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Abstract：
BACKGROUND: Women exposed to armed conflicts and forced migration face significant health-related risks and consequences. Consequently, there is a need to identify and develop effective interventions that provide tailored support for them. The aim of this scoping review was to examine research evaluating support interventions promoting the health and well-being among women with traumatic experiences linked to armed conflict and/or forced migration.
METHODS: A scoping review of empirical studies evaluating non-pharmacologic/non-surgical interventions promoting health and well-being among adult women with traumatic experiences linked to armed, torture, and/or forced migration, identified through systematic searches in February 2022 within five databases (AMED, CINAHL, Cochrane Library, PsycINFO, and PubMed). Methodological characteristics and results were extracted and analyzed with narrative analysis using tabulations, descriptive statistics, text-based summaries, and thematization.
RESULTS: Assessment of 16 748 records resulted in 13 included reports. The methodological approaches were quantitative (n = 9), qualitative (n = 2), and mixed methods (n = 2), with most reports being feasibility/pilot studies (n = 5) and/or randomized controlled trials (n = 4). The most common recruitment strategy was non-probability sampling (n = 8). Most interventions were conducted in North America (n = 4), Asia (n = 3) or Middle East (n = 3). Thirteen intra-intervention techniques and five categories of components utilized within the interventions were identified, the most common being skill building (n = 12). Ten developed the interventions through theoretical frameworks or manuals/therapy, while five developed interventions through public or stakeholder involvement. Eleven studies evaluated outcomes related to psychological health, disorders, or distress. A large proportion of the investigated outcomes showed post-exposure improvements and improvements when compared with controls. Qualitative findings highlighted improved mental and physical health, empowerment and stigma reduction, and enhanced knowledge.
CONCLUSIONS: Few studies have developed and evaluated tailored support interventions for this population, containing a range of components and intra-intervention techniques. No clear focus was identified regarding outcome measures, and most studies used non-probability sampling. Few developed interventions through public contribution in collaboration with women. While limited studies show promising effects on women\'s mental health, more empirical intervention research that closely corresponds to women\'s needs are needed.
METHODS: A scoping review of empirical studies evaluating non-pharmacologic/non-surgical interventions promoting health and well-being among adult women with traumatic experiences linked to armed, torture, and/or forced migration, identified through systematic searches in February 2022 within five databases (AMED, CINAHL, Cochrane Library, PsycINFO, and PubMed). Methodological characteristics and results were extracted and analyzed with narrative analysis using tabulations, descriptive statistics, text-based summaries, and thematization.
RESULTS: Assessment of 16 748 records resulted in 13 included reports. The methodological approaches were quantitative (n = 9), qualitative (n = 2), and mixed methods (n = 2), with most reports being feasibility/pilot studies (n = 5) and/or randomized controlled trials (n = 4). The most common recruitment strategy was non-probability sampling (n = 8). Most interventions were conducted in North America (n = 4), Asia (n = 3) or Middle East (n = 3). Thirteen intra-intervention techniques and five categories of components utilized within the interventions were identified, the most common being skill building (n = 12). Ten developed the interventions through theoretical frameworks or manuals/therapy, while five developed interventions through public or stakeholder involvement. Eleven studies evaluated outcomes related to psychological health, disorders, or distress. A large proportion of the investigated outcomes showed post-exposure improvements and improvements when compared with controls. Qualitative findings highlighted improved mental and physical health, empowerment and stigma reduction, and enhanced knowledge.
CONCLUSIONS: Few studies have developed and evaluated tailored support interventions for this population, containing a range of components and intra-intervention techniques. No clear focus was identified regarding outcome measures, and most studies used non-probability sampling. Few developed interventions through public contribution in collaboration with women. While limited studies show promising effects on women\'s mental health, more empirical intervention research that closely corresponds to women\'s needs are needed.
摘要：
背景：遭受武装冲突和被迫移民的妇女面临着与健康相关的重大风险和后果。因此,有必要确定和制定有效的干预措施，为他们提供量身定制的支持。这项范围界定审查的目的是审查评估支持干预措施的研究，以促进与武装冲突和/或强迫移民有关的创伤经历的妇女的健康和福祉。
方法：对实证研究进行范围审查，评估非药物/非手术干预措施，以促进成年女性的健康和福祉，酷刑,和/或强制迁移，通过2022年2月在五个数据库中的系统搜索确定(AMED，CINAHL,科克伦图书馆,PsycINFO,和PubMed）。方法特征和结果进行提取和分析，采用表格进行叙事分析，描述性统计，基于文本的摘要，和主题化。
结果：对16748条记录的评估产生了13份纳入报告。方法学方法是定量的(n=9)，定性(n=2)，和混合方法(n=2)，大多数报告是可行性/试点研究（n=5）和/或随机对照试验（n=4）。最常见的招募策略是非概率抽样(n=8)。大多数干预措施是在北美进行的(n=4)，亚洲（n=3）或中东（n=3）。确定了13种干预措施内技术和干预措施中使用的五类组成部分，最常见的是技能建设(n=12)。10人通过理论框架或手册/治疗制定了干预措施，虽然五项通过公众或利益相关者的参与制定了干预措施。11项研究评估了与心理健康相关的结果，障碍,或苦恼。与对照组相比，很大一部分调查结果显示暴露后的改善和改善。定性调查结果强调了身心健康的改善，赋权和减少耻辱，增强知识。
结论：很少有研究开发和评估针对该人群的量身定制的支持干预措施，包含一系列组件和干预内技术。没有明确确定关于结果措施的重点，大多数研究使用非概率抽样。很少有人通过与妇女合作的公共贡献制定干预措施。虽然有限的研究显示对女性的心理健康有希望的影响，需要更多与女性需求密切相关的实证干预研究。
方法：对实证研究进行范围审查，评估非药物/非手术干预措施，以促进成年女性的健康和福祉，酷刑,和/或强制迁移，通过2022年2月在五个数据库中的系统搜索确定(AMED，CINAHL,科克伦图书馆,PsycINFO,和PubMed）。方法特征和结果进行提取和分析，采用表格进行叙事分析，描述性统计，基于文本的摘要，和主题化。
结果：对16748条记录的评估产生了13份纳入报告。方法学方法是定量的(n=9)，定性(n=2)，和混合方法(n=2)，大多数报告是可行性/试点研究（n=5）和/或随机对照试验（n=4）。最常见的招募策略是非概率抽样(n=8)。大多数干预措施是在北美进行的(n=4)，亚洲（n=3）或中东（n=3）。确定了13种干预措施内技术和干预措施中使用的五类组成部分，最常见的是技能建设(n=12)。10人通过理论框架或手册/治疗制定了干预措施，虽然五项通过公众或利益相关者的参与制定了干预措施。11项研究评估了与心理健康相关的结果，障碍,或苦恼。与对照组相比，很大一部分调查结果显示暴露后的改善和改善。定性调查结果强调了身心健康的改善，赋权和减少耻辱，增强知识。
结论：很少有研究开发和评估针对该人群的量身定制的支持干预措施，包含一系列组件和干预内技术。没有明确确定关于结果措施的重点，大多数研究使用非概率抽样。很少有人通过与妇女合作的公共贡献制定干预措施。虽然有限的研究显示对女性的心理健康有希望的影响，需要更多与女性需求密切相关的实证干预研究。
