对于现代奴隶制和人口贩运幸存者的康复和重返社会所需的结果,没有达成共识。我们开发了现代奴隶制核心成果集(MSCOS)来解决这一差距。我们对成年幸存者寻求或经历的干预结果进行了三项英语审查:一项定性系统审查(4个数据库,18份合格文件,专题分析),定量干预研究的快速回顾(四个数据库,八份合格文件,内容分析)和灰色文献综述(2个数据库,21个网站,要求提供证据,13份合格文件,内容分析)。我们进一步从36个先前存在的幸存者访谈笔录中提取结果,和七个采访来自代表性不足群体的幸存者。我们通过共识过程缩小了结果,包括:三阶段E-Delphi调查(191名受访者);和最终共识研讨会(46名参与者)。我们从3条评论中产生了398个结果,和843个访谈结果。通过删除概念和文字重复项,我们将这一结果减少到涵盖10个不同领域的72个结果。E-Delphi为共识研讨会制作了14项成果入围名单,其中选择了7个最终结果。最终结果是:“长期一致的支持,“\”安全和合适的住房,任何贩运者或其他施虐者的安全,\"\"获得医疗,\“\”在生活和自我实现中找到目标,接受教育的机会,\"和\"富有同情心,创伤知情服务。“MSCOS提供的结果被广泛的利益相关者接受,并应在干预评估中加以衡量。
There is no
consensus on the outcomes needed for the recovery and
reintegration of survivors of modern slavery and human trafficking. We developed the Modern Slavery Core Outcome Set (MSCOS) to address this gap. We conducted three English-language reviews on the intervention outcomes sought or experienced by adult survivors: a qualitative systematic review (4 databases, 18 eligible papers, thematic analysis), a rapid review of quantitative intervention studies (four databases, eight eligible papers, content analysis) and a gray literature review (2 databases, 21 websites, a call for evidence, 13 eligible papers, content analysis). We further extracted outcomes from 36 pre-existing interview transcripts with survivors, and seven interviews with survivors from underrepresented groups. We narrowed down outcomes via a
consensus process involving: a three-stage E-Delphi survey (191 respondents); and a final
consensus workshop (46 participants). We generated 398 outcomes from our 3 reviews, and 843 outcomes from interviews. By removing conceptual and literal duplicates, we reduced this to a longlist of 72 outcomes spanning 10 different domains. The E-Delphi produced a 14-outcome shortlist for the
consensus workshop, where 7 final outcomes were chosen. Final outcomes were: \"long-term consistent support,\" \"secure and suitable housing,\" \"safety from any trafficker or other abuser,\" \"access to medical treatment,\" \"finding purpose in life and self-actualisation,\" \"access to education,\" and \"compassionate, trauma-informed services.\" The MSCOS provides outcomes that are accepted by a wide range of stakeholders and that should be measured in intervention evaluation.