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Non-Criminal Justice Interventions for Countering Cognitive and Behavioural Radicalisation Amongst Children and Adolescents: A Systematic Review of Effectiveness and Implementation: A Systematic Review 在儿童和青少年中对抗认知和行为激进化的非刑事司法干预:有效性和实施的系统回顾
IF 7.1 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-28 DOI: 10.1002/cl2.70079
James Lewis, Sarah Marsden, James Hewitt, Chloe Squires, Anna Stefaniak
<p>Growing numbers of young people are encountering the counter-terrorism system. This international trend raises important questions about the effectiveness of efforts to prevent and counter childhood and adolescent radicalisation. This review examines the effectiveness and implementation of interventions designed to counter cognitive and behavioural radicalisation amongst children and adolescents up to 19 years of age. It examines secondary and tertiary interventions working with at-risk and radicalised youth outside the criminal justice system. This focus reflects the growing recognition that diverting young people away from the criminal justice system helps mitigate the risks of securitisation, criminalisation, and stigmatisation. This review sought to answer three research questions: (1) Are secondary and tertiary interventions delivered outside of the criminal justice system effective at countering the cognitive and behavioural radicalisation of children and adolescents? (2) Are secondary and tertiary interventions delivered outside of the criminal justice system being implemented as intended? (3) What factors influence how interventions working with children and adolescents outside of the criminal justice system are implemented? Studies were identified through electronic searches of 20 academic and 50 grey literature sources; hand searches of academic journals and clinical trial repositories; forward and backward citation searches; and consultation with academic experts. Studies published after 2000 in English were eligible for inclusion. Searches of academic and grey literature sources were conducted in August and September 2024, respectively, with all remaining searches completed by December 2024. Studies had to report on secondary or tertiary interventions or prevention work outside of the criminal justice system (i.e., outside of correctional, custodial, or probation contexts) that sought to counter cognitive and behavioural radicalisation, often referred to as countering violent extremism (CVE) programming. Three types of interventions were included: (1) those designed for children and adolescents; (2) those working with children and adolescents as part of wider cohorts, provided a significant proportion of clients were aged 19 or under, or that provided insights specific to children and adolescents; or (3) those working with youth (or young people), broadly defined. Experimental or stronger quasi-experimental research designs were eligible for inclusion in the assessment of effectiveness (Objective I). Inclusion criteria for the assessment of implementation (Objective II) and of implementation factors (Objective III) were broader, and included non-experimental quantitative designs and qualitative research. The corpus of evidence was screened by trained reviewers, guided by screening tools, across a title/abstract and full-text screening phase. Data were extracted using a piloted tool to capture key information on each included study.
越来越多的年轻人遇到了反恐系统。这一国际趋势对预防和打击儿童和青少年激进化努力的有效性提出了重要问题。本综述审查了旨在对抗19岁以下儿童和青少年认知和行为激进化的干预措施的有效性和实施情况。它审查了刑事司法系统之外针对高危青年和激进青年的二级和三级干预措施。这一重点反映了人们日益认识到,将年轻人从刑事司法系统中转移出来有助于减轻证券化、定罪和污名化的风险。本综述试图回答三个研究问题:(1)在刑事司法系统之外提供的二级和三级干预措施是否有效地对抗儿童和青少年的认知和行为激进化?(2)在刑事司法系统之外提供的二级和三级干预措施是否按预期实施?(3)哪些因素影响刑事司法系统之外的儿童和青少年干预措施的实施?通过电子检索20个学术文献和50个灰色文献来源来确定研究;手工检索学术期刊和临床试验库;向前和向后引文检索;并咨询学术专家。2000年以后用英语发表的研究符合纳入条件。分别于2024年8月和9月进行了学术文献和灰色文献的检索,所有剩余的检索于2024年12月完成。研究必须报告刑事司法系统之外的二级或三级干预措施或预防工作(即,在惩教、监禁或缓刑环境之外),旨在打击认知和行为激进化,通常被称为打击暴力极端主义(CVE)方案。干预措施包括三种类型:(1)针对儿童和青少年的干预措施;(2)那些与儿童和青少年一起工作的人,作为更广泛群体的一部分,提供很大比例的客户年龄在19岁或以下,或者提供针对儿童和青少年的见解;或者(3)广义上与青年(或年轻人)一起工作的人。实验或更强的准实验研究设计有资格纳入有效性评估(目标1)。评估实施(目标II)和实施因素(目标III)的纳入标准更为宽泛,包括非实验定量设计和定性研究。证据语料库由训练有素的审稿人在筛选工具的指导下,在标题/摘要和全文筛选阶段进行筛选。使用试点工具提取数据,以获取每个纳入研究的关键信息。使用相关的现有工具提取偏倚风险信息。将单个研究的有效性数据转换为标准化效应量。与执行有关的数据通过归纳和演绎编码的过程进行编码。该综述纳入了29项研究。只有一项准实验研究有资格纳入有效性分析(目标1)。在这项研究中,Kolbe(2019)报告说,与只参加小组干预的年轻人相比,参加小组干预并接受个性化家庭支持的高危年轻人加入暴力极端主义团体的可能性更小(卡方:5.295,df = 1, p = 0.021)。这代表了很大的影响(优势比:0.181,95% CI[0.0366, 0.8963])。然而,这项研究被评估为有严重的偏倚风险,加上缺乏其他合格的研究设计,这意味着没有足够的证据来得出关于有效性的结论。与实施相关的证据来自定性和混合方法研究,评估为中等到高质量。七项研究检查了干预措施的实施情况(目标二),包括干预措施是否按预期实施,或是否能够达到符合条件的客户。这些研究报告了积极的结果,但强调了干预措施在帮助最需要支持的人(即最“危险”的人)方面可能面临的挑战,以及干预措施必须灵活并在需要时调整其方法。28项研究检查了实施因素,27项研究分析了调节因子(目标III)。确定了三种类型的执行因素:(1)结构和系统因素(例如,知识和专门知识、多机构和伙伴关系工作);(2)确定并吸引符合条件的客户;(3)与客户合作(例如,关系流程;以客户为中心的方法)。 调节因素是国家和地方背景、客户特征和交付背景。审查发现,很少有研究表明刑事司法系统之外对青少年进行干预的有效性。缺乏这类研究并不意味着目前的干预措施应该被认为是无效的,也不意味着刑事司法反应可能更有效。同样重要的是要认识到,以前的研究已经发现,支持这些干预措施的证据基础正在发展,并且正在使用更强有力的非实验研究设计来分析有效性。然而,与关于二级和三级干预措施(包括通过刑事司法系统提供的干预措施)的更广泛证据基础一样,目前的知识仍然有限。该领域对促进或造成执行障碍的因素有了更好的了解。对执行情况的研究为制定以证据为基础的政策和实践方法提供了坚实的基础,并为今后的研究提供了若干途径。对政策和实践最明显的影响是将评价纳入方案设计。尽管在评价二级和三级干预措施方面存在挑战,但这一努力应优先采用更有力的方法设计,以便能够证明方案的有效性。决策者和实践者需要考虑的进一步影响包括促进以青年为中心的非污名化方法;采用全面和多学科的社会生态方法;发展支持从业人员和青年的系统和结构;认识到使系统和结构有效工作的关系过程的重要性;积极和持续地与家庭接触。
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引用次数: 0
Effectiveness and Cost-Effectiveness of Ecosystem-Based Disaster Risk Reduction Interventions in Low- and Middle-Income Countries: A Rapid Systematic Review: A Systematic Review 低收入和中等收入国家基于生态系统的减少灾害风险干预措施的有效性和成本效益:快速系统综述
IF 7.1 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-28 DOI: 10.1002/cl2.70083
Suchi Kapoor Malhotra, Ashrita Saran, Ratika Bhandari, Kevin Ouma Ojiambo, Sujata Shirodkar, Gavin Stewart, Howard White, Hugh Sharma Waddington
<p><b>Background:</b> Climate change and widespread environmental degradation have increased the risk of natural hazards in recent decades. Hydrological, meteorological, and climatological disasters have become more frequent globally (Parry et al. 2007; Cavallo and Noy 2009; CRED 2022), affecting over 3.9 billion people since 2000 and causing losses totalling USD 2.2 trillion (CRED 2020). However, the greatest consequences are felt in low and middle income countries (LMICs) where nearly 90% of deaths due to natural hazards between 2000 and 2018 (World Meteorological Organization 2021).</p><p><b>Objectives:</b> This rapid systematic review aimed to assess and synthesise the evidence on the effects and cost-effectiveness of ecosystem disaster risk reduction (Eco-DRR) interventions in preventing and mitigating hazards and natural disasters, and consequences for natural capital and human development outcomes.</p><p><b>Search Methods:</b> We initially screened 529 articles from a prior review (Sudmeier-Rieux et al. 2021) on Eco-DRR interventions using a pre-validated tool in EPPI Reviewer to apply inclusion and exclusion criteria. We also identified project-level evaluations from organisations such as OECD DEReC, UNDP ERC, and the UNDRR. The search was further enhanced using machine learning in Open Alex to create a citation network, using the studies identified in the initial steps as a training dataset.</p><p><b>Selection Criteria:</b> This review includes empirical primary studies measuring the impacts and cost-effectiveness of Eco-DRR interventions. We searched for and included studies that evaluated primary outcomes, including hazard prevention, hazard mitigation and natural capital stocks; we also included secondary human development outcomes if reported in these papers. Eligible designs included ex-post impact evaluations using randomised assignment (randomised controlled trials [RCTs]), quasi-experimental designs (QEDs) and qualitative impact evaluation designs, and ex-ante impact evaluations using statistical modelling approaches. Economic and financial evaluations (cost-effectiveness, cost-utility and cost-benefit analyses [CBAs]) were included to measure cost- effectiveness.</p><p><b>Data Collection and Analysis:</b> Two reviewers were assigned to screen the title and abstract for each study. Potentially relevant studies were then assessed at full text by two independent coders, following which data collection for the included studies was double-coded. A third reviewer resolved all disagreements. All included studies were assessed using a pre-validated critical appraisal tool based on the, ‘weakest link’ principle. Findings were synthesised by grouping outcomes into hazard prevention and mitigation, natural capital, and human development outcomes.</p><p><b>Results:</b> The review synthesised evidence from 58 studies, of which 28 were effectiveness studies, 20 were economic evaluations, and 10 were modelling studies. The effectiveness studi
10篇论文中有2篇被评为研究结果高可信度,5篇被评为中等可信度,3篇被评为低可信度。包括20项经济评价,评估生态减灾措施的成本效益。所有纳入的论文都是cba,其中两篇论文考虑了收入差异,并纳入了公平权重来估计社会福利。虽然结构性措施的直接成本被广泛包括在内,但间接成本和收益很少被报告。这些间接成本包括因疏散、维修和经济活动中断而造成的生产力损失。同样,非结构性措施的好处,如减少洪水破坏和避免社会混乱,往往难以量化,也没有报告。20篇论文中有5篇被评为对研究结果具有高度信心,8篇被评为中等信心,7篇被评为低信心。大多数结果支持Eco-DRR干预措施的经济效益。bcr为4及以上的定期报告。例如,据报道,苏丹用于灌溉的干旱风险减少措施的BCR高达1800,预警系统显示出极高的潜在财务回报(IRR为409%)。此外,与EbA措施相比,工程措施的生态优先级较低,因为它们主要侧重于解决水资源短缺问题,而没有同样水平的积极生态影响。结论:关于Eco-DRR的有效性和成本效益的证据基础是划分的。大多数关于实施行动有效性的研究都评估了绿色基础设施干预措施,特别是保护区,而大多数建模和成本效益研究评估了蓝色和混合基础设施技术。绿色基础设施的干预措施,如保护区,通常对增加自然资本存量,特别是在森林保护区,以及减少火灾等灾害的发生率或暴露有很大的影响,尽管很少有研究衡量后者。在建模研究中,大多数论文得出结论认为,应采用正在评估的干预措施。但在缺乏经济分析的情况下,不能仅从已证明的影响中得出这样的结论。经济评价普遍支持生态减灾的收益大于成本(BCRs &gt; 1),特别是在减少洪水,特别是结构混合干预,以及能力建设、预警系统和红树林恢复方面。然而,这些研究在分配效应、非货币化价值以及间接成本和收益方面存在明显的局限性。bcr最高的干预措施包括洪水预警系统和非结构性干预措施,如土地利用规划和能力建设。今后的经济评价应更加全面,考虑到直接和间接的成本和效益。改善对生态减灾不同方法的理解以及直接目标与系统风险管理方法的相对作用至关重要。我们发现,对环境危害以及地质和地球物理危害(如滑坡和地震)的研究非常有限,这表明,这些主题需要在未来的任何类型(包括有效性和成本效益)的初级研究中在中低收入国家进行调查。需要更多的研究来评价与公平有关的主题,例如对弱势群体社会福利的影响。对这些领域的有效性进行的研究可以有用地借鉴定性影响评价的既定方法。(调查结果摘要表:S1)。
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引用次数: 0
Effectiveness of Interventions to Reduce Carbon-Emissions Within Secondary Healthcare: Systematic Review and Evidence and Gap Map 减少二级医疗机构碳排放干预措施的有效性:系统评价、证据和差距图
IF 7.1 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-23 DOI: 10.1002/cl2.70077
Liz Shaw, Noreen Orr, Hassanat M. Lawal, Simon Briscoe, Xiaoyu Yan, Jo Thompson Coon, G. J. Melendez-Torres, Clara Martin-Pintado, Ruth Garside
<p>‘The climate emergency is also a health emergency’ (England 2024). Climate change directly impacts the health of the human population through events such as earthquakes, flooding, heatwaves and drought, which increase the risk of injury, displacement, disruption of food supplies, infectious diseases and mental ill health (England 2024; Lenzen et al. 2020; Tennison et al. 2021; The Lancet Respiratory Medicine 2023). The impact on population health of these climate events, alongside indirect health consequences such as increased prevalence of respiratory conditions due to air pollution, places an increased burden on health services (Royal College of Physicians 2017). The environmental footprint of healthcare services contributes between 1% and 5% towards total global environmental impacts (Lenzen et al. 2020; Tennison et al. 2021). Reducing the impact of the healthcare system on climate change has the potential to benefit population health through improved air quality and diet, and increased activity levels (Mailloux et al. 2021). Due to the lack of systematic reviews which consider carbon emissions associated with the patient pathway within individual specialities, further research is needed to enable the identification and transformation of the most carbon-intensive clinical pathways, while ensuring future models of care can be delivered in a cost-effective manner without increasing emissions or compromising patient care. In 2008, the Climate Change Act set national targets for the 100% reduction of carbon emissions in England to 1990 levels by 2050 (‘Climate Change Act’ 2008). Within the United Kingdom, the National Health Service (NHS) has an important role in helping to achieve these targets, as the organisation accounts for 4% of England's carbon footprint (NHS England 2022). The UK government's Greener NHS team from NHS England asked the Exeter Policy Research Programme Evidence Review Facility to bring together and analyse research which assesses different ways carbon emissions resulting from hospital-led care can be reduced, without affecting the care patients receive in hospitals, at home and in clinics. Work focusing on identifying and delivering interventions to reduce carbon emissions within known carbon hotspots, such as NHS estates and facilities, travel and transport, supply chain, and certain medicines and medical and anaesthetic gases that have high global warming potential is already underway, alongside examining the effectiveness of different models of care delivery across all specialities (NHS England 2022; NHS Shared Business Services 2022). Evidence focusing on the effectiveness of interventions in reducing carbon emissions within secondary healthcare would be a useful complement to this work. An approach which considers the patient pathway may be beneficial in identifying interventions which consider wider healthcare systems and thus have a meaningful impact on reducing carbon emissions. This review was commissioned by th
“气候紧急情况也是健康紧急情况”(英格兰2024年)。气候变化通过地震、洪水、热浪和干旱等事件直接影响人类健康,这些事件增加了受伤、流离失所、食物供应中断、传染病和精神疾病的风险(England 2024; Lenzen et al. 2020; Tennison et al. 2021; the Lancet Respiratory Medicine 2023)。这些气候事件对人口健康的影响,以及空气污染造成的呼吸系统疾病患病率增加等间接健康后果,给卫生服务带来了更大的负担(皇家内科医师学院,2017年)。医疗保健服务的环境足迹占全球环境影响总量的1%至5% (Lenzen et al. 2020; Tennison et al. 2021)。减少医疗保健系统对气候变化的影响有可能通过改善空气质量和饮食以及增加活动水平来造福人口健康(Mailloux et al. 2021)。由于缺乏考虑与个体专科患者途径相关的碳排放的系统评价,需要进一步的研究来确定和转变最碳密集的临床途径,同时确保未来的护理模式能够以具有成本效益的方式提供,而不会增加排放或损害患者护理。2008年,《气候变化法案》设定了到2050年将英国碳排放量100%减少到1990年水平的国家目标(《2008年气候变化法案》)。在英国,国民医疗服务体系(NHS)在帮助实现这些目标方面发挥着重要作用,因为该组织占英格兰碳足迹的4% (NHS England 2022)。英国政府的绿色国民保健服务团队要求埃克塞特政策研究计划证据审查机构汇集和分析研究,评估减少医院主导的护理产生的碳排放的不同方法,同时不影响患者在医院,家庭和诊所接受的护理。在已知的碳热点地区,如NHS地产和设施、旅行和运输、供应链、某些具有高全球变暖潜力的药物、医疗和麻醉气体等,已经开展了识别和提供干预措施以减少碳排放的工作,同时还在检查所有专业不同医疗服务模式的有效性(NHS England 2022; NHS Shared Business Services 2022)。证据集中在干预措施的有效性,减少碳排放在二级医疗保健将是一个有益的补充这项工作。考虑患者途径的方法可能有利于确定考虑更广泛的医疗保健系统的干预措施,从而对减少碳排放产生有意义的影响。这项审查是由绿色NHS团队委托进行的,可以作为世界其他地方更广泛的净零目标的有用案例研究。我们的目的是开展一项系统综述,检查干预措施在减少二级医疗保健特定医学专业的碳足迹方面的有效性,并探索这些证据可以为患者护理途径提供信息的地方。在2023年7月,我们检索了涵盖卫生保健和环境科学期刊的精选书目数据库,包括MEDLINE、Embase和Environment Complete,并通过检查HealthcareLCA数据库进行了补充,对符合我们纳入标准的所有研究进行了向前和向后的引文追踪,检索了主题相关评论的参考文献列表,检索了谷歌Scholar和相关网站的精选。我们纳入了使用任何比较研究设计的研究,评估旨在减少在以下专业的二级医疗保健中提供的手术、过程、治疗或途径对环境影响的任何干预措施:心脏病学、胃肠病学、产科、肿瘤学、眼科、骨科和创伤学、放射学、肾脏、呼吸和大容量、低复杂性手术(特别是耳鼻喉科、妇科和泌尿科)。我们提取了关于研究样本、干预/对照组、碳排放方法、PROGRESS-PLUS标准(与公平相关)以及环境、患者和成本结果的描述性数据。我们使用生命周期评估(LCA)方法和Weidema(1997)指南(B.P.W. 1997)提供的预定评分系统来评估研究的质量。我们分别使用叙事综合的方法综合了LCA方法和非LCA研究的研究结果。在每一组中,研究被分为五大干预类别:(1)获得护理,(2)产品水平,(3)护理交付,(4)设置和(5)多组件。 我们检查并解释了同一专业评估类似干预措施的研究模式。我们还开发了一个证据和差距图(EGM),以突出与综述目标相关的证据可以为每个专业的通用患者护理途径和未来低碳途径的研究提供信息。从绿色NHS团队在NHS英格兰,LCA方法专家和病人和公众代表的输入被纳入整个。88项研究(92篇文章)符合资格标准,28项使用了基于LCA的方法来计算碳排放量(其中19项使用了完整的LCA方法)。在LCA研究中,9项为低偏倚风险,14项为中等偏倚风险,5项为高偏倚风险。泌尿外科(n = 14)、胃肠病学(n = 13)、肿瘤学/放射肿瘤学(n = 13)和肾脏学(n = 11)是最常见的专科。在不同的专科,大多数证据是在患者护理途径的前三个阶段发现的(初始评估/诊断测试、初始治疗或常规随访)。例外是肾脏专科,大多数证据属于“持续护理”部分。在所有专科的护理路径的“出院”部分中,证据有限。与更广泛的医疗环境相关的证据集中在胃肠病学(n = 5)和放射学专业(n = 5)。两组最大的证据是评估远程医疗(n = 26)和可重复使用设备(n = 13)干预措施的研究。远程医疗干预主要采用非lca方法进行评估(n = 23)。虽然碳排放有利于远程医疗干预而不是面对面的护理,但这些计算通常只考虑节省的患者旅行,而没有考虑与服务提供的其他部分相关的碳排放,例如使用的数字技术或面对面预约的建筑或诊所设备的能源使用,或对患者护理途径的更广泛影响,例如可能需要为额外的初级保健预约而旅行。大多数患者和成本结果倾向于远程医疗干预,尽管大多数是基于非统计分析。比较与使用可重复使用和一次性手术设备相关的碳排放的干预措施代表了使用LCA方法的最大研究群体。在胃肠病学的研究中,可重复使用的设备与减少碳排放有关。在泌尿外科,这一发现被逆转了,尽管关于特征因子使用的准确性、一次性设备与可重复使用设备包装中使用的材料数量以及可重复使用设备的再处理中碳排放的分配方式等问题意味着对这一发现的信心是不确定的。虽然废物管理/减少干预措施与减少碳排放有关,但干预措施高度异质性,对患者或成本结果的考虑有限。八项非lca研究发现,减少碳排放与节能干预措施有关,例如在不使用时关闭设备或选择能耗较低的成像技术,其中大多数是在放射学/放疗环境中进行的。本系统综述综合了定量证据,评估旨在减少大量二级医疗保健专业碳排放的干预措施的有效性。它强调了高度异质性的证据基础,以及基于LCA和非LCA方法的研究的方法学局限性。虽然我们确定了在同一专业中评估类似干预措施的几个大型研究集群,但未来的研究需要解决这些方法上的局限性,以支持政策委托和临床实践中的自信决策。我们的EGM根据患者路径的个人专业显示纳入的证据,使证据使用者能够识别符合其要求的研究,并识别可能需要进一步研究的潜在差距。
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引用次数: 0
PROTOCOL: Health Visiting Interventions With 0–5 Year Olds and Their Families: An Evidence and Gap Map 方案:0-5岁儿童及其家庭的健康访问干预:证据和差距图
IF 7.1 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-23 DOI: 10.1002/cl2.70078
Michael Fanner, Jane Barlow, Sarah Cowley, Karen Whittaker, Fiona Campbell, Anita Schrader McMillan, Mary Malone, Helen Critcher
<p>The overarching objective of this EGM is to identify what is known and where the evidence gaps are, in terms of (a) the impact of health visiting interventions; (b) experiences of delivering or receiving health visiting services across the UK; and (c) the barriers and facilitators to uptake or delivery of health visiting services. The focus will be inclusive in terms of study design and what is being assessed by the study with regard to outcome (see below for further information).</p><p>The authors bring a wide range of distinct expertise and experiences to this EGM in terms of direct health visiting practice, evidence-based policy formation and evaluation, research methodologies and lived experience. The whole team will contribute to the contents of the EGM in both the drafting and the final mapping. Jane Barlow and Fiona Campbell bring expertise and experience to EGM methods. Michael Fanner, Sarah Cowley, Karen Whittaker, Fiona Campbell and Mary Malone are qualified health visitors. Helen Critcher provides a parent/caregiver perspective to the EGM.</p><p>Michael Fanner and Anita Schrader McMillan will be responsible for the searching and retrieval of the information required for the EGM. We will seek statistical analysis expertise as and when required from a statistical expert within the Department of Social Policy and Intervention, University of Oxford.</p><p>Michael Fanner was involved as a co-investigator on one study during the review period (since 2004) that was either directly concerned with health visiting practice or involved health visitors as one group of the practitioners delivering an intervention. Until September 2025, Michael Fanner was a Trustee for the Institute of Health Visiting (iHV), a charity and professional body that will have an interest in the results and conclusions of the review.</p><p>Jane Barlow was involved as a principal or co-investigator on four studies during the review period (since 2004) that were either directly concerned with health visiting practice or involved health visitors as one group of the practitioners delivering an intervention.</p><p>Sarah Cowley was involved as a principal or co-investigator on eight studies during the review period (since 2004) that were either directly concerned with health visiting practice or involved health visitors as one group of the practitioners delivering an intervention. Sarah Cowley has provided supervision to various doctoral and Master's students whose published work may be eligible for review. Sarah Cowley is a patron for ‘MESCH-UK’, an Australian maternal and early childhood sustained home visiting programme being implemented across the United Kingdom. Sarah Cowley is also a Trustee for the iHV, a charity and professional body for health visiting, which will have an interest in the results and conclusions of the review.</p><p>Karen Whittaker is employed by the iHV, a charity and professional body for health visiting, which has a vested interest in the conclusi
本次特别评估的总体目标是确定在以下方面已知的情况和证据差距在哪里:(a)卫生访问干预措施的影响;(b)在联合王国各地提供或接受健康访问服务的经验;(c)接受或提供健康访问服务的障碍和促进因素。研究的重点将包括研究设计和研究结果所评估的内容(进一步信息见下文)。作者在直接健康访问实践、基于证据的政策形成和评估、研究方法和生活经验方面为这一EGM带来了广泛的独特专业知识和经验。整个团队将在起草和最终绘图过程中为专家组的内容作出贡献。Jane Barlow和Fiona Campbell为EGM方法带来了专业知识和经验。迈克尔·范纳、莎拉·考利、凯伦·惠特克、菲奥娜·坎贝尔和玛丽·马龙都是合格的健康访问者。海伦·克里彻从家长/照顾者的角度来看待EGM。Michael Fanner和Anita Schrader McMillan将负责EGM所需信息的搜索和检索。如有需要,我们将向牛津大学社会政策与干预系的统计专家寻求统计分析专业知识。在回顾期间(自2004年起),Michael Fanner作为一名共同调查员参与了一项研究,该研究要么直接涉及健康访问实践,要么将健康访问作为一组从业者提供干预措施。直到2025年9月,Michael Fanner一直是健康访问研究所(iHV)的受托人,这是一个慈善和专业机构,将对审查的结果和结论感兴趣。在回顾期间(自2004年以来),Jane Barlow作为主要或共同研究者参与了四项研究,这些研究要么直接与健康访问实践有关,要么将健康访问作为一组提供干预措施的从业者。在审查期间(自2004年以来),Sarah Cowley作为主要或共同研究者参与了八项研究,这些研究要么直接涉及健康访问实践,要么将健康访问作为一组提供干预措施的从业者。Sarah Cowley为各种博士和硕士学生提供监督,这些学生的出版作品可能有资格进行审查。Sarah Cowley是“MESCH-UK”的赞助人,这是一项在英国各地实施的澳大利亚母亲和幼儿持续家访计划。Sarah Cowley也是iHV的受托人,iHV是一个健康访问的慈善和专业机构,它将对审查的结果和结论感兴趣。Karen Whittaker受雇于iHV,这是一个健康访问的慈善和专业机构,该机构对审查的结论有既得利益,因为所提供的信息将与未来的iHV优先事项有关。在回顾期间(自2004年以来),Karen Whittaker作为首席调查员或合作者参与了六项研究,这些研究要么直接与健康访问实践有关,要么将健康访问作为一组从业者提供干预措施。凯伦·惠特克(Karen Whittaker)从这些研究中发表了10篇文章,这些文章可能会被纳入综述,也可能不会被纳入。Mary Malone是弗洛伦斯南丁格尔护理和助产学院的教授,该学院对审查的结论有既得利益,因为所提供的信息将与卫生访问者、护士和助产士未来的教育机会有关。在回顾期间(自2004年以来),Mary Malone作为主要研究者或合作者参与了四项研究和14篇论文,这些论文要么直接与健康访问实践有关,要么将健康访问作为一组提供干预措施的从业者。其他作者声明没有利益冲突。我们计划在有足够的进一步研究和资源可用时更新地图。作者没有什么可报告的。内部来源外部来源这篇文章的同行评审历史可以在https://www.webofscience.com/api/gateway/wos/peer-review/10.1002/cl2.70078.The上找到,作者没有什么可报告的。
{"title":"PROTOCOL: Health Visiting Interventions With 0–5 Year Olds and Their Families: An Evidence and Gap Map","authors":"Michael Fanner,&nbsp;Jane Barlow,&nbsp;Sarah Cowley,&nbsp;Karen Whittaker,&nbsp;Fiona Campbell,&nbsp;Anita Schrader McMillan,&nbsp;Mary Malone,&nbsp;Helen Critcher","doi":"10.1002/cl2.70078","DOIUrl":"https://doi.org/10.1002/cl2.70078","url":null,"abstract":"&lt;p&gt;The overarching objective of this EGM is to identify what is known and where the evidence gaps are, in terms of (a) the impact of health visiting interventions; (b) experiences of delivering or receiving health visiting services across the UK; and (c) the barriers and facilitators to uptake or delivery of health visiting services. The focus will be inclusive in terms of study design and what is being assessed by the study with regard to outcome (see below for further information).&lt;/p&gt;&lt;p&gt;The authors bring a wide range of distinct expertise and experiences to this EGM in terms of direct health visiting practice, evidence-based policy formation and evaluation, research methodologies and lived experience. The whole team will contribute to the contents of the EGM in both the drafting and the final mapping. Jane Barlow and Fiona Campbell bring expertise and experience to EGM methods. Michael Fanner, Sarah Cowley, Karen Whittaker, Fiona Campbell and Mary Malone are qualified health visitors. Helen Critcher provides a parent/caregiver perspective to the EGM.&lt;/p&gt;&lt;p&gt;Michael Fanner and Anita Schrader McMillan will be responsible for the searching and retrieval of the information required for the EGM. We will seek statistical analysis expertise as and when required from a statistical expert within the Department of Social Policy and Intervention, University of Oxford.&lt;/p&gt;&lt;p&gt;Michael Fanner was involved as a co-investigator on one study during the review period (since 2004) that was either directly concerned with health visiting practice or involved health visitors as one group of the practitioners delivering an intervention. Until September 2025, Michael Fanner was a Trustee for the Institute of Health Visiting (iHV), a charity and professional body that will have an interest in the results and conclusions of the review.&lt;/p&gt;&lt;p&gt;Jane Barlow was involved as a principal or co-investigator on four studies during the review period (since 2004) that were either directly concerned with health visiting practice or involved health visitors as one group of the practitioners delivering an intervention.&lt;/p&gt;&lt;p&gt;Sarah Cowley was involved as a principal or co-investigator on eight studies during the review period (since 2004) that were either directly concerned with health visiting practice or involved health visitors as one group of the practitioners delivering an intervention. Sarah Cowley has provided supervision to various doctoral and Master's students whose published work may be eligible for review. Sarah Cowley is a patron for ‘MESCH-UK’, an Australian maternal and early childhood sustained home visiting programme being implemented across the United Kingdom. Sarah Cowley is also a Trustee for the iHV, a charity and professional body for health visiting, which will have an interest in the results and conclusions of the review.&lt;/p&gt;&lt;p&gt;Karen Whittaker is employed by the iHV, a charity and professional body for health visiting, which has a vested interest in the conclusi","PeriodicalId":36698,"journal":{"name":"Campbell Systematic Reviews","volume":"21 4","pages":""},"PeriodicalIF":7.1,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cl2.70078","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145825015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PROTOCOL: Effectiveness of Interventions for the Prevention and Treatment of Obesity in Children and Adolescents From Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis 方案:预防和治疗中低收入国家儿童和青少年肥胖干预措施的有效性:系统回顾和荟萃分析
IF 7.1 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-16 DOI: 10.1002/cl2.70081
Gerardo A. Zavala, Muhammad Asim, Aliya Ayub, Abdul Momin Rizwan Ahmad, Asha Prasad Pillai, Elena Pavlou, Avantika Sharma, Bilal Ahmad Khan, Hira Shakoor, Liina Mansukoski, Olga P. Garcia Obregon, Umber Khan, Zala Khan, Aliya Rehman, Badur Un Nisa, Humaira Bibi, Romania Iqbal, Suneel Gill, Urooj Ashfaq, Farman Ullah Khan, Zulfiqar Bhutta, Sarah Forberger, Kamran Siddiqi, Marc Suhrcke, Simon Walker, Zainab Samad, Saima Afaq

Childhood obesity represents a major and growing public health challenge, with a disproportionate burden in low- and middle-income countries (LMICs). This systematic review will address a critical evidence gap by synthesising existing research on the effectiveness of interventions for the prevention and treatment of childhood obesity in LMICs. By focusing exclusively on interventions implemented within LMIC contexts, the review will account for the unique socio-cultural, economic, and environmental determinants that influence intervention delivery and effectiveness in these settings. A literature search will be conducted across MEDLINE/PubMed, Embase, CINAHL, and The Cochrane Library, without restrictions on publication date or language. Randomised controlled trials (RCTs) examining interventions for the prevention or treatment of overweight and obesity among children aged 5–9 years and adolescents aged 10–19 years will be included. The primary outcomes will be age-adjusted body mass index (BMI), other measures of adiposity, and the prevalence of overweight and obesity. Secondary outcomes including dietary intake, physical activity, health-related quality of life, and adverse events will be reported narratively but excluded from the meta-analysis. Two independent reviewers will screen the studies, data extraction, and risk of bias assessment. Intervention effectiveness will first be summarised descriptively according to intervention type and key characteristics. Where appropriate, pooled effect sizes will be estimated using a random-effects meta-analysis. To explore and manage heterogeneity, analyses will be stratified by age group (children vs adolescents) and intervention purpose (prevention vs treatment). This review will identify effective strategies for preventing and treating childhood obesity in LMICs and explore the intervention features associated with successful outcomes. The findings will inform policy development and support the design and implementation of contextually appropriate interventions, contributing to global efforts to reduce obesity and prevent non-communicable diseases (NCDs).

儿童肥胖是一项日益严重的重大公共卫生挑战,在低收入和中等收入国家造成了不成比例的负担。这一系统综述将通过综合关于中低收入国家预防和治疗儿童肥胖干预措施有效性的现有研究,解决一个关键的证据缺口。通过专门关注在低收入和中等收入国家背景下实施的干预措施,审查将考虑在这些背景下影响干预措施实施和有效性的独特社会文化、经济和环境决定因素。文献检索将在MEDLINE/PubMed、Embase、CINAHL和Cochrane图书馆进行,不受出版日期和语言的限制。研究干预措施预防或治疗5-9岁儿童和10-19岁青少年超重和肥胖的随机对照试验(RCTs)将被纳入研究范围。主要结果将是年龄调整后的体重指数(BMI)、其他肥胖指标以及超重和肥胖的患病率。次要结局包括饮食摄入、身体活动、健康相关生活质量和不良事件将被叙述,但被排除在meta分析之外。两名独立审稿人将对研究、数据提取和偏倚风险评估进行筛选。首先根据干预类型和关键特征对干预效果进行描述性总结。在适当的情况下,将使用随机效应荟萃分析估计汇总效应大小。为了探索和管理异质性,分析将按年龄组(儿童与青少年)和干预目的(预防与治疗)进行分层。本综述将确定预防和治疗中低收入国家儿童肥胖的有效策略,并探讨与成功结果相关的干预特征。研究结果将为政策制定提供信息,并支持设计和实施适合具体情况的干预措施,为减少肥胖和预防非传染性疾病的全球努力作出贡献。
{"title":"PROTOCOL: Effectiveness of Interventions for the Prevention and Treatment of Obesity in Children and Adolescents From Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis","authors":"Gerardo A. Zavala,&nbsp;Muhammad Asim,&nbsp;Aliya Ayub,&nbsp;Abdul Momin Rizwan Ahmad,&nbsp;Asha Prasad Pillai,&nbsp;Elena Pavlou,&nbsp;Avantika Sharma,&nbsp;Bilal Ahmad Khan,&nbsp;Hira Shakoor,&nbsp;Liina Mansukoski,&nbsp;Olga P. Garcia Obregon,&nbsp;Umber Khan,&nbsp;Zala Khan,&nbsp;Aliya Rehman,&nbsp;Badur Un Nisa,&nbsp;Humaira Bibi,&nbsp;Romania Iqbal,&nbsp;Suneel Gill,&nbsp;Urooj Ashfaq,&nbsp;Farman Ullah Khan,&nbsp;Zulfiqar Bhutta,&nbsp;Sarah Forberger,&nbsp;Kamran Siddiqi,&nbsp;Marc Suhrcke,&nbsp;Simon Walker,&nbsp;Zainab Samad,&nbsp;Saima Afaq","doi":"10.1002/cl2.70081","DOIUrl":"https://doi.org/10.1002/cl2.70081","url":null,"abstract":"<p>Childhood obesity represents a major and growing public health challenge, with a disproportionate burden in low- and middle-income countries (LMICs). This systematic review will address a critical evidence gap by synthesising existing research on the effectiveness of interventions for the prevention and treatment of childhood obesity in LMICs. By focusing exclusively on interventions implemented within LMIC contexts, the review will account for the unique socio-cultural, economic, and environmental determinants that influence intervention delivery and effectiveness in these settings. A literature search will be conducted across MEDLINE/PubMed, Embase, CINAHL, and The Cochrane Library, without restrictions on publication date or language. Randomised controlled trials (RCTs) examining interventions for the prevention or treatment of overweight and obesity among children aged 5–9 years and adolescents aged 10–19 years will be included. The primary outcomes will be age-adjusted body mass index (BMI), other measures of adiposity, and the prevalence of overweight and obesity. Secondary outcomes including dietary intake, physical activity, health-related quality of life, and adverse events will be reported narratively but excluded from the meta-analysis. Two independent reviewers will screen the studies, data extraction, and risk of bias assessment. Intervention effectiveness will first be summarised descriptively according to intervention type and key characteristics. Where appropriate, pooled effect sizes will be estimated using a random-effects meta-analysis. To explore and manage heterogeneity, analyses will be stratified by age group (children vs adolescents) and intervention purpose (prevention vs treatment). This review will identify effective strategies for preventing and treating childhood obesity in LMICs and explore the intervention features associated with successful outcomes. The findings will inform policy development and support the design and implementation of contextually appropriate interventions, contributing to global efforts to reduce obesity and prevent non-communicable diseases (NCDs).</p>","PeriodicalId":36698,"journal":{"name":"Campbell Systematic Reviews","volume":"21 4","pages":""},"PeriodicalIF":7.1,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cl2.70081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145852630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reliability and Validity of Risk Assessment Tools for Violent Extremism: A Systematic Review 暴力极端主义风险评估工具的信度与效度:系统回顾
IF 7.1 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-07 DOI: 10.1002/cl2.70080
Sébastien Brouillette-Alarie, Ghayda Hassan, Wynnpaul Varela, Emmanuel Danis, Sarah Ousman, Pablo Madriaza, Inga Lisa Pauls, Deniz Kilinc, David Pickup, Robert Pelzer, Eugene Borokhovski, the CPN-PREV team
<div> <section> <p>Assessment of the risk of engaging in a violent radicalization/extremism trajectory has evolved quickly in the last 10 years. Guided by what has been achieved in psychology and criminology, scholars from the field of preventing violent extremism (PVE) have tried to import key lessons from violence risk assessment and management, while bearing in mind the idiosyncrasies of their particular field. However, risk tools that have been developed in the PVE space are relatively recent, and questions remain as to their level of psychometric validation. Namely, do these tools consistently and accurately assess risk of violent extremist acting out? To answer this question, we systematically reviewed evidence on the reliability and validity of violent extremism risk tools. The main objective of this review was to gather, critically appraise, and synthesize evidence regarding the appropriateness and utility of such tools, as validated with specific populations and contexts. Searches covered studies published up to December 31, 2021. They were performed in English and German across 17 databases, 45 repositories, Google, other literature reviews on violent extremism risk assessment, and references of included studies. Studies in all languages were eligible for inclusion in the review. We included studies with primary data resulting from the quantitative examination of the reliability and validity of tools used to assess the risk of violent extremism. Only tools usable by practitioners and intended to assess an individual's risk were eligible. We did not impose any restrictions on study design, type, method, or population. We followed standard methodological procedures outlined by the Campbell Collaboration for data extraction and analysis. Risk of bias was assessed using a modified version of the COSMIN checklist, and data were synthesized through meta-analysis when possible. Otherwise, narrative synthesis was used to aggregate the results. Among the 10,859 records found, 19 manuscripts comprising 20 eligible studies were included in the review. These studies focused on the Terrorist Radicalization Assessment Protocol (TRAP-18), the Extremism Risk Guidance Factors (ERG22+), the Multi-Level Guidelines (MLG-V2), the Identifying Vulnerable People guidance (IVP guidance), and the Violent Extremism Risk Assessment (VERA)—all structured professional judgment tools—as well as <i>Der Screener—Islamismus</i>, an actuarial scale. Studies mostly involved adult male participants susceptible to violent extremism (<i>N</i> = 1106; <i>M</i> = 58.21; SD = 55.14). The types of extremist ideologies endorsed by participants varied, and the same was true for ethnicity and country/continent of provenance. Encouraging results were found concerning the inter-rater agreement of scales in research contexts (kappas between 0.76 and 0.93), but one of the two studies that examined it in a field setting obtained disap
在过去十年中,对暴力激进化/极端主义轨迹风险的评估发展迅速。在心理学和犯罪学方面取得的成就的指导下,预防暴力极端主义领域的学者们试图从暴力风险评估和管理中吸取关键教训,同时牢记其特定领域的特点。然而,在PVE领域开发的风险工具相对较新,其心理测量验证水平仍然存在问题。也就是说,这些工具是否能够持续准确地评估暴力极端主义行为的风险?为了回答这个问题,我们系统地审查了有关暴力极端主义风险工具的可靠性和有效性的证据。本综述的主要目的是收集、批判性评价和综合有关这些工具的适当性和实用性的证据,并在特定人群和环境中进行验证。搜索涵盖了截至2021年12月31日发表的研究。他们用英语和德语在17个数据库、45个资料库、b谷歌、其他关于暴力极端主义风险评估的文献综述和纳入研究的参考文献中进行了研究。所有语言的研究都有资格纳入审查。我们纳入了一些研究,这些研究的原始数据来自对用于评估暴力极端主义风险的工具的可靠性和有效性的定量检验。只有从业人员可用的工具,并打算评估个人的风险是合格的。我们没有对研究设计、类型、方法或人群施加任何限制。我们遵循坎贝尔合作组织概述的标准方法程序进行数据提取和分析。使用改良版COSMIN检查表评估偏倚风险,并尽可能通过荟萃分析综合数据。否则,使用叙事综合来汇总结果。在发现的10859份记录中,包括20项符合条件的研究的19份手稿被纳入综述。这些研究集中在恐怖主义激进化评估协议(trap18)、极端主义风险指导因素(ERG22+)、多层次指南(MLG-V2)、识别弱势群体指南(IVP指南)和暴力极端主义风险评估(VERA)上,这些都是结构化的专业判断工具,以及Der Screener-Islamismus,一种精算量表。研究主要涉及易受暴力极端主义影响的成年男性参与者(N = 1106; M = 58.21; SD = 55.14)。参与者支持的极端主义意识形态类型各不相同,种族和国家/大陆也是如此。令人鼓舞的结果是,在研究背景下,量表的内部一致性(kappas在0.76到0.93之间),但两项研究中的一项在实地环境中进行了检验,结果令人失望(kappas在0.47到0.80之间)。内容效度研究表明,PVE风险工具充分涵盖了个人实施极端主义暴力的风险因素和冒犯过程。结构效度分析很少,结果表明,尺度的经验划分不匹配他们的概念划分。子量表的内部一致性很差(Cronbach's alpha在0.19和0.85之间),而完整量表在评估时显示出可接受的内部一致性(ERG22+为0.80,IVP指导为0.64)。只有一项研究检查了收敛效度,它揭示了缺乏收敛,主要是由于所研究的量表(MLG-V2)的特殊性。判别效度分析本质上是探索性的,但表明PVE风险工具可能不是意识形态特异性的,可能适用于群体和单独的参与者。最后,尽管TRAP-18显示出相对较强的后判效应大小(汇总r = 0.62 [0.35-0.77], p = 0.000),但结果具有高度异质性(I2 = 86%),且所有研究均采用回顾性设计,这意味着在评估时已经知道结果。因此,没有纳入的研究评估了真正的预测效度(即,基于前瞻性风险评估预测未来暴力极端主义结果的能力)。这是一个重大的证据缺口。对有效性的威胁是巨大的:(a)许多研究是个案研究或样本非常小,(b)几乎所有样本都是通过公开可用数据的三角测量构成的,(c)经常使用便利结果测量。尽管有不完善的数据总比没有数据好,但目前的经验验证状态排除了针对特定人群和背景推荐一种工具而不是另一种工具的可能性,并要求对PVE风险评估工具进行更高质量的验证研究。
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引用次数: 0
The Extent of the Use of GRADE in Campbell Systematic Reviews: A Systematic Survey GRADE在Campbell系统评价中的应用程度:一项系统调查
IF 7.1 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-07 DOI: 10.1002/cl2.70082
Zhenjie Lian, Rui Wang, Xuping Song, Yunze Han, Qiyin Luo, Jing Tang, Xinye Guo, Yan Ma, Yue Hu, Xufei Luo, Yaolong Chen, Kehu Yang, Howard White, Vivian Welch

Objective

To conduct a systematic survey on the extent of the use of the grading of recommendations, assessment, development, and evaluations (GRADE) and other evidence grading systems in Campbell systematic reviews (SRs).

Study Design and Settings

Campbell SRs published before January 1st, 2024, that used evidence grading systems were included. General characteristics and details of a summary of findings (SoF) table and an evidence profile (EP) were independently extracted by two investigators.

Results

Among 234 SRs retrieved, 46 (19.66%) used evidence grading systems, all of which were GRADE. One used GRADE erroneously to rate the quality of individual studies rather than the body of evidence. The 45 SRs used GRADE to assess the certainty of a body of evidence and included 858 outcomes. Of them, the certainty in evidence for 32 were rated as high (3.73%), 170 were moderate (19.81%), 291 were low (33.92%), and 365 were very low (42.54%). Among the 1860 instances of downgrading and upgrading, the certainty in evidence was mostly downgraded for risk of bias (ROB) (1026, 55.16%) and imprecision (408, 21.94%). The large magnitude of effect (14, 0.75%) and plausible confounding (10, 0.54%) were the main upgraded factors. The proportions for higher certainty in evidence (including high and moderate) were larger in the international development (9.59%) and social welfare (7.55%) groups than in the other groups (1.37%).

Conclusion

Most Campbell SRs do not assess the GRADE certainty in evidence. Where evidence is evaluated, the quality of that evidence is mainly low or very low, and this is most commonly due to serious ROB or imprecision.

目的对Campbell系统评价(SRs)中推荐、评估、发展和评价(GRADE)分级和其他证据分级系统的使用程度进行系统调查。研究设计和设置纳入了2024年1月1日之前发表的Campbell SRs,其中使用了证据分级系统。两名调查人员独立提取了调查结果摘要(SoF)表和证据概要(EP)的一般特征和细节。结果检索到的234份SRs中,46份(19.66%)采用证据分级系统,均为GRADE。其中一个错误地使用GRADE来评价单个研究的质量,而不是整体的证据。45个SRs使用GRADE来评估证据体的确定性,包括858个结果。其中,证据确定性高32例(3.73%),中度170例(19.81%),低291例(33.92%),极低365例(42.54%)。在1860个降级和升级的实例中,证据的确定性大多因偏见风险(ROB)(1026, 55.16%)和不精确(408,21.94%)而降级。效应量大(14,0.75%)和似然混淆(10,0.54%)是主要的升级因子。证据确定性较高(包括高和中等)的比例在国际发展组(9.59%)和社会福利组(7.55%)高于其他组(1.37%)。结论大多数Campbell SRs没有评估GRADE的证据确定性。在评估证据时,证据的质量主要是低或非常低,这最常见的原因是严重的ROB或不精确。
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引用次数: 0
Enhancing Policy Impact Through Knowledge Translation: The Role of Innovative Evidence Products 通过知识转化增强政策影响:创新证据产品的作用
IF 7.1 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-01 DOI: 10.1002/cl2.70084
Ashima Mohan, Howard White
<p>The objective of applied social science research is to inform policy and practice to improve societal outcomes (White and Welch <span>2022</span>). However, in the words of the head of the World Bank's Development Impact Group, DIME, ‘Dissemination is dead’.<sup>1</sup> That is, traditional dissemination pathways—academic publications, conference presentations, and even policy briefs—are insufficient for achieving meaningful policy uptake. No matter how rigorous or relevant, research alone does not usually translate into policy impact without deliberate, structured mechanisms to bridge the gap between evidence generation and decision-making. The recognition of this fact has resulted in the growth of knowledge translation as what has been called the fourth wave of the evidence revolution (White <span>2019</span>).</p><p>Knowledge translation is ‘the exchange, synthesis, and effective communication of reliable and relevant research results. The focus is on promoting interaction among the producers and users of research, removing the barriers to research use, and tailoring information to different target audiences so that effective interventions are used more widely’ (World Health Organization <span>2004</span>). There are various approaches to knowledge brokering. These include direct interaction between researchers and decision-makers in interpreting and using the findings, in-house knowledge brokers, creating a ‘helpdesk’ function, or using an independent rapid review service.</p><p>The approach we discuss here is online evidence-based decision-making products (EBDMPs), which summarize research findings in accessible forms without requiring the user to read the underlying research papers or reports. The traditional policy brief is an example of an EBDMP. However, a policy brief alone is usually insufficient to engage decision-makers.</p><p>Policy briefs have been the cornerstone of knowledge translation for many years. In 2015, the Campbell Collaboration began to publish Plain Language Summaries (PLSs) of new reviews, as well as producing PLSs for most existing reviews.<sup>2</sup> The co-chair of the Crime and Justice group described these PLS as ‘gold dust’.<sup>3</sup> Whilst policy briefs alone will have a limited impact on decision-makers, the value placed by the Campbell Crime and Justice co-chair on the PLS was because he used them as part of his engagement with high-level decision-makers, not as a standalone product.</p><p>The shortcomings of policy briefs include that (i) they are uni-directional communication of researchers telling decision-makers what to do, rather than engaging them as stakeholders in the research process; (ii) policy briefs of single studies may have limited discussion of context and transferability of study findings, and (iii) lack comparisons to alternative approaches. In addition, there is often a focus on ‘what works’, but with insufficient information on intervention design and implementation to be of use.</p
应用社会科学研究的目标是为政策和实践提供信息,以改善社会成果(White和Welch 2022)。然而,用世界银行发展影响局局长的话来说,“传播已死”也就是说,传统的传播途径——学术出版物、会议报告,甚至政策简报——不足以实现有意义的政策吸收。无论多么严谨或相关,如果没有经过深思熟虑的、结构化的机制来弥合证据产生和决策之间的差距,研究本身通常不会转化为政策影响。对这一事实的认识导致了知识翻译的增长,被称为第四次证据革命浪潮(White 2019)。知识翻译是对可靠、相关的研究成果的交流、综合和有效沟通。重点是促进研究的生产者和使用者之间的互动,消除利用研究的障碍,并根据不同的目标受众定制信息,以便更广泛地使用有效的干预措施”(世界卫生组织,2004年)。知识中介有各种各样的方法。这包括研究人员和决策者在解释和使用研究结果时的直接互动、内部知识经纪人、创建“帮助台”功能,或使用独立的快速审查服务。我们在这里讨论的方法是在线循证决策产品(ebdmp),它以可访问的形式总结研究结果,而不需要用户阅读基础研究论文或报告。传统的政策简报就是EBDMP的一个例子。然而,政策简报本身通常不足以吸引决策者。多年来,政策简报一直是知识翻译的基石。2015年,Campbell Collaboration开始发布新评论的Plain Language summary (pls),并为大多数现有评论生成pls犯罪和司法小组的联合主席将这些PLS描述为“金粉”虽然政策简报本身对决策者的影响有限,但坎贝尔犯罪与司法联合主席认为政策简报的价值在于,他将其作为与高层决策者接触的一部分,而不是作为一个独立的产品。政策简报的缺点包括:(i)它们是研究人员告诉决策者该做什么的单向沟通,而不是让他们作为利益相关者参与研究过程;(ii)单一研究的政策简报可能对研究结果的背景和可转移性的讨论有限,(iii)缺乏与其他方法的比较。此外,通常关注的是“什么有效”,但在干预设计和实施方面的信息不足。因此,需要比政策简报更复杂的ebdmp。这些被归类为证据门户、指南和清单(White 2019)。证据门户是我们的重点。证据门户提供交互式的基于网络的平台,以用户友好的格式整理和分类证据。第一个例子来自教育部门,首先是美国教育科学研究所的What Works Clearinghouse和教育捐赠基金会(EEF)的教学工具包。EEF工具包列出了30多种改善学习成果的方法,如艺术参与、反馈、同伴辅导和一年重复学习。对于每种干预措施,工具包登陆页面报告了三个关键指标:效果大小(影响程度)、成本评级和证据强度。影响是接受干预的儿童与未接受干预的儿童相比,额外学习成果的月数。这种影响是通过统计荟萃分析计算出来的。成本和证据强度按五分制报告。例如,根据强有力的证据基础(5个中有4个),为孩子提供关于他们工作的反馈是非常低成本的,并且有6个月的额外学习效果。该工具包被英格兰和威尔士超过70%的中学使用。这意味着70%的学校正在根据系统评估的证据来决定该做什么。这并不是因为老师们读过这些系统评论,或者甚至知道什么是系统评论,而是因为这个工具包是一个精心策划的证据产品,使评论证据以一种可访问的形式提供,并且允许在一个地方对许多不同的方法进行比较。与上面讨论的证据门户一样,坎贝尔南亚公司制作的《气候变化中的性别与农业证据问答A》的所有内容都基于系统审查门户使用分层问答结构。 任何证据产品的可信度都取决于生成它的方法的透明度和稳健性。这些是产品被信任的必要条件。这包括明确的纳入标准、系统的质量评估过程和透明的合成技术。例如,为YEF工具包(YEF 2025)开发的技术手册概述了评估证据的相关性、设计质量和概括性的精确标准,以及如何选择对影响的估计,从而有助于确保用户可以依赖所提供的信息来指导决策。同样重要的是可访问性和易用性。即使是最严谨的证据,如果不能使用,价值也有限。有效的证据产品在内容和设计上都优先考虑简单和清晰。这包括使用可视化摘要、分层内容结构和标准化格式,使用户能够快速有效地浏览复杂的信息。最成功的平台是那些提供直观的界面,并针对各种设备(包括手机和平板电脑)进行了优化的平台,允许在各种操作环境中访问。此外,当ebdmp不是独立的工具,而是更广泛的互补产品套件的一部分时,它们是最有效的。这些可能包括实现指南、逻辑模型或变更理论、成本计算器,以及基于过程评估的实践手册。在知道什么是有效的和在现实环境中应用这些知识之间的差距上,每一个都扮演着不同的角色。特别是,指导方针对于确保实施过程中的保真度以及通过提供基于现有证据的具体、可操作步骤来支持扩大努力非常重要。最后一个重要的教训是利益相关者合作生产的重要性。当证据产品与决策者、从业人员和社区组织等使用它们的人密切合作开发时,它们的影响最大。从一开始就吸引最终用户,确保所解决的问题基于实际情况,并确保产品本身与政策优先事项保持一致。这种参与性进程加强了所产生的工具的相关性和合法性。然而,这些方法并非没有批评者。虽然近年来对知识翻译的支持越来越多,但许多学术研究人员仍然对直接参与应用证据产品的开发犹豫不决。来自学术界的批评通常集中在对过度简化、方法妥协或理论基础不足的担忧上。研究人员从建构主义的角度认为,可转移性的限制削弱了ebdmp的有用性。对这些问题的一种回应是将方法的严谨性纳入可公开获得的证据标准,以提高透明度。虽然它不能满足所有的批评,但EDMPs应该使用户能够超越平均效果,了解异质性的来源。改善公共政策成果需要的不仅仅是产生知识,还需要将知识转化为可用的形式。与CGIAR、YEF和其他机构共同开发的ebdmp展示了结构化的数字工具如何显著提高研究的吸收。关键是在设计产品时关注清晰度、可信度和可用性,同时保持严格的证据标准。随着对循证决策需求的增长,这些工具将在塑造响应性强、包容性强、数据驱动的政策生态系统方面发挥至关重要的作用。我们预计,在未来几年,ebdmp的数量和范围将不断增加,并希望这篇简短的社论有助于它们的发展。
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引用次数: 0
Campbell Title Registrations to Date—September 2025, and Discontinued Protocols 坎贝尔所有权注册日期至2025年9月,和终止协议
IF 7.1 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-01 DOI: 10.1002/cl2.70085
<p>Details of new titles for systematic reviews or evidence and gap maps that have been accepted by the Editor of a Campbell Coordinating Group are published in each issue of the journal. If you would like to receive a copy of the approved title registration form, please send an email to the Managing Editor of the relevant Coordinating Group.</p><p>A list of discontinued protocols appears below these new titles. If you are interested to continue a project, please get in touch with the Managing Editor of the relevant Coordinating Group or email <span>[email protected]</span>.</p><p><b>Ageing</b></p><p>Mapping Financial Literacy Programs for the Ageing Population: Protocol for a Scoping Review populations</p><p>Carina Sofia Teixeira Fernandes, Isabel Silva, Inês Gomes</p><p>2 September 2025</p><p>Peer-supported intervention to improve diabetes related quality of life and diabetes management in the elderly with type 2 diabetes: A systematic review</p><p>Segufta Dilshad, Cheong Theng, Sazlina Ghazali, Lim Ying</p><p>29 September 2025</p><p><b>Business and Management</b></p><p>Does Nonfinancial Information Disclosure Predict Stock Market Outcomes?–A systematic review</p><p>Hongli Shang, Yi Sheng, Guoling Qiang, Wenjie Zhou, Yufeng Wen, Yongjie Feng, Weijie Lin</p><p>4 November 2025</p><p>Effects of Organizational Transparency Interventions on Trust in AI-Assisted Decision-Making and Human Decision-Makers: A Systematic Review of Enabling Mechanisms</p><p>Rachel Hor, Michael Zhang</p><p>10 November 2025</p><p><b>Climate Solutions</b></p><p>Climate Shocks and Intimate Partner Violence in Low- and Lower Middle-Income Countries: A Protocol for a Scoping Review</p><p>Kelly Murray, Savannah Badt, Shalean Collins Kapur, Stella Neema, Anita Raj, Martha Silva, Monica Swahn, Anastasia Gage</p><p>24 October 2025</p><p>Coastal land reclamation and climate risk: an evidence and gap map</p><p>Jan Petzold, Charlotta Mirbach, Robert Nicholls</p><p>27 October 2025</p><p><b>Education</b></p><p>Interventions to Mitigate Gender Bias in Healthcare Education and Clinical Training: A Scoping Review</p><p>Laura Rodríguez-González, Margarita Bernales</p><p>6 October 2025</p><p><b>International Development</b></p><p>Tax free pad versus taxed pad policy for menstrual hygiene management globally: A systematic Review</p><p>Ndum Ayeah, Nian Yuh, Damaris Ntam, Constance Ayongho, Ernest Wung, Patrick Mbah</p><p>22 September 2025</p><p><b>Knowledge Translation and Implementation</b></p><p>Barriers and facilitators to the implementation of the Diabetes Prevention Program (DPP) in health settings: Protocol for a mixed methods systematic review</p><p>Miquel Colom-Rosselló, Manuela Abbate, Laura Capitan-Moyano, Elena Pastor-Ramon, Maria Fernandez, Aina Yañez, Miquel Bennasar-Veny</p><p>18 September 2025</p><p>How do General Practitioners share knowledge and seek advice regarding paediatric care? Mixed methods systematic review</p><p>Tina Vickery, Georgia Fisher, Lisa Pagano, Darran Foo, J
已被坎贝尔协调小组的编辑接受的系统评论或证据和差距图的新标题的详细信息发表在每期杂志上。如果您希望收到已批准的所有权登记表的副本,请发送电子邮件给相关协调小组的执行编辑。在这些新标题下面列出了已终止的协议清单。如果您有兴趣继续一个项目,请与相关协调小组的执行编辑联系,或发送电子邮件至[email protected]。老龄化人口金融知识规划:范围审查人群方案scarina Sofia Teixeira Fernandes, Isabel Silva, Inês gomes, 2025年9月2日同伴支持干预改善老年2型糖尿病患者糖尿病相关生活质量和糖尿病管理张勇,林英,张勇,张勇。非财务信息披露对股票市场影响的实证研究尚红丽,盛毅,强国玲,周文杰,温玉峰,冯永杰,林伟杰2025年11月4日组织透明度干预对人工智能辅助决策和人类决策者信任的影响:支持机制的系统回顾kelly Murray, Savannah Badt, Shalean Collins Kapur, Stella Neema, Anita Raj, Martha Silva, Monica Swahn, Anastasia gage2025年10月24日沿海土地开垦和气候风险:证据和差距图jan Petzold, Charlotta Mirbach, Robert nicholls2025年10月27日减轻医疗保健教育和临床培训中的性别偏见的教育干预措施范围综述laura Rodríguez-González, Margarita bernales 2025年10月6日国际发展全球经期卫生管理的免税与征税政策:一项系统综述dum Ayeah, Nian Yuh, Damaris Ntam, Constance Ayongho, Ernest Wung, Patrick mbah2025年9月22日知识翻译与实施卫生机构实施糖尿病预防计划(DPP)的障碍与促进因素:混合方法系统评价方案Miquel Colom-Rosselló, Manuela Abbate, Laura Capitan-Moyano, Elena Pastor-Ramon, Maria Fernandez, Aina Yañez, Miquel bennasar - veny2025年9月18日全科医生如何分享关于儿科护理的知识并寻求建议?混合方法系统综述tina Vickery, Georgia Fisher, Lisa Pagano, Darran Foo, Jeffrey braithwait2025年9月18日社会福利绘制物质使用障碍的心理社会治疗结果:一个范围综述nicola Worcman, Silvana Proenca Marchetti, Lucas Oliveira Maia, Luís Fernando Tófoli4 2025年9月加拿大、澳大利亚、澳大利亚和美国土著照顾者使用的育儿结构措施研究综述:亚历山大·格雷戈里,金·考德威尔,莉安·米克-拉姆齐,萨拉·菲罗彻,艾米丽·阿姆斯特朗,加里·罗宾逊,凯莉·怀尔德工作场所和学术环境的系统回顾和荟萃分析fatemeh Shahrajabian, Jafar Hasani, Sara shirmardi2025年10月6日终止的协议如果您有兴趣继续以下其中一个项目,请与相关协调小组的执行编辑联系或发送电子邮件[email protected]。犯罪与司法https://onlinelibrary.wiley.com/doi/10.1002/CL2.85PROTOCOL:对轻罪家庭暴力的强制逮捕对重复犯罪的影响巴拉克·阿里尔,劳伦斯·w·谢尔曼教育https://onlinelibrary.wiley.com/doi/10.1002/CL2.215Protocol系统综述:提高小学学龄儿童数学成绩的干预措施:系统评论维多利亚·西姆斯,卡米拉·吉尔摩,西恩·斯隆,克莱尔·麦基维尼https://onlinelibrary.wiley.com/doi/10.1002/cl2.1011PROTOCOL:系统评论协议:校际合作改善儿童和青少年的教育和社会成果:系统评论保罗·康诺利,詹妮弗·汉拉蒂,乔安妮·休斯,克里斯托弗·查普曼,丹妮尔·布莱洛克https://onlinelibrary.wiley.com/doi/10.1002/CL2.145PROTOCOL:[A . L. Spivak, Mark W. Lipsey, Dale C. Farran, Joshua R. Polaninhttps://onlinelibrary.wiley.com/doi/10.1002/CL2.185PROTOCOL:基于学校的执行功能干预对儿童和青少年执行功能、学业、社会情感和行为结果的直接和间接影响。]系统的评论——斯蒂内伯根-胡,保拉·奥尔舍夫斯基-库比留斯,埃里克·卡尔弗思://onlinelibrary.wiley.com/doi/10.1002/CL2。 163协议:提供信息和通信技术(ICT)以提高4-18岁学生的学习成绩和学校参与度kristin Liabo, Laurenz Langer, Antonia Simon, Kathy-ann Daniel-Gittens, Alex Elwick, Janice Tripneyhttps://onlinelibrary.wiley.com/doi/10.1002/CL2.210PROTOCOL:为改善3-11岁儿童的社交和情感结果而开展的以学校为基础的普遍项目paul Connolly, Sarah Miller, Jennifer Hanratty, Jennifer Roberts, Seaneen Sloanhttps://onlinelibrary.wiley.com/doi/10.1002/CL2.110PROTOCOL:为改善患有慢性疾病的儿童和青少年的学校参与度和学习成绩提供教育支持服务米歇尔·a·托利特,苏珊·m·索耶,萨维蒂里·拉特纳帕兰,托尼·巴内蒂普斯://onlinelibrary.wiley.com/doi/10.1002/CL2.197PROTOCOL:电子辅导促进25岁以下年轻人取得积极的青年成果:系统回顾罗本·m·奥康纳,大卫·l·杜波依斯,露西·鲍斯https://onlinelibrary.wiley.com/doi/10.1002/CL2.166PROTOCOL:提高中小学教师留任率、教师满意度和学生成绩的绩效薪酬计划:一项系统评估:加里·里特,朱莉·特里维特,莉萨·福尔曼,科里·迪安吉利斯,乔治·丹尼国际发展网站//onlinelibrary.wiley.com/doi/10.1002/cl2.1122PROTOCOL: 2000-2018年印度发展评估:国家影响评价图ashrita Saran, Eti Rajwar, Bhumika T.V, Divya S. Patil, Howard Whitehttps://onlinelibrary.wiley.com/doi/10.1002/cl2.1186P
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引用次数: 0
Protocol: Understanding the Content, Context, and Impact of Far-Right Extremist Propaganda Disseminated Online: A Systematic Review 协议:理解在线传播的极右极端主义宣传的内容、背景和影响:一项系统综述
IF 7.1 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-11-14 DOI: 10.1002/cl2.70076
Mia Doolan, Katie Cox, Kiran M. Sarma

This is the protocol for a Campbell Systematic Review. This review will address two aims: (1) A qualitative synthesis of literature on the composition of online far right propaganda, and (2) A quantitative synthesis of literature examining the impact of exposure to online far-right propaganda on audiences. These syntheses will be guided by the following specific objectives: (i) What is the content (i.e. themes) of online far-right propaganda, and how does this differ across ideological subgroups? (ii) What is the structure of online far-right propaganda, and how does this differ across ideological subgroups? (iii) What is the context of these messages (i.e., where, when and by whom were they posted?) (iv) What impact does exposure to online far-right propaganda have on audiences with reference to the radicalisation of opinion and/or action?

这是坎贝尔系统评价的方案。本综述将涉及两个目标:(1)对在线极右翼宣传构成的文献进行定性综合,以及(2)对研究在线极右翼宣传对受众影响的文献进行定量综合。这些综合将以以下具体目标为指导:(i)网上极右翼宣传的内容(即主题)是什么,不同意识形态群体之间的差异是什么?(ii)网上极右宣传的结构是什么,在不同的意识形态群体中有什么不同?(iii)这些信息的背景是什么(即,何时何地由谁发布的?)(iv)接触在线极右翼宣传对受众在观点和/或行动极端化方面有什么影响?
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引用次数: 0
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Campbell Systematic Reviews
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