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Cyril S, Smith BJ, Possamai-Inesedy A, et al. Exploring the role of community engagement in improving the health of disadvantaged populations: a systematic review. Glob Health Action. 2015;8:29842doi: 10.3402/gha.v8.29842.
Cyril, S., Smith, B. J., Possamai-Inesedy, A., & Renzaho, A. M. (2015). Exploring the role of community engagement in improving the health of disadvantaged populations: a systematic review. Global health action, 829842. https://doi.org/10.3402/gha.v8.29842
Cyril, Sheila, et al. "Exploring the role of community engagement in improving the health of disadvantaged populations: a systematic review." Global health action vol. 8 (2015): 29842. doi: https://doi.org/10.3402/gha.v8.29842
Cyril S, Smith BJ, Possamai-Inesedy A, Renzaho AM. Exploring the role of community engagement in improving the health of disadvantaged populations: a systematic review. Glob Health Action. 2015 Dec 18;8:29842. doi: 10.3402/gha.v8.29842. eCollection 2015. PMID: 26689460; PMCID: PMC4685976.
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Glob Health Action. 2015 Dec 18;8:29842. doi: 10.3402/gha.v8.29842. eCollection 2015.

Exploring the role of community engagement in improving the health of disadvantaged populations: a systematic review.

Global health action

Sheila Cyril, Ben J Smith, Alphia Possamai-Inesedy, Andre M N Renzaho

Affiliations

  1. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
  2. School of Social Sciences and Psychology, Western Sydney University, Penrith, NSW, Australia.
  3. Office of the Pro-Vice Chancellor Arts (Education), Western Sydney University, Bankstown, NSW, Australia.
  4. Humanitarian and Development Studies, School of Social Sciences and Psychology, Western Sydney University, Penrith, NSW, Australia; [email protected].

PMID: 26689460 PMCID: PMC4685976 DOI: 10.3402/gha.v8.29842

Abstract

BACKGROUND: Although community engagement (CE) is widely used in health promotion, components of CE models associated with improved health are poorly understood. This study aimed to examine the magnitude of the impact of CE on health and health inequalities among disadvantaged populations, which methodological approaches maximise the effectiveness of CE, and components of CE that are acceptable, feasible, and effective when used among disadvantaged populations.

DESIGN: The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We carried out methodological assessments of the included studies using rating scales. The analysis focussed on model synthesis to identify the key CE components linked to positive study outcomes and comparative analysis between positive study outcomes, processes, and quality indicators of CE.

RESULTS: Out of 24 studies that met our inclusion criteria, 21 (87.5%) had positively impacted health behaviours, public health planning, health service access, health literacy, and a range of health outcomes. More than half of the studies (58%) were of good quality, whereas 71% and 42% of studies showed good community involvement in research and achieved high levels of CE, respectively. Key CE components that affected health outcomes included real power-sharing, collaborative partnerships, bidirectional learning, incorporating the voice and agency of beneficiary communities in research protocol, and using bicultural health workers for intervention delivery.

CONCLUSIONS: The findings suggest that CE models can lead to improved health and health behaviours among disadvantaged populations if designed properly and implemented through effective community consultation and participation. We also found several gaps in the current measurement of CE in health intervention studies, which suggests the importance of developing innovative approaches to measure CE impact on health outcomes in a more rigorous way.

Keywords: community engagement; culturally and linguistically diverse; disadvantaged populations; ethnic minorities; health

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