Population Health Sciences, Bristol Medical School, Canynge Hall, University of Bristol, Bristol, BS8 2PL, UK.
Syst Rev. 2021 May 12;10(1):147. doi: 10.1186/s13643-021-01696-4.
Adolescent multiple risk behaviour (MRB) continues to be a global health issue. Most interventions have focused on the proximal causes of adolescent MRB such as peer or family influence, rather than targeting the wider environmental or structural context. There is increasing recognition that community mobilisation approaches could be beneficial for adolescent health. Despite this, there are gaps in the current literature, theory and implementation that would benefit from a realist approach due to the suitability of this methodology to analysing complex interventions. The objective of this study is to understand 'how, why, for whom and in what circumstances and time periods' do community mobilisation interventions work to prevent and/or reduce adolescent multiple risk behaviour.
This is a protocol for a realist review. The review will use a six-stage iterative process, guided by the RAMESES framework. We will systematically search PubMed, MEDLINE, PsycINFO, Web of Science, CINAHL and Sociological Abstracts, from their inception to 2021. Studies will be screened for relevance to the programme theory and included based on a priori eligibility criteria including (1) reporting a community mobilisation intervention (2) targeting two health risk behaviors (3) for adolescent populations. Two independent reviewers will select, screen and extract data related to the program theory from all relevant sources. A realist logic of analysis will be used to identify all context-mechanism-outcome configurations that contribute to our programme theory. The findings will be synthesised to produce a refined programme theory model.
The goal of this realist review is to identify and refine a programme theory for community mobilisation approaches to the prevention and/or reduction of adolescent multiple risk behaviour. Our aim is that the findings surrounding the programme theory refinement can be used to develop and implement adolescent multiple risk behaviour interventions and maintain collaboration between local policy makers, researchers and community members.
This realist review is registered on the PROSPERO database (registration number: CRD42020205342).
青少年多重危险行为（MRB）仍然是一个全球性的健康问题。大多数干预措施都集中在青少年 MRB 的近因上，如同伴或家庭的影响，而不是针对更广泛的环境或结构背景。人们越来越认识到，社区动员方法可能对青少年健康有益。尽管如此，由于这种方法适合分析复杂的干预措施，当前文献、理论和实施方面仍存在差距，需要采用现实主义方法。本研究的目的是了解“社区动员干预措施如何、为何、针对谁、在何种情况下以及在什么时间范围内”预防和/或减少青少年多重危险行为。
这是一项真实审查的方案。该审查将使用六阶段迭代过程，由 RAMESES 框架指导。我们将系统地搜索 PubMed、MEDLINE、PsycINFO、Web of Science、CINAHL 和 Sociological Abstracts，从它们的创立到 2021 年。研究将根据事先确定的资格标准筛选出与方案理论相关的研究，包括（1）报告社区动员干预措施，（2）针对两种健康风险行为，（3）针对青少年人群。两名独立的评审员将从所有相关来源中选择、筛选和提取与方案理论相关的数据。将使用现实主义逻辑分析来确定所有有助于我们方案理论的背景-机制-结果配置。研究结果将进行综合，以生成一个精炼的方案理论模型。
本次真实审查的目标是确定和精炼一个关于社区动员方法预防和/或减少青少年多重危险行为的方案理论。我们的目标是，方案理论细化的研究结果可以用于制定和实施青少年多重危险行为干预措施，并保持当地政策制定者、研究人员和社区成员之间的合作。
本次真实审查在 PROSPERO 数据库（注册号：CRD42020205342）中进行了登记。
