Effects of health education for migrant females with psychosomatic complaints treated by general practitioners

Kocken, P.L.; Zwanenburg, Evelien Joosten-van; Hoop, Tine de

doi:10.1016/j.pec.2007.09.016

Cited by 16 publications

(43 citation statements)

References 12 publications

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“…Twenty studies met the inclusion criteria for the present meta-analysis [39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58]. We identified 850 records through database searching and screening of reference lists of previous systematic reviews and meta-analyses.…”

Section: Resultsmentioning

confidence: 99%

Does It Matter Who Provides Psychological Interventions for Medically Unexplained Symptoms? A Meta-Analysis

Gerger

Hlavica

Gaab

et al. 2015

Psychother Psychosom

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Background: Patients with medically unexplained symptoms (MUS) are difficult to treat and cause high health-care costs. Psychological interventions might be a beneficial option for treating patients with MUS, but evidence is inconsistent. This meta-analysis compares the effectiveness of psychological interventions for MUS - delivered either by psychotherapists (PTs) or by general practitioners (GPs) - with that of usual care. Method: We conducted a systematic review and meta-analysis on randomised controlled trials of psychological interventions for MUS. Physical symptoms were the primary outcome, and physical functioning and psychological symptoms were the secondary outcomes. We pooled between-group effect sizes (ESs) after the treatment and at the follow-up in random-effects meta-regressions and stratified meta-analyses. We repeated these analyses with the intervention provider, intervention dose, MUS severity and methodological quality as predictors of relative intervention effects. Results: A total of 3,225 patients in 20 studies were analysed. After the treatment, small and significant ESs were found for all 3 outcome domains (ES range: 0.13-0.19, all p < 0.05). Psychological interventions were more beneficial for physical symptoms when delivered by PTs than by GPs (p = 0.02). There was no difference between PTs and GPs in terms of physical functioning and psychological symptoms. Conclusion: Psychological interventions are effective for patients with MUS, but the effects are small and most likely of short duration. Interventions that are delivered by PTs appear to have larger effects on unexplained physical symptoms than those delivered by GPs. Whether this superiority is due to a larger number of sessions of PT interventions remains unclear from our findings.

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Section: Resultsmentioning

confidence: 99%

Does It Matter Who Provides Psychological Interventions for Medically Unexplained Symptoms? A Meta-Analysis

Gerger

Hlavica

Gaab

et al. 2015

Psychother Psychosom

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“…Other effective adaptations, such as use of a peer educator or a health adviser with the same cultural background and native language [11,12] are not often used. This may be because a health adviser imposes an additional financial burden on the institutes.…”

Section: Discussionmentioning

confidence: 99%

“…Another study, in women of Turkish and Moroccan origin with pain complaints, found that the use of a health adviser from the same cultural background and with the same native language (VETC in Dutch) led to a significant improvement regarding self-reported health status, psychological health status and the ability to cope with pain [12]. An explorative study regarding an adapted cardiac rehabilitation programme for non-native patients showed that the inclusion of additional programme modules, such as adapted education through videos in the patient's native language, increased number of and longer consultations and systematic use of professional interpreters, contributed to the process of gaining knowledge of the origin and treatment of heart diseases [13].…”

Section: Introductionmentioning

confidence: 99%

Adaptations to pain rehabilitation programmes for non-native patients with chronic pain

Sloots¹,

Dekker²,

Bartels³

et al. 2011

Disability and Rehabilitation

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Purpose. (i) To determine whether adaptations for non-native patients have been implemented in pain rehabilitation programmes; (ii) to determine whether characteristics of the rehabilitation institute are related to having adaptations for nonnative patients in place. Subjects. Rehabilitation institutes and rehabilitation departments of general hospitals in The Netherlands who offer a pain rehabilitation programme. Method. A questionnaire was handed over in person or by e-mail to the rehabilitation physicians of the participating institutes. Twenty-seven (90%) questionnaires were returned. The questionnaire concerned programme adaptations and institute characteristics. The data were analysed by w 2 tests or Fischer's exact tests and logistic regression analysis. Results. Twelve institutes (44.4%) reported having adaptations in place for non-native patients in their pain rehabilitation programme. The most common adaptations were as follows: increased number of consultations (25.9% of the institutes); longer consultations (25.9%) and education for employees regarding cultural competency (11.1%). Institutes which treated a high percentage (11%) of non-native patients had implemented significantly more frequently adaptations to their rehabilitation programme (p ¼ 0.04). The number of adaptations was neither associated with the proportion of non-native citizens in the local population nor with the number of the institutes' employees. Conclusion. Less than half of the institutes had implemented one or more programme adaptations for non-native patients. Institutes which had made adaptations to their rehabilitation programme treated more non-native patients.

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“…Measures of psychosomatic complaints treated by GPs and the effect of health education showed that the elevating health literacy level by migrant health educators had a noteworthy positive effect on the patients' general and mental well being (Kocken, Zwanenburg & de Hoop, 2008). A Norwegian study concludes that immigrant patients diagnosed with mental disorders are more often involuntarily admitted to the hospital than natives (Iversen, Berg, Småvik & Vaaler, 2011).…”

Section: "Many Problems Occur Because Of Alcohol Use But Instead Of Tmentioning

confidence: 97%

The Intercultural Challenges of General Practitioners in Norway with Migrant Patients

Goth

Berg

Akman

2010

Intl J of Migration, H and SC

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Migrants to Norway disproportionately use emergency medical services while under-using primary care, obviating the medical and cost advantages of the Regular General Practitioner (RGP) scheme. Little is known about migrants' use of the RGP scheme and the obstacles that affect ability and motivation to obtain or comply with treatment. The authors questioned 12 GPs around Oslo who serve migrants, using a semi-structured interview guide. GPs defined migrants in terms of socio-cultural difference rather than legal status, these differences often obstructing doctor-patient communication and understanding. GPs reported that migrants often seem helpless in dealing with the public health service owing to language difficulties, differences in expectations and a systemic failure to co-ordinate care. The findings suggest the importance of providing information about health services in a migrant's mother tongue upon arrival in Norway, of GPs taking detailed patient histories from the beginning to identify obstacles to communication and treatment, and of co-ordinating emergency services with other care

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Effects of health education for migrant females with psychosomatic complaints treated by general practitioners

Cited by 16 publications

References 12 publications

Does It Matter Who Provides Psychological Interventions for Medically Unexplained Symptoms? A Meta-Analysis

Does It Matter Who Provides Psychological Interventions for Medically Unexplained Symptoms? A Meta-Analysis

Adaptations to pain rehabilitation programmes for non-native patients with chronic pain

The Intercultural Challenges of General Practitioners in Norway with Migrant Patients

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