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How do contextual factors influence implementation and receipt of positive youth development programmes addressing substance use and violence? A qualitative meta-synthesis of process evaluations
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Dickson, Kelly, Melendez-Torres, G. J., Fletcher, Adam, Hinds, Kate, Stansfield, James, Murphy, Claire, Campbell, Rona and Bonell, Chris (2018) How do contextual factors influence implementation and receipt of positive youth development programmes addressing substance use and violence? A qualitative meta-synthesis of process evaluations. American Journal of Health Promotion, 32 (4). pp. 1110-1121. doi:10.1177/0890117116670302 ISSN 0890-1171.
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Official URL: http://dx.doi.org/10.1177/0890117116670302
Abstract
Objective
Positive youth development (PYD) often aims to prevent tobacco, alcohol and drugs use and violence. We systematically reviewed PYD interventions, synthesising process and outcomes evidence. Synthesis of outcomes, published elsewhere, found no overall evidence of reducing substance use or violence but notable variability of fidelity. Our synthesis of process evaluations examine d how implementation varied and was influenced by context.
Data source
Process evaluations of PYD aiming to reduce substance use and violence.
Study inclusion criteria
Overall review: published since; written in English; focused on youth age - years; focused on interventions addressing multiple positive assets; reported on theory, process or outcomes; and concerned with reducing substance use or violence. Synthesis of process evaluations: examined how implementation varies with or is influenced by context.
Data extraction
Two reviewers in parallel.
Data synthesis
Thematic synthesis.
Results
We identified reports. Community engagement enhanced programme appeal. Collaboration with other agencies could broaden the activities offered. Calm but authoritative staff increased acceptability. Staff continuity underpinned diverse activities and durable relations hips. Empowering participants was sometimes in tension with requiring them to engage in diverse activities.
Conclusion
Our systematic review identified factors that might help improve the fidelity and acceptability of PYD interventions. Addressing these might enable PYD to fulfil its potential as a means of promoting health.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
| Library of Congress Subject Headings (LCSH): | Alcoholism -- Prevention -- Youth, Drug abuse -- Prevention -- Youth, Tobacco use -- Youth, Youth and violence | ||||||||
| Journal or Publication Title: | American Journal of Health Promotion | ||||||||
| Publisher: | Sage Publications Ltd. | ||||||||
| ISSN: | 0890-1171 | ||||||||
| Official Date: | 1 May 2018 | ||||||||
| Dates: |
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| Volume: | 32 | ||||||||
| Number: | 4 | ||||||||
| Page Range: | pp. 1110-1121 | ||||||||
| DOI: | 10.1177/0890117116670302 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 10 October 2016 | ||||||||
| Date of first compliant Open Access: | 24 May 2018 | ||||||||
| RIOXX Funder/Project Grant: |
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