A systematic review of the effectiveness and cost-effectiveness of peer education and peer support in prisons.

A systematic review of the effectiveness and cost-effectiveness of peer education and peer support in prisons.
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DOI:
10.1186/s12889-015-1584-x
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发表时间:
2015-03-25
期刊:
影响因子:
4.5
通讯作者:
Wright NM
Wright NM
中科院分区:
医学2区
文献类型:
--
作者:
Bagnall AM;South J;Hulme C;Woodall J;Vinall-Collier K;Raine G;Kinsella K;Dixey R;Harris L;Wright NM

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囚犯的健康状况明显比一般人差。本审查审查了监狱环境中同伴干预的有效性和成本效益。对有效性和成本-效果研究进行了混合方法的系统审查,包括定性和定量综合。除了确定灰色文献和搜索网站外,从1985年到2012年还搜索了19个电子数据库。研究选择标准为:人群:居住在成人监狱的囚犯和居住在少年犯收容所(YOI)的儿童。干预:以同伴为基础的干预。比较者:复习问题3和4,比较同行和专业人员主导的方法。结果:囚犯健康或健康的决定因素;组织/程序结果;对监狱人口的看法。研究设计:定量、定性和混合方法评价。57项研究包括在有效性审查中,1项研究在成本效益审查中;大多数研究的方法质量较差。有证据表明,同伴教育干预措施在减少危险行为方面是有效的,同伴支助服务在监狱环境中是可以接受的,并在实际或情感上对接受者产生积极影响。来自许多(主要是定性的)研究的一致证据表明,成为同伴传播者与积极的效果相关。几乎没有证据表明以同行为基础的干预措施的成本效益。来自大量研究的一致证据表明,同伴工作与积极的健康有关;同伴支持服务也是监狱环境中可以接受的帮助来源,可以对接受者产生积极影响。对成本效益的研究很少。参考文献:CRD42012002349。
Prisoners experience significantly worse health than the general population. This review examines the effectiveness and cost-effectiveness of peer interventions in prison settings. A mixed methods systematic review of effectiveness and cost-effectiveness studies, including qualitative and quantitative synthesis was conducted. In addition to grey literature identified and searches of websites, nineteen electronic databases were searched from 1985 to 2012. Study selection criteria were: Population: Prisoners resident in adult prisons and children resident in Young Offender Institutions (YOIs). Intervention: Peer-based interventions. Comparators: Review questions 3 and 4 compared peer and professionally led approaches. Outcomes: Prisoner health or determinants of health; organisational/process outcomes; views of prison populations. Study designs: Quantitative, qualitative and mixed method evaluations. Fifty-seven studies were included in the effectiveness review and one study in the cost-effectiveness review; most were of poor methodological quality. Evidence suggested that peer education interventions are effective at reducing risky behaviours, and that peer support services are acceptable within the prison environment and have a positive effect on recipients, practically or emotionally. Consistent evidence from many, predominantly qualitative, studies, suggested that being a peer deliverer was associated with positive effects. There was little evidence on cost-effectiveness of peer-based interventions. There is consistent evidence from a large number of studies that being a peer worker is associated with positive health; peer support services are also an acceptable source of help within the prison environment and can have a positive effect on recipients. Research into cost-effectiveness is sparse. PROSPERO ref: CRD42012002349.
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期刊: DEVIANT BEHAVIOR
影响因子: 1.6
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