The Modern Slavery Core Outcome Set: A survivor-driven consensus on priority outcomes for recovery, wellbeing, and reintegration

Sohail Jannesari; Bee  Damara; Rachel  Witkin; Cornelius Katona; Queenie Sit; Minh Dang; Jeanet  Joseph; Emma Howarth; Olivia  Triantafillou; Claire  Powell; Sabah  Rafique; Anitta  Sritharan; Nicola  Wright; Sian Oram; Sharli Paphitis

The Modern Slavery Core Outcome Set: A survivor-driven consensus on priority outcomes for recovery, wellbeing, and reintegration

Sohail Jannesari^*, Bee Damara, Rachel Witkin, Cornelius Katona, Queenie Sit, Minh Dang, Jeanet Joseph, Emma Howarth, Olivia Triantafillou, Claire Powell, Sabah Rafique, Anitta Sritharan, Nicola Wright, Sian Oram, Sharli Paphitis

^*Corresponding author for this work

Health Service & Population Research

Research output: Contribution to journal › Review article › peer-review

Abstract

Abstract: Background: There is no consensus on the outcomes needed for the recovery and reintegration of survivors of modern slavery and human trafficking. We developed the Modern Slavery Core Outcome Set (MSCOS) to address this gap. Methods: We conducted three English-language reviews on the intervention outcomes sought or experienced by adult
survivors: a qualitative systematic review (4 databases, 18 eligible papers, thematic analysis), a rapid review of quantitative intervention studies (4 databases, 8 eligible papers, content analysis) and a grey literature review (2 databases, 21 websites, a call for evidence, 13 eligible papers, content analysis). We further extracted outcomes from 36 pre-existing
interview transcripts with survivors, and 7 interviews with survivors from underrepresented groups. We narrowed down outcomes via a consensus process involving: a three-stage EDelphi survey (191 respondents); and a final consensus workshop (46 participants). Results:
We generated 398 outcomes from our three reviews, and 843 outcomes from interviews. By removing conceptual and literal duplicates, we reduced this to a longlist of 72 outcomes spanning 10 different domains. The E-Delphi produced a 14-outcome shortlist for the consensus workshop, where 7 final outcomes were chosen. Final outcomes were: ‘long-term
consistent support’, ‘secure and suitable housing’, ‘safety from any trafficker or other
abuser’, ‘access to medical treatment’, ‘finding purpose in life and self-actualisation', ‘access to education’, and ‘compassionate, trauma-informed services’. Conclusion: The MSCOS provides outcomes that are accepted by a wide range of stakeholders and that should be
measured in intervention evaluation.

Original language	English
Journal	Trauma, Violence, and Abuse
Publication status	Accepted/In press - 2023

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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Jannesari, S., Damara, B., Witkin, R., Katona, C., Sit, Q., Dang, M., Joseph, J., Howarth, E., Triantafillou, O., Powell, C., Rafique, S., Sritharan, A., Wright, N., Oram, S., & Paphitis, S. (Accepted/In press). The Modern Slavery Core Outcome Set: A survivor-driven consensus on priority outcomes for recovery, wellbeing, and reintegration. Trauma, Violence, and Abuse.

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title = "The Modern Slavery Core Outcome Set: A survivor-driven consensus on priority outcomes for recovery, wellbeing, and reintegration",

abstract = "Abstract: Background: There is no consensus on the outcomes needed for the recovery and reintegration of survivors of modern slavery and human trafficking. We developed the Modern Slavery Core Outcome Set (MSCOS) to address this gap. Methods: We conducted three English-language reviews on the intervention outcomes sought or experienced by adultsurvivors: a qualitative systematic review (4 databases, 18 eligible papers, thematic analysis), a rapid review of quantitative intervention studies (4 databases, 8 eligible papers, content analysis) and a grey literature review (2 databases, 21 websites, a call for evidence, 13 eligible papers, content analysis). We further extracted outcomes from 36 pre-existinginterview transcripts with survivors, and 7 interviews with survivors from underrepresented groups. We narrowed down outcomes via a consensus process involving: a three-stage EDelphi survey (191 respondents); and a final consensus workshop (46 participants). Results:We generated 398 outcomes from our three reviews, and 843 outcomes from interviews. By removing conceptual and literal duplicates, we reduced this to a longlist of 72 outcomes spanning 10 different domains. The E-Delphi produced a 14-outcome shortlist for the consensus workshop, where 7 final outcomes were chosen. Final outcomes were: {\textquoteleft}long-termconsistent support{\textquoteright}, {\textquoteleft}secure and suitable housing{\textquoteright}, {\textquoteleft}safety from any trafficker or otherabuser{\textquoteright}, {\textquoteleft}access to medical treatment{\textquoteright}, {\textquoteleft}finding purpose in life and self-actualisation', {\textquoteleft}access to education{\textquoteright}, and {\textquoteleft}compassionate, trauma-informed services{\textquoteright}. Conclusion: The MSCOS provides outcomes that are accepted by a wide range of stakeholders and that should bemeasured in intervention evaluation.",

author = "Sohail Jannesari and Bee Damara and Rachel Witkin and Cornelius Katona and Queenie Sit and Minh Dang and Jeanet Joseph and Emma Howarth and Olivia Triantafillou and Claire Powell and Sabah Rafique and Anitta Sritharan and Nicola Wright and Sian Oram and Sharli Paphitis",

year = "2023",

language = "English",

journal = "Trauma, Violence, and Abuse",

issn = "1524-8380",

publisher = "SAGE Publications Ltd",

}

TY - JOUR

T1 - The Modern Slavery Core Outcome Set

T2 - A survivor-driven consensus on priority outcomes for recovery, wellbeing, and reintegration

AU - Jannesari, Sohail

AU - Damara, Bee

AU - Witkin, Rachel

AU - Katona, Cornelius

AU - Sit, Queenie

AU - Dang, Minh

AU - Joseph, Jeanet

AU - Howarth, Emma

AU - Triantafillou, Olivia

AU - Powell, Claire

AU - Rafique, Sabah

AU - Sritharan, Anitta

AU - Wright, Nicola

AU - Oram, Sian

AU - Paphitis, Sharli

PY - 2023

Y1 - 2023

N2 - Abstract: Background: There is no consensus on the outcomes needed for the recovery and reintegration of survivors of modern slavery and human trafficking. We developed the Modern Slavery Core Outcome Set (MSCOS) to address this gap. Methods: We conducted three English-language reviews on the intervention outcomes sought or experienced by adultsurvivors: a qualitative systematic review (4 databases, 18 eligible papers, thematic analysis), a rapid review of quantitative intervention studies (4 databases, 8 eligible papers, content analysis) and a grey literature review (2 databases, 21 websites, a call for evidence, 13 eligible papers, content analysis). We further extracted outcomes from 36 pre-existinginterview transcripts with survivors, and 7 interviews with survivors from underrepresented groups. We narrowed down outcomes via a consensus process involving: a three-stage EDelphi survey (191 respondents); and a final consensus workshop (46 participants). Results:We generated 398 outcomes from our three reviews, and 843 outcomes from interviews. By removing conceptual and literal duplicates, we reduced this to a longlist of 72 outcomes spanning 10 different domains. The E-Delphi produced a 14-outcome shortlist for the consensus workshop, where 7 final outcomes were chosen. Final outcomes were: ‘long-termconsistent support’, ‘secure and suitable housing’, ‘safety from any trafficker or otherabuser’, ‘access to medical treatment’, ‘finding purpose in life and self-actualisation', ‘access to education’, and ‘compassionate, trauma-informed services’. Conclusion: The MSCOS provides outcomes that are accepted by a wide range of stakeholders and that should bemeasured in intervention evaluation.

AB - Abstract: Background: There is no consensus on the outcomes needed for the recovery and reintegration of survivors of modern slavery and human trafficking. We developed the Modern Slavery Core Outcome Set (MSCOS) to address this gap. Methods: We conducted three English-language reviews on the intervention outcomes sought or experienced by adultsurvivors: a qualitative systematic review (4 databases, 18 eligible papers, thematic analysis), a rapid review of quantitative intervention studies (4 databases, 8 eligible papers, content analysis) and a grey literature review (2 databases, 21 websites, a call for evidence, 13 eligible papers, content analysis). We further extracted outcomes from 36 pre-existinginterview transcripts with survivors, and 7 interviews with survivors from underrepresented groups. We narrowed down outcomes via a consensus process involving: a three-stage EDelphi survey (191 respondents); and a final consensus workshop (46 participants). Results:We generated 398 outcomes from our three reviews, and 843 outcomes from interviews. By removing conceptual and literal duplicates, we reduced this to a longlist of 72 outcomes spanning 10 different domains. The E-Delphi produced a 14-outcome shortlist for the consensus workshop, where 7 final outcomes were chosen. Final outcomes were: ‘long-termconsistent support’, ‘secure and suitable housing’, ‘safety from any trafficker or otherabuser’, ‘access to medical treatment’, ‘finding purpose in life and self-actualisation', ‘access to education’, and ‘compassionate, trauma-informed services’. Conclusion: The MSCOS provides outcomes that are accepted by a wide range of stakeholders and that should bemeasured in intervention evaluation.

M3 - Review article

SN - 1524-8380

JO - Trauma, Violence, and Abuse

JF - Trauma, Violence, and Abuse

ER -

The Modern Slavery Core Outcome Set: A survivor-driven consensus on priority outcomes for recovery, wellbeing, and reintegration

Abstract

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