The quality and effectiveness of interventions that target multiple risk factors among young people: a systematic review

Alice Knight; Anthony Shakeshaft; Alys Havard; Myfanwy Maple; Catherine Foley; Bernie Shakeshaft

doi:10.1111/1753-6405.12573

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The quality and effectiveness of interventions that target multiple risk factors among young people: a systematic review

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The quality and effectiveness of interventions that target multiple risk factors among young people: a systematic review

Alice Knight, Anthony Shakeshaft, Alys Havard, Myfanwy Maple, Catherine Foley and Bernie Shakeshaft

Australian and New Zealand Journal of Public Health, Vol.41(1), pp.54-60

2017

DOI: https://doi.org/10.1111/1753-6405.12573

PMID: 27624886

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Abstract

high-risk young people

at-risk young people

intervention

systematic review

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.

Details

Title: The quality and effectiveness of interventions that target multiple risk factors among young people: a systematic review
Authors: Alice Knight (Corresponding Author) - National Drug and Alcohol Research Centre
Anthony Shakeshaft (Author) - National Drug and Alcohol Research Centre
Alys Havard (Author) - National Drug and Alcohol Research Centre
Myfanwy Maple (Author) - University of New England
Catherine Foley (Author) - National Drug and Alcohol Research Centre
Bernie Shakeshaft (Author) - BackTrack Works (Australia)
Publication details: Australian and New Zealand Journal of Public Health, Vol.41(1), pp.54-60
Publisher: John Wiley & Sons, Inc.
Date published: 2017
DOI: 10.1111/1753-6405.12573
ISSN: 1753-6405
PMID: 27624886
Copyright note: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Grant note: This research was possible thanks to a National Health and Medical Research Council (NHMRC) funded grant.
Organisation Unit: School of Health - Psychology
Language: English
Record Identifier: 991242152802621
Output Type: Journal article

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