Dray Julia, Bowman Jenny, Wolfenden Luke, Campbell Elizabeth, Freund Megan, Hodder Rebecca, Wiggers John
Hunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, NSW, 2287, Australia.
The University of Newcastle, Callaghan, NSW, 2308, Australia.
Syst Rev. 2015 Dec 29;4:186. doi: 10.1186/s13643-015-0172-6.
The mental health of children and adolescents is a key area of health concern internationally. Previous empirical studies suggest that resilience may act as a protective mechanism towards the development of mental health problems. Resilience refers to the ability to employ a collection of protective factors to return to or maintain positive mental health following disadvantage or adversity. Schools represent a potential setting within which protective factors of all children and adolescents may be fostered through resilience-focussed interventions. Despite this potential, limited research has investigated the effectiveness of universal school-based resilience-focussed interventions on mental health outcomes in children and adolescents. The objective of the present review is to assess the effects of universal school-based resilience-focussed interventions, relative to a comparison group, on mental health outcomes in children and adolescents.
METHODS/DESIGN: Eligible studies will be randomised (including cluster-randomised) controlled trials of universal interventions explicitly described as resilience-focussed or comprising strategies to strengthen a minimum of three internal protective factors, targeting children aged 5 to 18 years, implemented within schools, and reporting a mental health outcome. Screening for studies will be conducted across six electronic databases: MEDLINE, PsycINFO, Educational Resources Information Center (ERIC), Excerpta Medica database (EMBASE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the Cochrane Central Register of Controlled Trials (CENTRAL). Two reviewers will retrieve eligible articles, assess risk of bias, and extract data. Where studies are sufficiently homogenous and reported outcomes are amenable for pooled synthesis, meta-analysis will be performed. Narrative description will be used to synthesise trial outcome data where data cannot be combined or heterogeneity exists.
This review will aid in building an evidence base for the effectiveness of universal school-based resilience-focussed interventions and in doing so provide an opportunity to better inform the development of interventions to potentially prevent mental health problems in child and adolescent populations.
PROSPERO CRD42015025908.
儿童和青少年的心理健康是国际上健康关注的关键领域。以往的实证研究表明，心理韧性可能是预防心理健康问题发展的一种保护机制。心理韧性是指在遭遇不利或逆境后，运用一系列保护因素恢复或维持积极心理健康的能力。学校是一个潜在的场所，通过以心理韧性为重点的干预措施，可以培养所有儿童和青少年的保护因素。尽管有这种潜力，但针对以心理韧性为重点的全校性干预措施对儿童和青少年心理健康结果有效性的研究却很有限。本综述的目的是评估相对于对照组，以心理韧性为重点的全校性干预措施对儿童和青少年心理健康结果的影响。
方法/设计：符合条件的研究将是随机（包括整群随机）对照试验，这些试验是明确以心理韧性为重点或包含强化至少三种内部保护因素策略的全校性干预措施，针对5至18岁的儿童，在学校内实施，并报告心理健康结果。将在六个电子数据库中进行研究筛选：医学索引数据库（MEDLINE）、心理学文摘数据库（PsycINFO）、教育资源信息中心（ERIC）、医学文摘数据库（EMBASE）、护理及相关健康文献累积索引（CINAHL）和Cochrane对照试验中心注册库（CENTRAL）。两名评审员将检索符合条件的文章，评估偏倚风险，并提取数据。如果研究足够同质且报告的结果适合进行汇总合成，将进行荟萃分析。当数据无法合并或存在异质性时，将使用叙述性描述来综合试验结果数据。
本综述将有助于为以心理韧性为重点的全校性干预措施的有效性建立证据基础，并借此机会更好地为制定可能预防儿童和青少年心理健康问题的干预措施提供信息。
国际前瞻性系统评价注册库（PROSPERO）CRD42015025908。
