Critical interpretive synthesis of barriers and facilitators to TB treatment in immigrant populations (pages 1206–1222)

Tropical Medicine & International Health
October 2017   Volume 22, Issue 10  Pages 1205–1360
http://onlinelibrary.wiley.com/doi/10.1111/tmi.2017.22.issue-10/issuetoc

Reviews
Critical interpretive synthesis of barriers and facilitators to TB treatment in immigrant populations (pages 1206–1222)
Lin and G. J. Melendez-Torres
Version of Record online: 7 SEP 2017 | DOI: 10.1111/tmi.12938
Abstract
Objective
To systematically review studies of TB treatment experiences in immigrant populations, using Critical Interpretive Synthesis (CIS).
Methods
On 26 October 2014, MEDLINE, CINAHL, Embase, LILACS, and PsycINFO were systematically searched. Grey literature and reference lists were hand-searched. Initial papers included were restricted to studies of immigrant patient perspectives; after a model was developed, a second set of papers was included to test the emerging theory.
Results
Of 1761 studies identified in the search, a total of 29 were included in the synthesis. Using those studies, we developed a model that suggested treatment experiences were strongly related to the way both individuals and societies adjusted to immigration (‘acculturation strategies’). Relationships with healthcare workers and immigration policies played particularly significant roles in TB treatment.
Conclusions
This review emphasised the roles of repatriation policy and healthcare workers in forming experiences of TB treatment in immigrant populations.