A systematic review of the effectiveness of mental health promotion interventions for young people in low and middle income countries.
A systematic review of the effectiveness of mental health promotion interventions for young people in low and middle income countries.
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DOI：
10.1186/1471-2458-13-835
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发表时间：
2013-09-11
影响因子：
4.5
通讯作者：
Patel V
中科院分区：
文献类型：
--
作者：
Barry MM;Clarke AM;Jenkins R;Patel V
本系统性综述对中低收入国家（LMICs）青年人心理健康促进干预措施的有效性证据进行了叙述性综合。受世界卫生组织委托，对从早年到成年的整个生命周期的心理健康促进干预措施的证据进行了审查。本文报告了在学校和社区环境中促进青少年（6-18岁）积极心理健康的干预措施的结果。检索了一系列电子数据库，确定了自2000年以来在LMIC中进行的22项采用RCT（N = 11）和准实验设计的研究。审查了在8个低收入国家实施的14项基于学校的干预措施的研究，其中7项包括对生活在武装冲突地区的儿童的干预措施，6项包括多方面生活技能和复原力培训的干预措施。在五个国家确定了八项评价校外社区青少年干预措施的研究。使用有效公共卫生实践项目（EPHPP）标准，两名评审员独立评估了证据的质量。大多数以学校为基础的干预措施的结果是强有力的。针对生活在冲突地区的儿童的结构性普遍干预措施总体上对学生的情感和行为健康产生了显着的积极影响，包括提高自尊和应对技能。然而，也报告了混合的结果，包括性别和年龄组的差异效应，两项研究报告了无意义的发现。大多数以学校为基础的生活技能和复原力方案获得中等质量评级，调查结果表明，这些方案对学生的自尊、积极性和自我效能产生了积极影响。基于社区的青少年干预措施的证据质量是中等到强有力的，关于多成分干预措施对青少年心理健康和社会福祉的影响的潜力，有希望的结果。审查结果表明，促进青年人的心理健康的干预措施可以有效地实施在LMIC学校和社区环境中的积极和消极的心理健康结果的影响的中度到强有力的证据。有一个关于干预措施的证据在LMIC小学年幼的孩子很少。需要加强证据，说明在中低收入国家推广心理健康干预措施的规模和可持续性。
This systematic review provides a narrative synthesis of the evidence on the effectiveness of mental health promotion interventions for young people in low and middle-income countries (LMICs). Commissioned by the WHO, a review of the evidence for mental health promotion interventions across the lifespan from early years to adulthood was conducted. This paper reports on the findings for interventions promoting the positive mental health of young people (aged 6–18 years) in school and community-based settings. Searching a range of electronic databases, 22 studies employing RCTs (N = 11) and quasi-experimental designs conducted in LMICs since 2000 were identified. Fourteen studies of school-based interventions implemented in eight LMICs were reviewed; seven of which included interventions for children living in areas of armed conflict and six interventions of multicomponent lifeskills and resilience training. Eight studies evaluating out-of-school community interventions for adolescents were identified in five countries. Using the Effective Public Health Practice Project (EPHPP) criteria, two reviewers independently assessed the quality of the evidence. The findings from the majority of the school-based interventions are strong. Structured universal interventions for children living in conflict areas indicate generally significant positive effects on students’ emotional and behavioural wellbeing, including improved self-esteem and coping skills. However, mixed results were also reported, including differential effects for gender and age groups, and two studies reported nonsignficant findings. The majority of the school-based lifeskills and resilience programmes received a moderate quality rating, with findings indicating positive effects on students’ self-esteem, motivation and self-efficacy. The quality of evidence from the community-based interventions for adolescents was moderate to strong with promising findings concerning the potential of multicomponent interventions to impact on youth mental health and social wellbeing. The review findings indicate that interventions promoting the mental health of young people can be implemented effectively in LMIC school and community settings with moderate to strong evidence of their impact on both positive and negative mental health outcomes. There is a paucity of evidence relating to interventions for younger children in LMIC primary schools. Evidence for the scaling up and sustainability of mental health promotion interventions in LMICs needs to be strengthened.
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DOI：
10.1016/j.jadohealth.2010.07.029
发表时间：
2011-05
期刊：
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子：
--
作者：
Balaji M;Andrews T;Andrew G;Patel V
通讯作者：
Patel V
影响因子：
5.4
作者：
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通讯作者：
Majumdar, B
DOI：
10.1097/00004583-200210000-00011
发表时间：
2002-10-01
影响因子：
13.3
作者：
DelBello, MP;Schwiers, ML;Strakowski, SM
通讯作者：
Strakowski, SM
DOI：
10.1111/j.1469-7610.2007.01757.x
发表时间：
2007-08-01
影响因子：
7.6
作者：
Cluver, Lucie;Gardner, Frances;Operario, Don
通讯作者：
Operario, Don
影响因子：
5.4
作者：
Atwine, B;Cantor-Graae, E;Bajunirwe, F
通讯作者：
Bajunirwe, F