University of Edinburgh, 9 Hope Park Square, Edinburgh, EH8 9NW, UK.
NHS Health Scotland, Glasgow, UK.
Syst Rev. 2018 Nov 24;7(1):207. doi: 10.1186/s13643-018-0873-8.
Although documentation of harm towards children and young people has existed for centuries, it was not until the 1960s that it became a specific focus for health professionals. Since that time, the importance of protective social networks has become better understood. The concept of trusted adults has come into sharper focus, with children being encouraged to develop networks of dependable adults to turn to for support in times of need. While many child protection processes highlight risks to younger children, there has been less emphasis on older children. The role of trusted adults may be particularly important during adolescence, due to burgeoning independence, developing sexuality, relationship formation, and associated vulnerabilities. While important choices relating to health and education are made during this period, there is little formal evidence relating to the impact of trusted adults on such outcomes. This review therefore aims to focus on the role and influence of trusted adults for adolescents.
This study is a scoping review. A broad range of databases will be searched, including MEDLINE, ERIC, Education Abstracts, Web of Science, ASSIA, Sociological Abstracts, and PsycINFO. Predefined inclusion/exclusion criteria will be used, with a focus on outcomes relating to health and education. Two reviewers will blind screen papers independently at all screening stages, with conflicts being resolved by a third reviewer. Quantitative and qualitative studies, as well as unpublished (grey) literature/reports, will be included. We will use the World Health Organization's 'second decade' definition of adolescence. We aim to collate and map evidence in a broad overview and produce meta-analyses of homogenous data. Where this is not possible, a narrative summary will be produced.
There appears to be sparse knowledge regarding the role of trusted adults for adolescents. Potential benefits to health and wellbeing may impact on educational attainment, and vice versa. These areas are of particular relevance during the second decade, when decisions that affect future direction, achievement, and wellbeing are being made. The increased understanding of the role of trusted adults provided by this review may help to inform practice and policy and lead to potential benefits for the health and education of adolescents.
PROSPERO CRD 42017076739.
尽管针对儿童和青少年的伤害记录已有几个世纪的历史，但直到 20 世纪 60 年代，它才成为卫生专业人员关注的焦点。自那时以来，保护社会网络的重要性已得到更好的理解。值得信赖的成年人的概念变得更加突出，鼓励儿童发展可信赖的成年人网络，以便在需要时获得支持。虽然许多儿童保护流程强调了对年幼儿童的风险，但对年龄较大的儿童的关注较少。在青春期，由于独立性不断增强、性发育、关系形成和相关的脆弱性，值得信赖的成年人的作用可能尤为重要。虽然在此期间做出了与健康和教育相关的重要选择，但与值得信赖的成年人对这些结果的影响相关的正式证据很少。因此，本综述旨在关注值得信赖的成年人对青少年的作用和影响。
本研究是一个范围界定审查。将广泛搜索多种数据库，包括 MEDLINE、ERIC、教育摘要、Web of Science、ASSIA、社会学摘要和 PsycINFO。将使用预定义的纳入/排除标准，重点关注与健康和教育相关的结果。两名评审员将在所有筛选阶段独立进行盲筛，冲突将由第三名评审员解决。将纳入定量和定性研究以及未发表的（灰色）文献/报告。我们将使用世界卫生组织对青春期的“第二个十年”定义。我们的目标是广泛概述并整理证据，并对同质数据进行荟萃分析。如果不可能，将制作叙述性摘要。
似乎对青少年值得信赖的成年人的作用知之甚少。对健康和幸福的潜在益处可能会影响教育程度，反之亦然。这些领域在第二个十年尤为重要，因为正在做出影响未来方向、成就和幸福感的决策。本综述中对值得信赖的成年人作用的深入了解可能有助于为实践和政策提供信息，并可能为青少年的健康和教育带来益处。
PROSPERO CRD42017076739。
