社区动员方法预防青少年多重风险行为:一个现实的审查
Laura Tinner1, Claire Kelly2, Deborah Caldwell2
1Population Health Sciences, Bristol Medical School, Canynge Hall, University of Bristol, Bristol, BS8 2PL, UK. laura.tinner@bristol.ac.uk.
Systematic reviews
|February 26, 2024
概括
社区动员干预可以通过改变社会环境来减少青少年多重风险行为 (MRB). 赋权,凝聚力和动机是关键机制,但背景影响成功.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 行为科学 行为科学
背景情况:
- 青少年多重风险行为 (MRB) 是一个全球性的健康问题.
- 针对近位病因的现有干预措施显示出混合的结果.
- 社区动员方法越来越多地被认为具有青少年健康方面的潜力.
研究的目的:
- 评估社区动员干预措施如何以及为什么能 (或不能) 预防青少年MRB.
- 用现实主义的方法来确定干预有效性的背景和机制.
- 解决文献,理论和实施社区动员青少年MRB的空白.
主要方法:
- 在RAMESES框架的指导下进行现实的审查.
- 在多个数据库 (PubMed,MEDLINE,PsycINFO,Web of Science,CINAHL,社会学摘要) 进行系统的搜索,从创立到2021年.
- 使用上下文-机制-结果配置进行理论驱动的证据综合.
主要成果:
- 分析了22项社区动员干预研究中的35份文件.
- 干预措施应嵌入指导原则,建立社区准备,并确保多样化的联盟.
- 赋权,凝聚力和动机等机制推动了社会环境的转变,但背景 (例如,资金) 可能会阻碍成功.
结论:
- 社区动员干预的目的必须是改变社会环境,以减少青少年MRB.
- 赋权,凝聚力和动机是实现这一转变的关键机制.
- 这些机制的成功取决于特定的背景因素.
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