A systematic review of Photovoice studies on health-promoting behaviors among individuals with disabilities: Insights from the socio-ecological model.

Background: Photovoice enables participants to document their lived realities through photography, fostering self-expression and deeper reflection.

Objective: Leveraging these strengths, this study aimed to systematically review Photovoice research involving people with disabilities to explore the lived experiences with health-promoting behaviors.

Methods: A systematic literature review was conducted in July 2024 using multiple electronic databases, including PubMed, EMBASE, CINAHL, Cochrane, and Medline. The search process adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Quality appraisal was performed using the Critical Appraisal Skills Program. Identified facilitators and barriers to health-promoting behaviors among individuals with disabilities were mapped onto the Socio-Ecological Model to provide a structured analysis.

Results: Ten studies met the inclusion criteria for this review. At individual level, nine facilitators and seven barriers were identified. The interpersonal level revealed three facilitators and two barriers, while the institutional level included two facilitators and one barrier. At the community level, four facilitators and four barriers were found. No relevant factors were identified at the policy level.

Conclusion: This study expands the existing literature on participatory research by systematically reviewing Photovoice studies that examine health-promoting behaviors among people with disabilities. By offering a comprehensive analysis of facilitators and barriers, this review enhances the understanding of lived experiences and informs future interventions aimed at fostering inclusive and supportive environments for health promotion.