Community engagement to enhance trust between Gypsy/Travellers, and maternity, early years’ and child dental health services: protocol for a multi-method exploratory study

Alison McFadden (Lead / Corresponding author), Karl Atkin, Kerry Bell, Nicola Innes, Cath Jackson, Helen Jones, Steve MacGillivray, Lindsay Siebelt

Research output: Contribution to journalArticle

4 Citations (Scopus)
231 Downloads (Pure)

Abstract

Background: Gypsy/Travellers have poor health and experience discrimination alongside structural and cultural barriers when accessing health services and consequently may mistrust those services. Our study aims to investigate which approaches to community engagement are most likely to be effective at enhancing trust between Gypsy/Travellers and mainstream health services.

Methods: This multi-method 30-month study, commenced in June 2015, and comprises four stages.
1. Three related reviews: a) systematic review of Gypsy/Travellers’ access to health services; b) systematic review of reviews of how trust has been conceptualised within healthcare; c) realist synthesis of community engagement approaches to enhance trust and increase Gypsy/Travellers’ participation in health services. The reviews will consider any economic literature;
2. Online consultation with health and social care practitioners, and civil society organisations on existing engagement activities, including perceptions of barriers and good practice;
3. Four in-depth case studies of different Gypsy/Traveller communities, focusing on maternity, early years and child dental health services. The case studies include the views of 32–48 mothers of pre-school children, 32–40 healthcare providers and 8–12 informants from third sector organisations.
4. Two stakeholder workshops exploring whether policy options are realistic, sustainable and replicable.

Case study data will be analysed thematically informed by the evaluative framework derived from the realist synthesis in stage one.

The main outputs will be: a) an evaluative framework of Gypsy/Travellers’ engagement with health services; b) recommendations for policy and practice; c) evidence on which to base future implementation strategies including estimation of costs.

Discussion: Our novel multi-method study seeks to provide recommendations for policy and practice that have potential to improve uptake and delivery of health services, and to reduce lifetime health inequalities for Gypsy/Travellers. The findings may have wider resonance for other marginalised populations. Strengths and limitations of the study are discussed.
Original languageEnglish
Article number183
Pages (from-to)1-9
Number of pages9
JournalInternational Journal for Equity in Health
Volume15
DOIs
Publication statusPublished - 14 Nov 2016

Keywords

  • Gypsy/Travellers
  • Roma
  • Trust
  • community engagement
  • Maternity services
  • Early years’ services
  • Child dental health services
  • Case study
  • Multi-method research
  • Socially-excluded populations

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  • Research Output

    • 4 Citations
    • 1 Commissioned report
    • 1 Meeting abstract
    Open Access
    File
  • 624 Downloads (Pure)

    Consultation on Gypsy, Traveller and Roma people's engagement and trust in healthcare

    McFadden, A., Siebelt, L., MacGillivray, S., Jackson, C., Bell, K., Atkin, K., Jones, H. & Innes, N., 20 Oct 2017, In : European Journal of Public Health. 27, S3, p. 314-315 2 p.

    Research output: Contribution to journalMeeting abstract

  • Activities

    • 2 Public engagement and outreach - work on advisory panels

    Tackling inequalities faced by Gypsy, Roma and Traveller communities

    Alison McFadden (Member)

    18 Apr 2018

    Activity: Other activity typesPublic engagement and outreach - work on advisory panels

    Scottish Government Ministerial Working Group on Gypsy/Travellers

    Alison McFadden (Member)

    12 Dec 2018

    Activity: Other activity typesPublic engagement and outreach - work on advisory panels

    Profiles

    No photo of Nicola Innes

    Innes, Nicola

    • Dentistry - Honorary Professor & Chair of Paediatric Dentistry

    Person: Honorary

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