Kunnskapsoppsummering og klassifisering av tiltaket: Flyt

publishedVersio

Kunnskapsoppsummering og klassifisering av tiltaket FRIENDS for life (behandling)

Source at https://ungsinn.no/post_tiltak_arkiv/friends-for-life-behandling/.BAKGRUNN: Denne artikkelen er en kunnskapsoppsummering av effektene av tiltaket FRIENDS for life, et behandlingsprogram for barn og ungdommer med angst. Tiltaket er tilrettelagt for grupper, men kan også brukes individuelt. FRIENDS har som mål å hjelpe barn og ungdommer med å utvikle ferdigheter og kunnskaper som gjør dem bedre rustet til å håndtere angstprovoserende situasjoner. I Norge er RKBU Vest ansvarlig for distribusjon og implementering av tiltaket ut 2018. METODE: Kunnskapsoppsummeringen bygger på et systematisk litteratursøk i databasene Embase, Medline og Psycinfo, NORART, Cochrane, Cristin, NORA, SCOPUS og SweMed. To norske effektstudier er omtalt i denne oppsummeringen, samt en tredje norsk studie og en internasjonal reviewartikkel. FRIENDS er et tiltak som kan benyttes både som forebygging og behandling. Denne kunnskapsoppsummeringen er begrenset til tiltaket som behandling. RESULTATER: Resultatene omfatter en beskrivelse av tiltaket, effektstudier, forskningsmetodisk kvalitet og implementeringskvalitet. Det foreligger to norske effektstudier, hvorav den ene er en RCT med både pre-post-målinger og sammenligning med kontrollgruppe. Studien er av god forskningsmetodisk kvalitet og finner positive effekter av tiltaket i en økologisk valid setting. KONKLUSJON: FRIENDS for life er klassifisert på nivå 4 – intervensjon med tilfredsstillende dokumentasjon på effekt.</p

Review: Exercise for depression in children and adolescents - a systematic review and meta-analysis

publishedVersio

Medical benefits in young adulthood: a population-based longitudinal study of health behaviour and mental health in adolescence and later receipt of medical benefits

Objectives To examine the extent to which smoking, alcohol, physical activity and mental health problems in 15–16-year-olds are associated with receipt of medical benefits in young adulthood, after adjustment for confounders. Design Prospective population-based cohort survey linked to national registers. Participants In the ‘Youth studies’ from the Norwegian Institute of Public Health, 15 966 10th graders in 6 Norwegian counties answered a health behaviour and mental health questionnaire; 88% were linked to National Insurance Administration Registers (FD-Trygd). Outcome measure Time to receipt of medical benefits, based on FD-Trygd. Follow-up was from age 18 years until participants were aged 22–26 years. Method We performed Cox regression analyses to examine the extent to which variations in health behaviour and mental health problems during 10th grade were associated with receipt of medical benefits during follow-up. Results Daily smoking at age 15–16 years was associated with a significant increase in hazard of receiving health benefits at follow-up compared with not smoking for boys, HR (95% CI) 1.56 (1.23 to 1.98), and for girls 1.47 (1.12 to 1.93). Physical activity was associated with a decrease in hazard compared with inactivity from 23% to 53% in boys and from 21% to 59% in girls, while use of alcohol showed a mixed pattern. The hazard for benefits use rose with increasing levels of emotional symptoms, peer problems, conduct problems and hyperactivity–inattention problems (Strengths and Difficulties Questionnaire) at 15–16 years among both genders. Conclusions Health behaviour and mental health problems in adolescence are independent risk factors for receipt of medical benefits in young adulthood

Mental health problems in the 10th grade and non-completion of upper secondary school: the mediating role of grades in a population-based longitudinal study

Vitenskapelig, fagfellevurdert artikkelBackground: School drop-out is a problem all over the world with adverse life-course consequences. The aim of this paper is to study how internalising and externalising problems in the 10th grade are associated with non-completion of upper secondary school, and to examine the mediating role of grade points in the 10th grade across general academic and vocational tracks in upper secondary school. We also study the impact of health behaviour. Methods: Population-based health surveys were linked with Norwegian registries on education and sociodemographic factors (n = 10 931). Mental health was assessed by the self-report Strengths and Difficulties Questionnaire. Logistic regression was used to analyse the relations between mental health and health behaviour in 10th grade and non-completion of upper secondary school. The mediating effect of grade points was studied by causal mediation analysis. Results: Adolescents not completing upper secondary school reported more externalising problems and girls more internalising problems in the 10th grade, after adjustments. Smoking and physical inactivity increased the odds of non-completion of upper secondary school. Causal mediation analyses showed that a reduction in externalising problems of 10 percentage points led to lower rates of non-completion of 4–5 percentage points, and about three-quarters of this total effect was mediated by grades. For internalising problems the total effect was significant only for girls (1 percentage point), and the mediated effect of grades was about 30%. The effect of mental health problems on school dropout was mainly the same in both vocational and general tracks. Conclusions: Assuming a causal relationship from mental health problems to school performance, this study suggests that externalising problems impair educational attainment. A reduction of such problems may improve school performance, reduce school drop-out and reduce the adverse life-course consequences

Guideline evaluation and implementation mechanisms in school health services (GuideMe): Protocol for a hybrid randomized factorial trial

publishedVersio

Three-year follow-up of physical activity in Norwegian youth from two ethnic groups: associations with socio-demographic factors

<p>Abstract</p> <p>Background</p> <p>More research on factors associated with physical activity and the decline in participation during adolescence is needed. In this paper, we investigate the levels, change, and stability of physical activity during the late teens among ethnic Norwegians and ethnic minorities, and we examine the associations between physical activity and socio-demographic factors.</p> <p>Methods</p> <p>The baseline (T1) of this longitudinal study included 10^thgraders who participated in the youth part of the Oslo Health Study, which was carried out in schools in 2000–2001. The follow-up (T2) in 2003–2004 was conducted partly at school and partly by mail. A total of 2489 (1112 boys and 1377 girls) participated both at baseline and at follow-up. Physical activity level was measured by a question on weekly hours of physical activity outside of school. Socio-demographic variables were collected by questionnaire and from data obtained from Statistics Norway. Analysis of variance was used to study the level of and changes (T1 to T2) in physical activity, and the associations between physical activity and socio-demographic factors. Stability in physical activity was defined as the percentage of students reporting the same physical activity both times.</p> <p>Results</p> <p>Boys were more active than girls at age 15 and 18 years, independent of ethnic background. Among girls, ethnic Norwegians were more active than ethnic minorities. Hours per week spent on physical activity declined in all groups during the follow-up period. Few associations were found between physical activity and socio-demographic factors in both cross-sectional and longitudinal data. Among the ethnic minority girls, 65% reported being physically active 0–2 hours per week at baseline, and 82% of these girls reported the same level at follow up.</p> <p>Conclusion</p> <p>The association between physical activity and ethnicity at age 15 years remained the same during the follow-up. Few associations were found between physical activity and socio-demographic variables. A large proportion of ethnic minority girls reported a persistently low physical activity level, and this low participation rate may need special attention.</p

Response rates and selection problems, with emphasis on mental health variables and DNA sampling, in large population-based, cross-sectional and longitudinal studies of adolescents in Norway

Background Selection bias is a threat to the internal validity of epidemiological studies. In light of a growing number of studies which aim to provide DNA, as well as a considerable number of invitees who declined to participate, we discuss response rates, predictors of lost to follow-up and failure to provide DNA, and the presence of possible selection bias, based on five samples of adolescents. Methods We included nearly 7,000 adolescents from two longitudinal studies of 18/19 year olds with two corresponding cross-sectional baseline studies at age 15/16 (10th graders), and one cross-sectional study of 13th graders (18/19 years old). DNA was sampled from the cheek mucosa of 18/19 year olds. Predictors of lost to follow-up and failure to provide DNA were studied by Poisson regression. Selection bias in the follow-up at age 18/19 was estimated through investigation of prevalence ratios (PRs) between selected exposures (physical activity, smoking) and outcome variables (general health, mental distress, externalizing problems) measured at baseline. Results Out of 5,750 who participated at age 15/16, we lost 42% at follow-up at age 18/19. The percentage of participants who gave their consent to DNA provision was as high as the percentage that consented to a linkage of data with other health registers and surveys, approximately 90%. Significant predictors of lost to follow-up and failure to provide DNA samples in the present genetic epidemiological study were: male gender; non-western ethnicity; postal survey compared with school-based; low educational plans; low education and income of father; low perceived family economy; unmarried parents; poor self-reported health; externalized symptoms and smoking, with some differences in subgroups of ethnicity and gender. The association measures (PRs) were quite similar among participants and all invitees, with some minor discrepancies in subgroups of non-western boys and girls. Conclusions Lost to follow-up had marginal impact on the estimated prevalence ratios. It is not likely that the invitation to provide DNA influenced the response rates of 18/19 year olds. Non-western ethnicity, male gender and characteristics related to a low social class and general and mental health problems measured at baseline are associated with lost to follow-up and failure to provide DNA

Kunnskapsoppsummering og klassifisering av tiltaket FRIENDS for life (behandling)

Sammendrag BAKGRUNN Denne artikkelen er en kunnskapsoppsummering av effektene av tiltaket FRIENDS for life, et behandlingsprogram for barn og ungdommer med angst. Tiltaket er tilrettelagt for grupper, men kan også brukes individuelt. FRIENDS har som mål å hjelpe barn og ungdommer med å utvikle ferdigheter og kunnskaper som gjør dem bedre rustet til å håndtere angstprovoserende situasjoner. I Norge er RKBU Vest ansvarlig for distribusjon og implementering av tiltaket ut 2018. METODE Kunnskapsoppsummeringen bygger på et systematisk litteratursøk i databasene Embase, Medline og Psycinfo, NORART, Cochrane, Cristin, NORA, SCOPUS og SweMed. To norske effektstudier er omtalt i denne oppsummeringen, samt en tredje norsk studie og en internasjonal reviewartikkel. FRIENDS er et tiltak som kan benyttes både som forebygging og behandling. Denne kunnskapsoppsummeringen er begrenset til tiltaket som behandling. RESULTATER Resultatene omfatter en beskrivelse av tiltaket, effektstudier, forskningsmetodisk kvalitet og implementeringskvalitet. Det foreligger to norske effektstudier, hvorav den ene er en RCT med både pre-post-målinger og sammenligning med kontrollgruppe. Studien er av god forskningsmetodisk kvalitet og finner positive effekter av tiltaket i en økologisk valid setting. KONKLUSJON FRIENDS for life er klassifisert på nivå 4 – intervensjon med tilfredsstillende dokumentasjon på effekt