Silva Patricia, Pereira Henrique
Department of Psychology and Education, Faculty of Social and Human Sciences, University of Beira Interior, Pólo IV, 6200-209 Covilhã, Portugal.
Research Centre in Sports Sciences, Health Sciences and Human Development (CIDESD), 5001-801 Vila Real, Portugal.
Behav Sci (Basel). 2023 Jul 12;13(7):579. doi: 10.3390/bs13070579.
This systematic review (SLR), based on the PRISMA 2020 guidelines, aims to present a current overview of interventions aimed at promoting the psychosocial well-being and/or empowerment (PWE) of immigrant women in order to guide future projects. Data collection was performed in the SCOPUS and Web of Science databases, with studies published between 2012 and 20 March 2023 in English, Portuguese, and Spanish. Inclusion and exclusion criteria were based on the PICO guidelines: (P) immigrant women, (I) interventions to improve PWE, (C) comparison between the initial and final phases, and (O) evaluated results for PWE. Risk of bias was assessed, and most of the studies met more than 80% of the JBI bias criteria and had moderate quality on GRADE. Thirteen studies with 585 participants were included, mostly non-randomized, non-equivalent, and with an experimental-control group design. The main components of interventions were health education/psychoeducation, counseling, cognitive restructuring, and expressive therapies. A descriptive synthesis of qualitative and quantitative data was made to evaluate the results of the interventions in PWE. In the experimental studies, results assessed improvements mainly in mood and depression levels, and stress reduction. Empowerment components were less covered. Experimental groups performed better in almost all variables in the comparison with control groups. The strongest interventions were psychoeducation and cognitive restructuring techniques. The main limitations of the studies were the lack of quality of several studies, sample size and representativeness, language, and the possibility of response bias. Even taking this into account, this article makes an original contribution by advocating for evidence-based practice and offering significant implications for health professionals, policy makers, and researchers that work with the integrative health of immigrant women. This SLR is registered in PROPESRO Registration: CRD42023399683. PS is a research fellow of the Foundation for Science and Technology (FCT) of Portugal.
本系统评价（SLR）基于PRISMA 2020指南，旨在呈现当前针对促进移民妇女心理社会福祉和/或赋权（PWE）的干预措施概述，以指导未来项目。数据收集在SCOPUS和科学网数据库中进行，纳入2012年至2023年3月20日期间以英文、葡萄牙文和西班牙文发表的研究。纳入和排除标准基于PICO指南：（P）移民妇女，（I）改善PWE的干预措施，（C）初始阶段与最终阶段的比较，以及（O）PWE的评估结果。评估了偏倚风险，大多数研究符合超过80%的JBI偏倚标准，在GRADE上质量中等。纳入了13项研究，共585名参与者，大多为非随机、非等效且采用实验对照组设计。干预措施的主要组成部分是健康教育/心理教育、咨询、认知重构和表达性疗法。对定性和定量数据进行了描述性综合分析，以评估干预措施对PWE的效果。在实验研究中，结果主要评估了情绪和抑郁水平的改善以及压力减轻情况。赋权部分的涵盖较少。与对照组相比，实验组在几乎所有变量上表现更好。最强有力的干预措施是心理教育和认知重构技术。研究的主要局限性在于多项研究质量欠佳、样本量和代表性、语言以及存在应答偏倚的可能性。即便考虑到这些因素，本文通过倡导循证实践并为致力于移民妇女综合健康的卫生专业人员、政策制定者和研究人员提供重要启示，做出了原创性贡献。本SLR已在PROSPERO注册：CRD42023399683。PS是葡萄牙科学技术基金会（FCT）的研究员。
