PDF(Pubmed)
Abstract：
Women from different ethnic backgrounds are disproportionately affected by non-communicable diseases (NCDs). Underpinned by the community capital they harness, hairdressers have successfully delivered NCD prevention programmes, particularly for African-American women in disadvantaged areas. Integrating community organisations and networks into existing primary care pathways can provide a sustainable process to address inequalities in access to health care. This scoping review aimed to map the evidence about interventions based in beauty salons, particularly formative research phases, including co-development, community participation, theoretical or conceptual underpinnings, as well as aspects related to training and incentivisation of salon staff, evaluation and equity.
The methodological framework was based on the seminal guidance of Arksey and O\'Malley, using the \'PCC\' (participants, concept, context) structure with incorporation of other relevant materials. Studies eligible for inclusion were salon-based health interventions (concept) focused on NCDs prevention (context), targeting women (participants) from different ethnic backgrounds and published in English. The searches were conducted across PubMed, Web of Science and OVID in June 2020 and updated in January 2023, with reference lists also screened. The Reach, Effectiveness, Adoption, Implementation, and Maintenance RE-AIM framework was used to explore the potential public health impact.
419 titles and abstracts were screened, with eight (2%) meeting the inclusion criteria, all based in the United States of America. Two used formative phases to inform intervention development, three described evidence of co-development with key stakeholders or experts within the community and five studies referred to theoretical or conceptual frameworks. Incentivisation was provided to salon staff in five of the studies, and to clients in three of the studies. Four of the investigations collated data on socioeconomic characteristics of the target population.
Formative research in the scoped studies was weakly reported upon. Community participation was implicit in each of the scoped studies, yet its application varied considerably. Theoretical and conceptual frameworks were not consistently used, and there was inadequate process evaluation to ensure equitable reach and retention of targeted groups, suggesting a more concerted effort to address health equity is needed for future interventions.
The methodological framework was based on the seminal guidance of Arksey and O\'Malley, using the \'PCC\' (participants, concept, context) structure with incorporation of other relevant materials. Studies eligible for inclusion were salon-based health interventions (concept) focused on NCDs prevention (context), targeting women (participants) from different ethnic backgrounds and published in English. The searches were conducted across PubMed, Web of Science and OVID in June 2020 and updated in January 2023, with reference lists also screened. The Reach, Effectiveness, Adoption, Implementation, and Maintenance RE-AIM framework was used to explore the potential public health impact.
419 titles and abstracts were screened, with eight (2%) meeting the inclusion criteria, all based in the United States of America. Two used formative phases to inform intervention development, three described evidence of co-development with key stakeholders or experts within the community and five studies referred to theoretical or conceptual frameworks. Incentivisation was provided to salon staff in five of the studies, and to clients in three of the studies. Four of the investigations collated data on socioeconomic characteristics of the target population.
Formative research in the scoped studies was weakly reported upon. Community participation was implicit in each of the scoped studies, yet its application varied considerably. Theoretical and conceptual frameworks were not consistently used, and there was inadequate process evaluation to ensure equitable reach and retention of targeted groups, suggesting a more concerted effort to address health equity is needed for future interventions.
摘要：
来自不同族裔背景的妇女不成比例地受到非传染性疾病的影响。以他们利用的社区资本为基础，美发师已经成功地提供了非传染性疾病预防方案，特别是在贫困地区的非洲裔美国妇女。将社区组织和网络纳入现有的初级保健途径可以提供一个可持续的过程，以解决获得医疗保健方面的不平等问题。这项范围审查旨在绘制有关美容院干预措施的证据，特别是形成性研究阶段，包括共同开发,社区参与,理论或概念基础，以及与沙龙工作人员的培训和激励有关的方面，评估和公平。
方法论框架基于Arksey和O\'Malley的开创性指导，使用\'PCC\'(参与者，概念,上下文)结合其他相关材料的结构。符合纳入条件的研究是基于沙龙的健康干预措施(概念)，重点是非传染性疾病的预防(背景)，针对来自不同种族背景的女性（参与者），并以英语出版。搜索是在PubMed进行的，WebofScienceandOVID于2020年6月发布，并于2023年1月更新，并筛选了参考列表。TheReach,有效性,收养,实施,和维护RE-AIM框架用于探索潜在的公共卫生影响。
筛选了419个标题和摘要，八个(2%)符合纳入标准，都设在美利坚合众国。两个使用的形成阶段来告知干预发展，三个描述了与社区内主要利益相关者或专家共同发展的证据，五个研究涉及理论或概念框架。在其中五项研究中，向沙龙工作人员提供了激励，以及其中三项研究的客户。其中四项调查整理了目标人群社会经济特征的数据。
范围研究中的形成性研究报道薄弱。社区参与在每一项研究中都是隐含的，然而，它的应用差异很大。理论和概念框架没有得到一致使用，没有足够的过程评估来确保目标群体的公平接触和保留，表明未来的干预措施需要更加协调一致的努力来解决健康公平问题.
方法论框架基于Arksey和O\'Malley的开创性指导，使用\'PCC\'(参与者，概念,上下文)结合其他相关材料的结构。符合纳入条件的研究是基于沙龙的健康干预措施(概念)，重点是非传染性疾病的预防(背景)，针对来自不同种族背景的女性（参与者），并以英语出版。搜索是在PubMed进行的，WebofScienceandOVID于2020年6月发布，并于2023年1月更新，并筛选了参考列表。TheReach,有效性,收养,实施,和维护RE-AIM框架用于探索潜在的公共卫生影响。
筛选了419个标题和摘要，八个(2%)符合纳入标准，都设在美利坚合众国。两个使用的形成阶段来告知干预发展，三个描述了与社区内主要利益相关者或专家共同发展的证据，五个研究涉及理论或概念框架。在其中五项研究中，向沙龙工作人员提供了激励，以及其中三项研究的客户。其中四项调查整理了目标人群社会经济特征的数据。
范围研究中的形成性研究报道薄弱。社区参与在每一项研究中都是隐含的，然而，它的应用差异很大。理论和概念框架没有得到一致使用，没有足够的过程评估来确保目标群体的公平接触和保留，表明未来的干预措施需要更加协调一致的努力来解决健康公平问题.
