The quality and effectiveness of interventions that target multiple risk factors among young people: a systematic review
| Autor: | Anthony Shakeshaft, Alys Havard, Alice Knight, Myfanwy Maple, Bernie Shakeshaft, Catherine Foley |
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| Rok vydání: | 2016 |
| Předmět: |
Gerontology
medicine.medical_specialty Adolescent media_common.quotation_subject Psychological intervention 030508 substance abuse at‐risk young people Multiple risk factors Vulnerable Populations 03 medical and health sciences 0302 clinical medicine Consistency (negotiation) Risk-Taking Risk Factors Intervention (counseling) Outcome Assessment Health Care Medicine Humans Quality (business) 030212 general & internal medicine Methodological quality Students intervention media_common business.industry Public health lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Outcome measures lcsh:RA1-1270 Adolescent Behavior high‐risk young people Juvenile Delinquency Systematic Review 0305 other medical science business |
| Zdroj: | Australian and New Zealand Journal of Public Health Australian and New Zealand Journal of Public Health, Vol 41, Iss 1, Pp 54-60 (2017) |
| ISSN: | 1753-6405 |
| Popis: | Objective: To identify evaluations of interventions that target multiple risk factors in high-risk young people, describe their characteristics, critique their methodological quality and summarise their effectiveness. Methods: A search of the literature published between 2009 and 2014 identified 13 evaluations of interventions that targeted multiple risk factors, compared to 95 evaluations that targeted single risk factors. The methodological adequacy of the 13 evaluation studies was analysed using the Quality Assessment Tool for Quantitative Studies and information regarding characteristics and intervention effectiveness was extracted and summarised. Results: There were very few outcome evaluation studies of interventions that targeted multiple risk factors, relative to single risk factors, among high-risk young people. Of the identified studies, half were methodologically weak. Interventions delivered in community settings targeted a greater number of risk factors, while those delivered in a school or health setting reported a higher proportion of statistically significant outcomes. No economic analyses were conducted. Conclusions and Implications for Public Health: More methodologically rigorous evaluations of interventions targeting multiple risk factors among high-risk young people are required, especially for those delivered in community settings. Four key areas for improvement are: i) more precisely defining the risk factors experienced by high-risk young people; ii) achieving greater consistency across interventions; iii) standardising outcome measures; and iv) conducting economic analyses. |
| Databáze: | OpenAIRE |
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