青少年参与健康研究相关指南的快速综述。
A rapid review of guidelines on the involvement of adolescents in health research.
机构信息
Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland.
School of Psychology, Trinity College Dublin, Dublin, Ireland.
出版信息
Health Expect. 2024 Jun;27(3):e14058. doi: 10.1111/hex.14058.
BACKGROUND
Meaningful involvement of adolescents in health research is their fundamental human right and has many benefits. A lack of awareness among researchers on how to meaningfully involve adolescents in health research has been linked to adolescent under involvement in health research. To address this barrier, studies have reported the need for more guidance. To inform the development of better guidelines on adolescent involvement, there is a need to first consolidate the currently available guidance on adolescent involvement in health research and to identify the gaps in these guidelines. This review aims to systematically identify all the currently available guidelines on adolescent involvement in health research and evaluate their scope, content, context, and quality.
METHODS
This rapid review was pre-registered with PROSPERO #CRD42021293586. It included documents that incorporated tangible recommendations on the involvement of adolescents in health research. We searched six databases for peer-reviewed literature: MEDLINE, CINAHL, Embase, Scopus, Web of Science, and ERIC. We conducted a grey literature search in Google Scholar, Google, websites of 472 relevant organisations and sought expert input. The quality of the guidelines was assessed using the Appraisal of Guidelines for REsearch & Evaluation (AGREE-II) Instrument. Data was analysed using descriptive analyses and narrative synthesis.
RESULTS
We found that the current guidelines on adolescent involvement in health research are often narrow in scope, targeting specific users and populations while focusing on limited research areas. The guidelines individually fail to provide comprehensive coverage of recommendations across all topics related to adolescent research involvement, that are collectively addressed across all included guidelines. Furthermore, these guidelines tend to be context-specific and are generally of low quality, often due to inadequate stakeholder involvement and a lack of rigorous development methods.
CONCLUSION
This review provides a consolidated list of guidelines on adolescent involvement in health research along with their quality scores as a resource for researchers to select the guidelines suitable for their research topic, context, and scope for adolescent involvement. There is a need to develop a set of guidelines on adolescent involvement in research, which are comprehensive in scope, cover all key aspects of adolescent involvement in health research, can be adapted for different contexts, and which are based on rigorous and systematic methods.
PATIENT AND PUBLIC INVOLVEMENT
Adolescent co-researchers D. B. and C. W. were involved at different stages of the review process. D. B. screened 25% of the peer-reviewed articles at the title and abstract screening stage and 10% at full-text screening stage. C. W. extracted data from 10% of the included guidelines. Both co-researchers reviewed and shared their feedback on the article and are co-authors on this paper. They will also be invited to contribute to further dissemination of the findings from this review.
背景
让青少年有意义地参与健康研究是他们的基本人权,并且有很多好处。由于研究人员对如何让青少年有意义地参与健康研究缺乏认识,导致青少年在健康研究中的参与度不足。为了解决这一障碍,研究报告称需要更多的指导。为了更好地制定青少年参与健康研究的指导方针,首先需要整合目前关于青少年参与健康研究的所有指导方针,并确定这些指导方针中的差距。本综述旨在系统地确定所有现有的关于青少年参与健康研究的指导方针,并评估其范围、内容、背景和质量。
方法
本快速综述已在 PROSPERO 上预先注册,注册号为 #CRD42021293586。它包括了关于青少年参与健康研究的具体建议的文件。我们在六个同行评议文献数据库中进行了搜索:MEDLINE、CINAHL、Embase、Scopus、Web of Science 和 ERIC。我们在 Google Scholar、Google、472 个相关组织的网站上进行了灰色文献搜索,并征求了专家的意见。使用评估健康研究和评估指南(AGREE-II)工具评估指南的质量。使用描述性分析和叙述性综合方法分析数据。
结果
我们发现,目前关于青少年参与健康研究的指导方针通常范围狭窄,针对特定的用户和人群,同时侧重于有限的研究领域。这些指导方针在个体上未能全面涵盖与青少年研究参与相关的所有主题的建议,这些建议在所有纳入的指导方针中共同涉及。此外,这些指导方针往往具有特定的背景,并且通常质量较低,这主要是由于利益相关者参与不足和缺乏严格的制定方法。
结论
本综述提供了一份关于青少年参与健康研究的指导方针的综合清单,并附有它们的质量评分,作为研究人员选择适合其研究主题、背景和青少年参与范围的指导方针的资源。需要制定一套全面的研究中青少年参与的指导方针,这些指导方针涵盖青少年参与健康研究的所有关键方面,能够适应不同的背景,并基于严格和系统的方法。
患者和公众参与
青少年共同研究者 D. B. 和 C. W. 在审查过程的不同阶段参与其中。D. B. 在标题和摘要筛选阶段筛选了 25%的同行评议文章,在全文筛选阶段筛选了 10%的文章。C. W. 从 10%的纳入指南中提取了数据。两位共同研究者都审查并分享了他们对这篇文章的反馈,并共同撰写了这篇论文。他们还将被邀请为进一步传播本综述的研究结果做出贡献。
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