Projects per year
Abstract
Objective
To rapidly identify and summarise evidence on key factors that affect access to support for minoritised informal adult carers which could be addressed at the level of local government policy-making
Study design
Rapid evidence review
Methods
A rapid umbrella review was undertaken of systematic reviews of qualitative, quantitative and/or mixed method studies. Systematic reviews were identified through simple database searches (Medline, Cochrane, Proquest), key author searching, referrals by experts (n=2) of key reviews to include, and citation and reference checking of identified reviews in September-October 2023.Systematic review evidence was supplemented with grey literature identified by practitioners (n=2) as locally-relevant. Data was extracted directly into a table and findings synthesised narratively by theme.
Results
Many factors were identified as affecting access to support for minoritised unpaid adult carers, including: inattention to socio-cultural diversity; issues of representation, racism and discrimination; and socio-economic inequality. Factors were themed around ten areas for local action, including: the importance of recognising intersectional disadvantage and diversity; ensuring support is socio-culturally appropriate; paying attention to gendered hierarchies in service design; identifying and ‘designing out’ racism and discrimination; addressing exclusions that minoritised carers with additional communication needs face; mitigating socio-economic inequality; and taking a ‘whole system’ approach that improves integration, routine data collection and support service evaluation.
Conclusions
We identified ten potential ways in which inequalities in support for minoritised unpaid adult carers could be addressed locally. Although the existing evidence base is limited, these ten areas could usefully be targeted for further investigation in research and within local policy development.
To rapidly identify and summarise evidence on key factors that affect access to support for minoritised informal adult carers which could be addressed at the level of local government policy-making
Study design
Rapid evidence review
Methods
A rapid umbrella review was undertaken of systematic reviews of qualitative, quantitative and/or mixed method studies. Systematic reviews were identified through simple database searches (Medline, Cochrane, Proquest), key author searching, referrals by experts (n=2) of key reviews to include, and citation and reference checking of identified reviews in September-October 2023.Systematic review evidence was supplemented with grey literature identified by practitioners (n=2) as locally-relevant. Data was extracted directly into a table and findings synthesised narratively by theme.
Results
Many factors were identified as affecting access to support for minoritised unpaid adult carers, including: inattention to socio-cultural diversity; issues of representation, racism and discrimination; and socio-economic inequality. Factors were themed around ten areas for local action, including: the importance of recognising intersectional disadvantage and diversity; ensuring support is socio-culturally appropriate; paying attention to gendered hierarchies in service design; identifying and ‘designing out’ racism and discrimination; addressing exclusions that minoritised carers with additional communication needs face; mitigating socio-economic inequality; and taking a ‘whole system’ approach that improves integration, routine data collection and support service evaluation.
Conclusions
We identified ten potential ways in which inequalities in support for minoritised unpaid adult carers could be addressed locally. Although the existing evidence base is limited, these ten areas could usefully be targeted for further investigation in research and within local policy development.
Original language | English |
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Article number | 100543 |
Number of pages | 8 |
Journal | Public Health in Practice |
Volume | 8 |
Early online date | 4 Sept 2024 |
DOIs | |
Publication status | Published - 1 Dec 2024 |
Bibliographical note
© 2024 The Authors-
NIHR PHR: Bradford Health Determinants Research Collaboration
Pickett, K. (Principal investigator)
1/10/22 → 30/09/27
Project: Research project (funded) › Research
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ActEarly: A city Collaboratory approach to early promotion of good health and wellbeing
Pickett, K. (Principal investigator), Bryant, M. (Co-investigator), Bywater, T. J. (Co-investigator), Cookson, R. A. (Co-investigator), Garnett, P. (Co-investigator), Pleace, N. (Co-investigator), Sheard, L. (Co-investigator) & Sheldon, T. A. (Co-investigator)
MEDICAL RESEARCH COUNCIL (MRC)
1/09/19 → 31/03/25
Project: Research project (funded) › Research
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NIHR ARC: Early Life and Prevention: A whole systems approach to improving family health
Barnes, A. J. E. (Researcher)
Project: Research project (funded) › Research