Future Drought Fund Hub (Research), University of Southern Queensland, Springfield, Queensland, Australia.
School of Education, University of Southern Queensland, Toowoomba, Queensland, Australia.
Aust J Rural Health. 2024 Jun;32(3):433-454. doi: 10.1111/ajr.13113. Epub 2024 Mar 27.
To systematically review evaluated local, community or peer-delivered well-being and employment interventions delivered within regional, rural and remote Australia.
Searches within nine databases retrieved peer-reviewed and grey literature from an initial pool of 3186 papers published between 2012 and 2022. PRISMA guidelines were adhered to, and the Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of the well-being or employment (or both) articles.
A total of 19 items met the inclusion criteria, which included two quantitative, 12 qualitative and five mixed-methods evaluations. Intervention cohorts included Indigenous Australians, youth, older people, workers and the general community. The average methodological rating was 83%. The overall level of evidence for the interventions was low due to mostly descriptive studies.
Interventions that appeared effective in improving well-being tended to focus on addressing social connectedness and self-determination. Unexpected employment outcomes were evident across many of the studies, which highlighted the reciprocity between well-being and employment.
This review highlights promising interventions for improving well-being by focusing on social connectedness and self-determination. Further empirical evidence is encouraged to explore the reciprocal relationship between well-being and employment, emphasising the significance of social connectedness and self-determination in this context.
系统评价在澳大利亚地区、农村和偏远地区实施的由当地、社区或同行提供的幸福感和就业干预措施。
在九个数据库中进行搜索，从 2012 年至 2022 年发表的最初 3186 篇论文中检索到同行评审和灰色文献。遵守 PRISMA 指南，并使用混合方法评估工具（MMAT）评估幸福感或就业（或两者）文章的质量。
共有 19 项符合纳入标准，其中包括两项定量研究、12 项定性研究和五项混合方法评估。干预组包括澳大利亚原住民、青年、老年人、工人和普通社区。干预措施的总体证据水平较低，这主要是由于描述性研究居多。
改善幸福感的干预措施似乎侧重于解决社会联系和自我决定。许多研究都出现了意想不到的就业结果，这突出了幸福感和就业之间的相互关系。
本综述强调了通过关注社会联系和自我决定来改善幸福感的有前途的干预措施。鼓励进一步的实证证据来探索幸福感和就业之间的互惠关系，强调社会联系和自我决定在这方面的重要性。
