Effectiveness of peer-led health behaviour interventions on adolescent's mental health and wellbeing: a systematic review and meta-analysis

被引:1
作者
Brinsley, Jacinta [1 ]
Schmidt, Matthew [1 ]
Curtis, Rachel [1 ]
Simpson, Catherine E. M. [1 ]
Edwards, Jessica [1 ]
Eglitis, Emily E. [1 ]
Gosse, Georgia [1 ]
Broad, Michael [1 ]
Jardine, Bryony [2 ]
Taddeo, Elizabeth [1 ]
Banati, Prerna [3 ]
Maher, Carol [1 ]
机构
[1] Univ South Australia, Alliance Res Exercise Nutr & Act Allied Hlth & Hum, 108 North Terrace, Adelaide 5000, Australia
[2] Flinders Univ S Australia, Ctr Social Impact, Adelaide, Australia
[3] World Hlth Org, Dept Maternal Newborn Child & Adolescent Hlth & Ag, Geneva, Switzerland
关键词
Peer-led interventions; Adolescents; Healthy lifestyle; Mental health; Wellbeing; PHYSICAL-ACTIVITY; YOUNG-PEOPLE; DIET; DEPRESSION; CHILDREN; PSYCHIATRY; SLEEP; RISK;
D O I
10.1038/s41598-025-01053-8
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Mental health disorders affect 15% of youth aged 10-19 years globally, typically emerging before age 15. While school-based peer-led programs show promise in improving physical health behaviours by leveraging existing social networks, reducing stigma, and demonstrating high implementation feasibility, their effectiveness for mental health outcomes remains unclear. This systematic review examined controlled trials of school-based, peer-led lifestyle interventions (physical activity, diet, or sleep) reporting mental health outcomes in adolescents aged 10-19 years. Six electronic databases were searched up to March 28, 2024. Seven studies met inclusion criteria, encompassing 7,060 adolescents from 151 schools across the UK, USA, Canada, and Norway. Interventions varied in frequency and duration, with six focusing on physical activity and one on diet. Meta-analyses revealed no significant effects for psychological difficulties (MD = 0.60, 95% CI -3.52 to 4.72; p = 0.32, k = 2), self-efficacy for physical activity (SMD = 0.18, 95% CI -3.08 to 3.44; p = 0.61, k = 2), or wellbeing (SMD = 0.0, 95% CI -2.94 to 2.94; p = 1.0, k = 2). These findings, while requiring cautious interpretation, highlight the pressing need for more comprehensive and rigorous research to better understand the impact of peer-led interventions on mental health outcomes.
引用
收藏
页数:11
相关论文
共 55 条
[1]   A Systematic Review Assessing Bidirectionality between Sleep Disturbances, Anxiety, and Depression [J].
Alvaro, Pasquale K. ;
Roberts, Rachel M. ;
Harris, Jodie K. .
SLEEP, 2013, 36 (07) :1059-1068
[2]   School-related physical activity interventions and mental health among children: a systematic review and meta-analysis [J].
Andermo, Susanne ;
Hallgren, Mats ;
Nguyen, Thi-Thuy-Dung ;
Jonsson, Sofie ;
Petersen, Solveig ;
Friberg, Marita ;
Romqvist, Anja ;
Stubbs, Brendon ;
Elinder, Liselotte Schafer .
SPORTS MEDICINE-OPEN, 2020, 6 (01)
[3]  
[Anonymous], 2019, Implementing Mental Health Promotion, DOI [10.1007/978-3-030-23455-3, DOI 10.1007/978-3-030-23455-3]
[4]   Effects of school-based physical activity interventions on mental health in adolescents: The School in Motion cluster randomized controlled trial [J].
Avitsland, Andreas ;
Leibinger, Eva ;
Resaland, Geir Kare ;
Solberg, Runar Barstad ;
Kolle, Elin ;
Dyrstad, Sindre M. .
MENTAL HEALTH AND PHYSICAL ACTIVITY, 2020, 19
[5]   Physical Inactivity and Mental Health in Late Adolescence [J].
Beauchamp, Mark R. ;
Puterman, Eli ;
Lubans, David R. .
JAMA PSYCHIATRY, 2018, 75 (06) :543-544
[6]   Decision-making in the adolescent brain [J].
Blakemore, Sarah-Jayne ;
Robbins, Trevor W. .
NATURE NEUROSCIENCE, 2012, 15 (09) :1184-1191
[7]   Clusters of healthy lifestyle behaviours are associated with symptoms of depression, anxiety, and psychological distress: A systematic review and meta-analysis of observational studies [J].
Bourke, Matthew ;
Wang, Hiu Fei Wendy ;
Mcnaughton, Sarah A. ;
Thomas, George ;
Firth, Joseph ;
Trott, Mike ;
Cairney, John .
CLINICAL PSYCHOLOGY REVIEW, 2025, 118
[8]   Effects of a peer-led Walking In ScHools intervention (the WISH study) on physical activity levels of adolescent girls: a cluster randomised pilot study [J].
Carlin, Angela ;
Murphy, Marie H. ;
Nevill, Alan ;
Gallagher, Alison M. .
TRIALS, 2018, 19
[9]   Exercise interventions in child and adolescent mental health care: An overview of the evidence and recommendations for implementation [J].
Carney, Rebekah ;
Firth, Joseph .
JCPP ADVANCES, 2021, 1 (04)
[10]   The clinical and behavioral cardiometabolic risk of children and young people on mental health inpatient units: A systematic review and meta-analysis [J].
Carney, Rebekah ;
Firth, Joseph ;
Pedley, Rebecca ;
Law, Heather ;
Parker, Sophie ;
Lovell, Karina .
GENERAL HOSPITAL PSYCHIATRY, 2021, 70 :80-97