Evidence map›Paper›PMID 27449890›Full record

ArticleBMJ open2016

Engaging migrants and other stakeholders to improve communication in cross-cultural consultation in primary care: a theoretically informed participatory study.

Christos Lionis, Maria Papadakaki, Aristoula Saridaki, Christopher Dowrick, Catherine A O'Donnell, Frances S Mair, Maria van den Muijsenbergh, Nicola Burns, Tomas de Brún, Mary O'Reilly de Brún and 3 more

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  6. Refugee and migrants' involvement in participatory spaces in a US practice-based research network study: Responding to unanticipated priorities.Health expectations : an international journal of public participation in health care and health policy · 2023
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  14. Participatory implementation research in the field of migrant health: Sustainable changes and ripple effects over time.Health expectations : an international journal of public participation in health care and health policy · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Christos LionisFaculty of Medicine, University of Crete, Heraklion, Greece.
Maria PapadakakiFaculty of Medicine, University of Crete, Heraklion, Greece Department of Social Work, School of Health and Social Welfare, Technological Educational Institute of Crete, Heraklion, Greece.
Aristoula SaridakiFaculty of Medicine, University of Crete, Heraklion, Greece.
Christopher DowrickInstitute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.
Catherine A O'DonnellDepartment of General Practice and Primary Care, Institute of Health & Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow.
Frances S MairDepartment of General Practice and Primary Care, Institute of Health & Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow.
Maria van den MuijsenberghDepartment of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands Pharos Centre of Expertise on Health Disparities, Utrecht, The Netherlands.
Nicola BurnsDepartment of General Practice and Primary Care, Institute of Health & Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow Faculty of Health and Medicine, Lancaster Medical School, Furness College, University of Lancaster, Lancaster University, Lancaster, UK.
Tomas de BrúnDiscipline of General Practice, School of Medicine, National University of Ireland, Galway, Ireland.
Mary O'Reilly de BrúnDiscipline of General Practice, School of Medicine, National University of Ireland, Galway, Ireland.
Evelyn van Weel-BaumgartenDepartment of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Wolfgang SpiegelCentre for Public Health, Medical University of Vienna, Vienna, Austria.
Anne MacFarlaneGraduate Entry Medical School, University of Limerick, Limerick, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesGuidelines and training initiatives (G/TIs) are available to support communication in cross-cultural consultations but are rarely implemented in routine practice in primary care. As part of the European Union RESTORE project, our objective was to explore whether the available G/TIs make sense to migrants and other key stakeholders and whether they could collectively choose G/TIs and engage in their implementation in primary care settings.

settingAs part of a comparative analysis of 5 linked qualitative case studies, we used purposeful and snowball sampling to recruit migrants and other key stakeholders in primary care settings in Austria, England, Greece, Ireland and the Netherlands.

participantsA total of 78 stakeholders participated in the study (Austria 15, England 9, Ireland 11, Greece 16, Netherlands 27), covering a range of groups (migrants, general practitioners, nurses, administrative staff, interpreters, health service planners). PRIMARY AND SECONDARY OUTCOME MEASURES: We combined Normalisation Process Theory (NPT) and Participatory Learning and Action (PLA) research to conduct a series of PLA style focus groups. Using a standardised protocol, stakeholders' discussions about a set of G/TIs were recorded on PLA commentary charts and their selection process was recorded through a PLA direct-ranking technique. We performed inductive and deductive thematic analysis to investigate sensemaking and engagement with the G/TIs.

resultsThe need for new ways of working was strongly endorsed by most stakeholders. Stakeholders considered that they were the right people to drive the work forward and were keen to enrol others to support the implementation work. This was evidenced by the democratic selection by stakeholders in each setting of one G/TI as a local implementation project.

conclusionsThis theoretically informed participatory approach used across 5 countries with diverse healthcare systems could be used in other settings to establish positive conditions for the start of implementation journeys for G/TIs to improve healthcare for migrants.

Indexed as

CommunicationCulturally Competent CarePractice Guidelines as TopicTransients and MigrantsAdolescentAustriaEnglandFemaleFocus GroupsGreeceHealth Services ResearchHumansIrelandMaleMiddle AgedNetherlandscommunity involvementcross-cultural consultationmigrant healthPRIMARY CARE

Identifiers

PMID27449890
PMCPMC4964217

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.