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Table 2 Summary of scoping review findings

From: Community boundary spanners as an addition to the health workforce to reach marginalised people: a scoping review of the literature

First author and year

Health context

Population group

Boundary spanning type

Paid or unpaid

Purpose of boundary spanning

Activities

Outcome domains

Individual

Boundary spanner

Organisation

Community

Aoun (2013) [61]

Weight loss

Rural middle aged to older men

Peer

Unpaid

Change in health behaviours and outcomes

Workshop/information sessions; individual provision of health advice/coaching

 

Bailey (2015) [53]

General healthy lifestyle interventions

Prisoners and people with mental illness

Lay

Paid

Change in health behaviours and outcomes

Workshop/information sessions; individual provision of health advice/coaching; referrals to other organisations

  

Barlow (2011) [54]

Perinatal/maternal health

Socio-eco deprived families

Peer

Paid and unpaid

Addressing organisational trust problem

Individual provision of health advice/coaching; home visits/phone calls; emotional/practical support; referrals to other organisations

 

Bustillos (2015) [38]

Nutrition

Disadvantaged and hard to reach

CHW

Paid

Addressing organisational trust problem

Workshop/information sessions; individual provision of health advice/coaching

  

Choi (2016) [39]

Cancer screening or care

Ethnic minority

CHW

Unstated

Increase participation rates in clinical services

Workshop/information sessions; home visits/phone calls; service navigation

  

Doolan-Noble (2013) [62]

Chronic care

Rural with complex and chronic conditions

Navigator

Paid

Solution to workforce shortage

Home visits/phone calls; emotional and practical support; referrals to other organisations; patient follow up and documentation

 

 

Felix (2011) [45]

Mild to moderate functional limitations

Long-term care needs: age and disability

CHW

Paid

Increase participation rates in clinical services

Home visits/phone calls; referrals to other organisations; service navigation

 

 

Gampa (2017) [46]

Community health

Indigenous communities

CHW

Paid

Solution to workforce shortage

Individual provision of health advice/coaching; home visits/phone calls; emotional and practical support; referrals to other organisations; cultural brokering; case management; health service provision

 

  

Han (2007) [47]

Chronic care

Older migrants

CHW

Unpaid

Change in health behaviours and outcomes

Workshop/information sessions

 

 

Hartman (2013) [60]

Exercise program

Ethnic minority mothers

Community entities

Paid

Change in health behaviours and outcomes

Workshop/information sessions; cultural brokering

 

 

Hesselink (2011) [27]

Perinatal/maternal health

Ethnic minority women

CHW

Paid

Change in health behaviours and outcomes

Workshop/information sessions; individual provision of health advice/coaching; cultural brokering; health service provision

 

 

Kennedy (2010) [55]

Nutrition

Less affluent neighbourhood

Lay

Paid and unpaid

Change in health behaviours and outcomes

Workshop/information sessions; individual provision of health advice/coaching; emotional and practical support

Levinson (2015) [48]

Smoking cessation

Socio-eco disadvantaged

Lay

Paid

Increase participation rates in clinical services

Individual provision of health advice/coaching; home visits and phone calls; referrals to other organisations; patient follow up and documentation

  

 

Margellos-Anast (2012) [49]

Chronic care

Poor inner-city communities

CHW

Paid

Increase participation rates in clinical services

Individual provision of health advice/coaching; referrals to other organisations; case management.

 

 

May (2007) [65]

Community health

Immigrants

CHW

Paid and unpaid

Solution to workforce shortage

Workshop/information sessions; individual provision of health advice/coaching; home visits/phone calls; emotional and practical support; referrals to other organisations

McLeish (2015) [56]

Perinatal/maternal health

Vulnerable mothers

Peer

Unpaid

Addressing organisational trust problem

Workshop/information sessions; individual provision of health advice/coaching; emotional and practical support; service navigation

  

Najafizada (2015) [63]

Community health

Marginalised people

CHW

Paid and unpaid

Increase participation rates in clinical services

Workshop/information sessions; individual provision of health advice/coaching; health service provision

 

Otiniano (2012) [50]

Community health

Hard to reach communities

CHW

Stipend for the workshop

Addressing organisational trust problem

Workshop/information sessions; community-based research

 

  

Palmas (2014) [51]

Chronic care

Hispanic adults

CHW

Paid

Change in health behaviours and outcomes

Individual provision of health advice/coaching; home visits/ phone calls; emotional and practical support

   

Palomino (2017) [52]

Cancer screening or care

Ethnic minorities- rural

Navigator

Paid

Increase participation rates in clinical services

Service navigation; cultural brokering.

   

Rafie (2015) [40]

Cancer screening or care

African-American

Lay

Unpaid

Increase participation rates in clinical services

Workshop/information sessions

  

Raj (2012) [41]

Cancer screening or care

Racially and ethnically diverse

Navigator

Paid

Increase participation rates in clinical services

Home visits/phone calls; service navigation; patient follow up and documentation

   

Rohan (2016) [42]

Cancer screening or care

Medically disadvantaged

Navigator

Paid

Increase participation rates in clinical services

Home visits/phone calls; emotional and practical support; service navigation; patient follow up and documentation

   

Shahidi (2015) [43]

Community health

Inner city neighbourhood “forgotten”

CHW

Paid

Addressing organisational trust problem

Workshop/information sessions; home visits/phone calls; emotional and practical support; service navigation; case management; health service provision

   

Sokol (2016) [64]

General healthy lifestyle interventions

Hardly reached

Peer

Paid and unpaid

Addressing organisational trust problem

Home visits/phone calls; emotional and practical support; service navigation; referrals to other organisations

 

 

Thomson (2012) [57]

Perinatal/maternal health

Mothers in a deprived area

Peer

Paid and unpaid

Addressing organisational trust problem

Workshop/information sessions; home visits/phone calls; emotional and practical support

  

Torres (2014) [67]

Perinatal/maternal health

New immigrants and refugees

CHW

Paid

Solution to workforce shortage

Workshop/information sessions; individual provision of health advice/coaching; home visits/phone calls; emotional and practical support; referrals to other organisations; cultural brokering; case management

 

 

Wagoner (2015) [44]

Sexual health

Ethnic minority men- Latino

Peer

Unpaid

Change in health behaviours and outcomes

Workshop/information sessions; individual provision of health advice/coaching; emotional and practical support; referrals to other organisations

 

White (2015) [58]

Mental health

High deprivation areas

Lay

Paid

Change in health behaviours and outcomes

Individual provision of health advice/coaching

   

Woodall (2013) [59]

Community health

Disadvantaged communities

Lay

Unpaid

Change in health behaviours and outcomes

Workshop/information sessions; individual provision of health advice/coaching; emotional and practical support