主要目标为评估专门针对高收入国家原住民社区制定的复杂卫生干预措施的同行评审期刊中的原始研究。仅纳入发表英文的研究。提取并总结定量和定性数据。
在检索到的 3523 篇文献中，有 62 项评估研究来自澳大利亚、美国、加拿大和新西兰。大多数研究涉及的参与者少于 100 人，主要是成年人。我们在 13 个领域确定了结果：临床、行为、与过程相关、经济、生活质量、知识/意识、社会、赋权、获取、环境、态度、信任和社区。使用定量方法进行评估主要测量临床和行为领域的结果，而定性研究报告的结果主要来自与过程相关和赋权领域。
定性评估的结果更能反映干预对参与者健康的影响，与定量评估中常规测量的结果不同。同时测量定性评估和定量评估的结果可以使评估更具针对性，为原住民健康决策提供信息。
