Interventions to promote the health and well-being of children under 5s experiencing homelessness in high-income countries: a scoping review

Yanxin Tu; Kaushik Sarkar; Nadia Svirydzenka; Zoe Palfreyman; Yvonne Karen Parry; Matthew Ankers; Priti Parikh; Raghu Raghavan; Monica Lakhanpaul

doi:10.1136/bmjopen-2023-076492

Interventions to promote the health and well-being of children under 5s experiencing homelessness in high-income countries: a scoping review

BMJ Open. 2024 Jan 11;14(1):e076492. doi: 10.1136/bmjopen-2023-076492.

Authors

Yanxin Tu¹, Kaushik Sarkar², Nadia Svirydzenka³, Zoe Palfreyman³, Yvonne Karen Parry⁴, Matthew Ankers⁴, Priti Parikh⁵, Raghu Raghavan⁶, Monica Lakhanpaul⁷

Affiliations

¹ Population, Policy and Practice Research and Teaching Department, University College London Great Ormond Street Institute of Child Health, London, UK.
² Aceso Global Health Consultants Limited, London, UK.
³ School of Applied Social Sciences, De Montfort University Faculty of Health and Life Sciences, Leicester, UK.
⁴ College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
⁵ The Bartlett School of Sustainable Construction, University College London, London, UK.
⁶ School of Nursing and Midwifery, De Montfort University Faculty of Health and Life Sciences, Leicester, UK.
⁷ Population, Policy and Practice Research and Teaching Department, University College London Great Ormond Street Institute of Child Health, London, UK m.lakhanpaul@ucl.ac.uk.

Abstract

Objectives: Homelessness among families with children under 5 residing in temporary accommodation is a growing global concern, especially in high-income countries (HICs). Despite significant impacts on health and development, these 'invisible' children often fall through the gaps in policy and services. The study's primary objective is to map the content and delivery methods of culturally sensitive interventions for children under 5 experiencing homelessness in HICs.

Design: A scoping review guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.

Data sources: Databases include PubMed, Medline, SCOPUS, The Cochrane Library and Google Scholar were searched up to 24 March 2022.

Eligibility criteria: This scoping review includes studies that describe, measure or evaluate intervention strategies aimed at improving child health programmes, specifically those yielding positive outcomes in key areas like feeding, nutrition, care practices and parenting.

Data extraction and synthesis: Articles were selected and evaluated by two independent reviewers, with a dispute resolution system involving a third reviewer for contested selections. The methodological quality of the studies was assessed using various tools including the Risk of Bias (RoB) tool, Cochrane RoB V.2.0, the Risk of Bias Assessment Tool for Non-randomized Studies (RoBANS) and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE), each selected according to the type of article.

Results: The database search yielded 951 results. After deduplication, abstract screening and full review, 13 articles met the inclusion criteria. Two predominant categories of intervention delivery methods were identified in this research: group-based interventions (educational sessions) and individual-based interventions (home visits).

Conclusion: This review highlights effective interventions for promoting the health and well-being of children under 5 experiencing homelessness, including educational sessions and home visits. Research has supported the importance of home visiting to be instrumental in breaking down language, cultural and health literacy barriers.

Keywords: Child protection; Community child health; MENTAL HEALTH; Nutrition.

Publication types

Research Support, Non-U.S. Gov't
Systematic Review

MeSH terms

Child, Preschool
Developed Countries
Humans
Ill-Housed Persons*
Language
Parenting
Social Problems