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Critical interpretive synthesis of barriers and facilitators to TB treatment in immigrant populations
Author(s) -
Lin S.,
MelendezTorres G. J.
Publication year - 2017
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/tmi.12938
Subject(s) - cinahl , psycinfo , immigration , acculturation , medline , medicine , health care , repatriation , gerontology , nursing , political science , psychological intervention , law
Objective To systematically review studies of TB treatment experiences in immigrant populations, using Critical Interpretive Synthesis (CIS). Methods On 26 October 2014, MEDLINE , CINAHL , Embase, LILACS, and PsycINFO were systematically searched. Grey literature and reference lists were hand‐searched. Initial papers included were restricted to studies of immigrant patient perspectives; after a model was developed, a second set of papers was included to test the emerging theory. Results Of 1761 studies identified in the search, a total of 29 were included in the synthesis. Using those studies, we developed a model that suggested treatment experiences were strongly related to the way both individuals and societies adjusted to immigration (‘acculturation strategies’). Relationships with healthcare workers and immigration policies played particularly significant roles in TB treatment. Conclusions This review emphasised the roles of repatriation policy and healthcare workers in forming experiences of TB treatment in immigrant populations.