Evidence map›Paper›PMID 42667554›Full record

ReviewJournal of immigrant and minority health2026

Are Group Interventions Effective at Improving Health Outcomes in Culturally And Linguistically Diverse (CALD) Populations With Chronic Conditions? An Umbrella Review.

Karma Phuentsho, Emma L Karran, Ruth P Appiah, Marinelle Fernandez, Kristin Graham, Saravana Kumar, Saurab Sharma, Amanda C de C Williams, Aparnadas Amritha, G Lorimer Moseley

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of immigrant and minority health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Karma PhuentshoCollege of Health, Adelaide University, Kaurna Country, Adelaide, Australia. karma.phuentsho@adelaide.edu.au.ORCID https://orcid.org/0000-0003-4847-382X
Emma L KarranCollege of Health, Adelaide University, Kaurna Country, Adelaide, Australia. emma.karran@adelaide.edu.au.ORCID http://orcid.org/0000-0002-6088-8289
Ruth P AppiahCollege of Health, Adelaide University, Kaurna Country, Adelaide, Australia.ORCID https://orcid.org/0009-0000-8354-350X
Marinelle FernandezCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.ORCID http://orcid.org/0009-0008-5168-3426
Kristin GrahamCollege of Health, Adelaide University, Kaurna Country, Adelaide, Australia.ORCID http://orcid.org/0000-0002-1864-1856
Saravana KumarCollege of Health, Adelaide University, Kaurna Country, Adelaide, Australia.ORCID http://orcid.org/0000-0002-4003-4411
Saurab SharmaUniversity of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-9817-5372
Amanda C de C WilliamsUniversity College London, Clinical, Educational & Health Psychology, UCL, London, United Kingdom.ORCID http://orcid.org/0000-0003-3761-8704
Aparnadas AmrithaSurvivors of Torture and Trauma Assistance and Rehabilitation Service (STTARS), Adelaide, Australia.ORCID http://orcid.org/0009-0008-1454-9105
G Lorimer MoseleyCollege of Health, Adelaide University, Kaurna Country, Adelaide, Australia. lorimer.moseley@adelaide.edu.au.ORCID http://orcid.org/0000-0002-3750-4945

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Culturally and linguistically diverse (CALD) populations experience disproportionate burdens of chronic disease compared to the general population; previous research demonstrated group-based interventions improve health outcomes across various chronic conditions. This umbrella review aims to summarise the available evidence concerning group-based interventions for CALD populations with chronic conditions. We conducted this umbrella review in accordance with the Cochrane Handbook for Systematic Reviews of Interventions, reported per PRISMA, and quality-assessed using AMSTAR-2 (A MeaSurement Tool to Assess systematic Reviews, version 2). We searched 11 databases (MEDLINE, Embase, Emcare, CINAHL, PsycINFO, SCOPUS, Web of Science, Cochrane, Epistemonikos, LILACS, and SciELO citation index of Web of Science) from inception to June 3, 2025, without language restrictions. All screening, data extraction, and quality assessment were carried out in duplicate. We descriptively synthesised the findings and determined the effectiveness and effect sizes of interventions as concluded by the review authors. We identified 22 systematic reviews, 271 primary studies, and over 32,320 people. Reviews originated from high-income countries; published in the last 10 years (82%); most (13) scored low on AMSTAR-2 quality rating. Reviews were related to mental health conditions (15), diabetes (4), chronic pain (1), cancer (1), and mixed chronic health conditions (1). Group-based Psychological Interventions reported positive effects on depression, anxiety, and PTSD symptoms, well-being, and quality of life. Educational Interventions improved diabetes outcomes (notably glycated haemoglobin), psychosocial outcomes in mental health, and pain, fatigue, physical activity, and self-efficacy in other chronic conditions. Multimodal Interventions improved psychosocial outcomes for mental health, pain, and disability outcomes for chronic pain. Some reviews reported mixed findings or insignificant effects. Overall, group-based interventions improved health, mental well-being, and biopsychosocial outcomes in CALD populations with chronic conditions. However, evidence remains limited; study heterogeneity (interventions, populations, outcomes) was marked. Future research should prioritise clearly describing the development, design, and implementation of interventions to meet the complex and diverse needs of CALD populations.

Indexed as

Chronic painCulturally tailored interventionsEthnic minorityImmigrantsMental healthRefugees

Identifiers

PMID42667554

What OpenQuestion holds

Textmetadata
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.