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dc.contributor.authorSalway, S-
dc.contributor.authorSuch, E-
dc.contributor.authorPreston, L-
dc.contributor.authorBooth, A-
dc.contributor.authorZubair, M-
dc.contributor.authorVictor, C-
dc.contributor.authorRaghavan, R-
dc.identifierPROSPERO CRD42017077378-
dc.identifier.citationSalway, S., Such, E., Preston, L., Booth, A., Zubair, M,, Victor, C. and Raghavan, R. (2020) 'Reducing loneliness among migrant and ethnic minority people: a participatory evidence synthesis', Public Health Research, 8 (10), pp. 1 - 246. doi: 10.3310/phr08100.en_US
dc.descriptionSummary: Shared-identity social support groups showed positive impact on loneliness but high-quality UK quantitative studies with longer-term follow-up are required to confirm this.en_US
dc.description.abstractCopyright © The Author(s) and Queen’s Printer and Controller of HMSO 2020. Background To date, there has been little research into the causes of, and solutions to, loneliness among migrant and ethnic minority people. Objectives The objectives were to synthesise available evidence and produce new insights relating to initiatives that aim to address loneliness among these populations, plus the logic, functioning and effects of such initiatives. Data sources Electronic database searches (MEDLINE, Applied Social Sciences Index and Abstracts and Social Science Citation Index via Web of Science – no date restrictions were applied), grey literature searches, and citation and reference searching were conducted. Data were generated via nine workshops with three consultation panels involving 34 public contributors, and one practitioner workshop involving 50 participants. Review methods Guided by ‘systems thinking’, a theory-driven synthesis was combined with an effectiveness review to integrate evidence on the nature and causes of loneliness, interventional types and programme theory, and intervention implementation and effectiveness. Results The theory review indicated that common conceptualisations of ‘loneliness’ can be usefully extended to recognise four proximate determinants when focusing on migrant and ethnic minority populations: positive social ties and interactions, negative social ties and interactions, self-worth, and appraisal of existing ties. A total of 170 interventions were included. A typology of eight interventions was developed. Detailed logic models were developed for three common types of intervention: befriending, shared-identity social support groups and intercultural encounters. The models for the first two types were generally well supported by empirical data; the third was more tentative. Evaluation of intervention processes and outcomes was limited by study content and quality. Evidence from 19 qualitative and six quantitative studies suggested that social support groups have a positive impact on dimensions of loneliness for participants. Evidence from nine qualitative and three quantitative studies suggested that befriending can have positive impacts on loneliness. However, inconsistent achievements of the befriending model meant that some initiatives were ineffective. Few studies on intercultural encounters reported relevant outcomes, although four provided some qualitative evidence and three provided quantitative evidence of improvement. Looking across intervention types, evidence suggests that initiatives targeting the proximate determinants – particularly boosting self-worth – are more effective than those that do not. No evidence was available on the long-term effects of any initiatives. UK intervention (n = 41) and non-intervention (n = 65) studies, together with consultation panel workshop data, contributed to a narrative synthesis of system processes. Interlocking factors operating at individual, family, community, organisational and wider societal levels increase risk of loneliness, and undermine access to, and the impact of, interventions. Racism operates in various ways throughout the system to increase risk of loneliness. Limitations There was a lack of high-quality quantitative studies, and there were no studies with longer-term follow-up. UK evidence was very limited. Studies addressing upstream determinants operating at the community and societal levels did not link through to individual outcome measures. Some elements of the search approach may mean that relevant literature was overlooked. Conclusions Theory regarding the causes of loneliness, and functioning of interventions, among migrant and ethnic minority populations was usefully developed. Evidence of positive impact on loneliness was strongest for shared-identity social support groups. Quantitative evidence was inadequate. The UK evidence base was extremely limited. Future work UK research in this area is desperately needed. Co-production of interventional approaches with migrant and ethnic minority people and evaluation of existing community-based initiatives are priorities. Study registration This study is registered as PROSPERO CRD42017077378.en_US
dc.description.sponsorshipNational Institute for Health Research Public Health Research programme.en_US
dc.format.extent1 - 246-
dc.publisherNational Institute for Health Researchen_US
dc.rightsRights and permissions. For all reports published before 1st February 2021. All NIHR Journals Library reports have been produced under the terms of a commissioning contract issued by the Secretary of State for Health. Reports may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Permission to reproduce material from a published report is covered by the UK government’s non-commercial licence for public sector information (
dc.titleReducing loneliness among migrant and ethnic minority people: a participatory evidence synthesisen_US
dc.relation.isPartOfPublic Health Research-
pubs.publication-statusPublished online-
dc.rights.holderQueen’s Printer and Controller of HMSO-
Appears in Collections:Dept of Health Sciences Research Papers

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