Matjasko Jennifer L, Vivolo-Kantor Alana M, Massetti Greta M, Holland Kristin M, Holt Melissa K, Cruz Jason Dela
Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, United States.
Aggress Violent Behav. 2012 Nov-Dec;17(6):540-552. doi: 10.1016/j.avb.2012.06.006.
Violence among youth is a pervasive public health problem. In order to make progress in reducing the burden of injury and mortality that result from youth violence, it is imperative to identify evidence-based programs and strategies that have a significant impact on violence. There have been many rigorous evaluations of youth violence prevention programs. However, the literature is large, and it is difficult to draw conclusions about what works across evaluations from different disciplines, contexts, and types of programs. The current study reviews the meta-analyses and systematic reviews published prior to 2009 that synthesize evaluations of youth violence prevention programs. This meta-review reports the findings from 37 meta-analyses and 15 systematic reviews; the included reviews were coded on measures of the social ecology, prevention approach, program type, and study design. A majority of the meta-analyses and systematic reviews were found to demonstrate moderate program effects. Meta-analyses yielded marginally smaller effect sizes compared to systematic reviews, and those that included programs targeting family factors showed marginally larger effects than those that did not. In addition, there are a wide range of individual/family, program, and study moderators of program effect sizes. Implications of these findings and suggestions for future research are discussed.
青少年暴力是一个普遍存在的公共卫生问题。为了在减轻青少年暴力导致的伤害和死亡负担方面取得进展,必须确定对暴力有重大影响的循证项目和策略。已经对青少年暴力预防项目进行了许多严格的评估。然而,文献数量众多,很难从不同学科、背景和项目类型的评估中得出关于哪些方法有效的结论。本研究回顾了2009年之前发表的综合青少年暴力预防项目评估的荟萃分析和系统评价。这项元综述报告了37项荟萃分析和15项系统评价的结果;纳入的综述根据社会生态、预防方法、项目类型和研究设计等指标进行编码。大多数荟萃分析和系统评价显示项目效果中等。与系统评价相比,荟萃分析得出的效应量略小,而那些纳入针对家庭因素项目的分析显示的效应略大于未纳入此类项目的分析。此外,项目效应量存在广泛的个体/家庭、项目和研究调节因素。讨论了这些发现的意义以及对未来研究的建议。