基于学校的普遍干预措施对儿童和青少年求助的影响:系统性文献综述。

IF 6 2区 医学 Q1 PEDIATRICS
European Child & Adolescent Psychiatry Pub Date : 2024-09-01 Epub Date: 2023-01-13 DOI:10.1007/s00787-022-02135-y
Daniel Hayes, Rosie Mansfield, Carla Mason, Joao Santos, Anna Moore, Jan Boehnke, Emma Ashworth, Bettina Moltrecht, Neil Humphrey, Paul Stallard, Praveetha Patalay, Jessica Deighton
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引用次数: 0

摘要

有关改善青少年求助情况的普遍干预措施的综述主要集中在行为等特定概念上,没有区分人际求助和人内求助,而且通常只报告统计意义而非效果大小。本综述旨在弥补上述不足,调查以学校为基础的普遍干预措施对儿童和青少年寻求帮助的影响,并探讨其长期影响。我们检索了四个数据库。提取的数据包括来源国、设计、参与者、学校和干预措施的特点、所测量的求助概念(如知识、态度/意向、行为)、基线与每次随访之间的持续时间(如适用)以及每次随访的效果大小。研究质量评估采用有效公共卫生实践项目(EPHPP)质量评估工具进行。共有 14 项不同的干预措施符合纳入标准。大多数研究在质量评估中被评为低级。报告最多的有三个方面:a) 个人内部对寻求帮助的态度;b) 人际间对寻求帮助的态度;c) 个人内部打算寻求帮助的态度。关于干预效果的研究结果不一。有初步证据表明,对人际态度产生影响的干预措施在干预后 3 至 6 个月的测量中产生了较小的效应大小,而当最初观察到人际态度的效应大小时,这种效应大小在 3 至 6 个月的随访中依然存在。进一步的工作应关注实施因素,了解实施有效干预所需的核心要素,以及嵌入心理健康教育是否有助于维持或提高求助干预的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The impact of universal, school based, interventions on help seeking in children and young people: a systematic literature review.

The impact of universal, school based, interventions on help seeking in children and young people: a systematic literature review.

Reviews into universal interventions to improve help seeking in young people focus on specific concepts, such as behaviour, do not differentiate between interpersonal and intrapersonal help seeking, and often report on statistical significance, rather than effect size. The aim of this review was to address the gaps highlighted above, to investigate the impact of universal, school-based interventions on help-seeking in children and young people, as well as to explore longer term impact. Four databases were searched. Data were extracted on country of origin, design, participant, school, and intervention characteristics, the help-seeking concept measured (e.g. knowledge, attitude/intention, behaviour), the duration between baseline and each follow-up (if applicable) and effect sizes at each follow-up. Quality assessment of the studies was undertaken using the Effective Public Health Practice Project (EPHPP) quality assessment tool. Overall, 14 different interventions met inclusion criteria. The majority of the studies were rated low in the quality assessment. Three constructs were most frequently reported a) intrapersonal attitudes towards help-seeking, b) interpersonal attitudes towards help-seeking and c) intrapersonal intended help-seeking. Findings around intervention effect were mixed. There was tentative evidence that interventions impacting interpersonal attitudes produced small effect sizes when measured between 3 and 6 months post intervention and that when effect sizes were initially observed intrapersonal attitudes, this remained at 3-6 month follow-up. Further work should pay attention to implementation factors, understanding the core ingredients needed to deliver effective interventions and whether embedding mental health education could help sustain or top up effect sizes from help-seeking interventions.

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来源期刊
CiteScore
12.80
自引率
4.70%
发文量
186
审稿时长
6-12 weeks
期刊介绍: European Child and Adolescent Psychiatry is Europe''s only peer-reviewed journal entirely devoted to child and adolescent psychiatry. It aims to further a broad understanding of psychopathology in children and adolescents. Empirical research is its foundation, and clinical relevance is its hallmark. European Child and Adolescent Psychiatry welcomes in particular papers covering neuropsychiatry, cognitive neuroscience, genetics, neuroimaging, pharmacology, and related fields of interest. Contributions are encouraged from all around the world.
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