Brain and Mind Centre, Faculty of Medicine and Health, The University of Sydney, Camperdown 2050, Australia.
Sydney Local Health District, Camperdown 2050, Australia.
Int J Environ Res Public Health. 2023 Aug 2;20(15):6508. doi: 10.3390/ijerph20156508.
The World Health Organisation defines health in terms of wellbeing, and wellbeing has become both a construct and a measure of impact in early intervention and prevention programs in schools. In Australia, schools report on their wellbeing initiatives and there is a plethora of government-funded wellbeing programs already in place in schools. However, education systems and stakeholders worldwide are facing significant challenges with mixed evaluation results of program impact and intervention effect. To better support students, schools, school-based healthcare workers, and community, it is important to know about the effectiveness of school-based programs; yet in the last decade, there has been no national appraisal of these programs in Australia. This systematic review aims to report on the effectiveness of Australian school-based wellbeing programs through a search of 13 databases. Out of 2888 articles, 29 met inclusion criteria. The results found that seventeen interventions comprising 80% of the total number of participants reported no statistically significant intervention effect on wellbeing outcomes. We argue that supporting wellbeing through robust program intervention is important as wellbeing presents both an indication of later onset of more serious mental health issues, and an opportunity for early intervention to break the trajectory leading to full disorder.
世界卫生组织将健康定义为幸福感，幸福感已成为学校早期干预和预防计划的构建和影响衡量标准。在澳大利亚，学校会报告其幸福感计划的实施情况，而且已经有大量的政府资助的幸福感计划在学校中实施。然而，全球的教育系统和利益相关者都面临着重大的挑战，其项目的影响和干预效果的评估结果喜忧参半。为了更好地支持学生、学校、学校保健工作者和社区，了解学校为基础的项目的有效性非常重要；然而，在过去的十年中，澳大利亚还没有对这些项目进行过全国性的评估。本系统评价旨在通过搜索 13 个数据库，报告澳大利亚学校幸福感计划的有效性。在 2888 篇文章中，有 29 篇符合纳入标准。结果发现，在包含 80%总参与者的 17 项干预措施中，有 17 项报告称对幸福感结果没有统计学上的显著干预效果。我们认为，通过强有力的项目干预来支持幸福感是很重要的，因为幸福感既是更严重精神健康问题后期发病的指标，也是早期干预以打破导致全面障碍的轨迹的机会。
