Agyepong Irene A, Agblevor Emelia, Odopey Selase, Addom Selasie, Enyimayew Afun Nana Efua, Agyekum Mary Pomaa, Asante Paapa Yaw, Aye Grace Emmanuelle, Darko Natasha, Diarra Aïssa, Fenny Ama Pokuaa, Gladzah Annick, Ibrahim Nassirou, Kagambega Aline, Wallace Lauren J, Novignon Jacob, Yaogo Maurice, Borgès Da Sliva Roxane, Ensor Tim, Mirzoev Tolib
Ghana College of Physicians and Surgeons. (GCPS), Accra, Ghana.
Dodowa Health Research Center, Ghana.
Public Health Pract (Oxf). 2024 Jul 9;8:100530. doi: 10.1016/j.puhip.2024.100530. eCollection 2024 Dec.
A quarter of West Africa's population are adolescents 10-19 years. Their mental, sexual, and reproductive health is inter-related. We therefore aimed to examine published evidence on effectiveness of interventions for adolescent mental, sexual and reproductive health in the Economic Community of West African States (ECOWAS) to inform development, implementation and de-implementation of policies and programs.
The study design was a scoping review.
We considered all qualitative and quantitative research designs that included adolescents 10-19 years in any type of intervention evaluation that included adolescent mental, sexual and reproductive health. Outcomes were as defined by the researchers. PubMed/Medline, APA PsycINFO, CAIRN, and Google Scholar databases were searched for papers published between January 2000 and November 9, 2023.1526 English and French language papers were identified. After eliminating duplicates, screening abstracts and then full texts, 27 papers from studies in ECOWAS were included.
Interventions represented three categories: service access, quality, and utilization; knowledge and information access and intersectionality and social determinants of adolescent health. Most studies were small-scale intervention research projects and interventions focused on sexual and reproductive or mental health individually rather than synergistically. The most common evaluation designs were quasi-experimental (13/27) followed by observational studies (8/27); randomized, and cluster randomized controlled trials (5/27), and one realist evaluation. The studies that evaluated policies and programs being implemented at scale used observational designs.
Research with robust evaluation designs on synergistic approaches to adolescent mental, sexual and reproductive health policies, interventions, implementation and de-implementation is urgently needed to inform adolescent health policies and programs.
西非四分之一的人口为10至19岁的青少年。他们的心理、性与生殖健康相互关联。因此，我们旨在审视已发表的关于西非国家经济共同体（ECOWAS）青少年心理、性与生殖健康干预措施有效性的证据，以为政策和项目的制定、实施及终止提供参考。
本研究设计为范围综述。
我们纳入了所有定性和定量研究设计，这些设计在任何类型的干预评估中纳入了10至19岁的青少年，且评估内容涉及青少年心理、性与生殖健康。研究结果由研究人员定义。我们在PubMed/Medline、APA PsycINFO、CAIRN和谷歌学术数据库中搜索了2000年1月至2023年11月9日发表的论文。共识别出1526篇英文和法文论文。在消除重复项、筛选摘要然后筛选全文后，纳入了27篇来自西非国家经济共同体研究的论文。
干预措施分为三类：服务可及性、质量和利用；知识和信息获取以及青少年健康的交叉性和社会决定因素。大多数研究是小规模干预研究项目，干预措施分别侧重于性与生殖健康或心理健康，而非协同作用。最常见的评估设计为准实验性（13/27），其次是观察性研究（8/27）；随机对照试验和整群随机对照试验（5/27），以及一项现实主义评估。评估大规模实施的政策和项目的研究采用观察性设计。
迫切需要开展具有强有力评估设计的研究，以探讨青少年心理、性与生殖健康政策、干预措施、实施及终止的协同方法，为青少年健康政策和项目提供参考。
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