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A systematic review of the effectiveness of mental health promotion interventions for young people in low and middle income countries

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Barry, Margaret M, Clarke, Aleisha M, Jenkins, Rachel, Patel, Vikram·2013·BMC Public Health
DOI 10.1186/1471-2458-13-835PMC PMC3848687
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Abstract

BACKGROUND: This systematic review provides a narrative synthesis of the evidence on the effectiveness of mental health promotion interventions for young people in low and middle-income countries (LMICs). Commissioned by the WHO, a review of the evidence for mental health promotion interventions across the lifespan from early years to adulthood was conducted. This paper reports on the findings for interventions promoting the positive mental health of young people (aged 6-18 years) in school and community-based settings. METHODS: Searching a range of electronic databases, 22 studies employing RCTs (N = 11) and quasi-experimental designs conducted in LMICs since 2000 were identified. Fourteen studies of school-based interventions implemented in eight LMICs were reviewed; seven of which included interventions for children living in areas of armed conflict and six interventions of multicomponent lifeskills and resilience training. Eight studies evaluating out-of-school community interventions for adolescents were identified in five countries. Using the Effective Public Health Practice Project (EPHPP) criteria, two reviewers independently assessed the quality of the evidence. RESULTS: The findings from the majority of the school-based interventions are strong. Structured universal interventions for children living in conflict areas indicate generally significant positive effects on students' emotional and behavioural wellbeing, including improved self-esteem and coping skills. However, mixed results were also reported, including differential effects for gender and age groups, and two studies reported nonsignficant findings. The majority of the school-based lifeskills and resilience programmes received a moderate quality rating, with findings indicating positive effects on students' self-esteem, motivation and self-efficacy. The quality of evidence from the community-based interventions for adolescents was moderate to strong with promising findings concerning the potential of multicomponent interventions to impact on youth mental health and social wellbeing. CONCLUSIONS: The review findings indicate that interventions promoting the mental health of young people can be implemented effectively in LMIC school and community settings with moderate to strong evidence of their impact on both positive and negative mental health outcomes. There is a paucity of evidence relating to interventions for younger children in LMIC primary schools. Evidence for the scaling up and sustainability of mental health promotion interventions in LMICs needs to be strengthened.

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Figure 1 Search results from original search of mental health promotion interventions in LMICs.
Figure 1 Search results from original search of mental health promotion interventions in LMICs.CC BY · PubMed Central

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Research works printed but not linked: 8

  1. Hosman C, Jané-Llopis E: The Evidence of Health Promotion Effectiveness: Shaping Public Health in a new Europe, A Report for the European Commission. Political challenge 2: mental health. 1999, Paris: International Union for Health Promotion and Education
  2. Payton J, Weissberg RP, Durlak JA, Dymnicki AB, Taylor RD, Schellinger KB, Pachan M: The positive impact of social and emotional learning for kindergarten to eight-grade students: Findings from three scientific reviews. 2008, Chicago, IL: Collaborative for Academic, Social, and Emotional Learning
  3. World Health Organization: WHO’s Global School Health Initiative: Health Promoting Schools. 1998, Geneva: World Health Organization
  4. World Health Organization: Seventh Global Conference on Health Promotion: Promoting Health and Development: closing the Implementation Gap. 26th-30th October 2009, Nairobi, Kenya: , Accessible at: http://www.who.int/healthpromotion/conferences/7gchp/en/index.html
  5. Khamis V, Macy R, Coignez V: The Impact of the Classroom/Community/Camp-Based Intervention (CBI) Program on Palestinian Children. 2004, USA: Save the Children
  6. Smith P, Dyregrov A, Yule W: Children and war: Teaching recovery techniques. 2000, Bergen, Norway: Foundation for Children and War
  7. Adi Y: Systematic review of the effectiveness of interventions to promote mental wellbeing in primary schools Report 1: Universal approaches which do not focus on violence or bullying. 2007, London: National Institute of Clinical Excellence
  8. Stewart-Brown S: What is the evidence on school health promotion in improving health or preventing disease and, specifically, what is the effectiveness of the health promoting schools approach. 2006, Copenhagen: WHO Regional Office for Europe

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Metadata

Authors
Barry, M. M., Clarke, A. M., Jenkins, R., & Patel, V.
Affiliations
  • Ollscoil na Gaillimhe – University of Galway (IE)
  • King's College London (GB)
  • London School of Hygiene & Tropical Medicine (GB)
Corresponding author
Barry, Margaret M
ORCID
Venue
BMC Public Health
Publisher
Springer Science and Business Media LLC
Published
2013-09-11
Volume
13
Issue
1
Pages
835-835
ISSN
1471-2458 (ISSN-L)
DOI
10.1186/1471-2458-13-835
PMC
PMC3848687
OpenAlex
W2105332173
Cited by
569
References
88
Citations by year
2026: 53 · 2025: 45 · 2024: 59 · 2023: 69 · 2022: 66 · 2021: 56 · 2020: 32 · 2019: 45 · 2018: 41 · 2017: 30 · 2016: 30 · 2015: 23 · 2014: 18 · 2013: 1
FWCI
4.29
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Arrow@dit (Dublin Institute of Technology) (acceptedVersion)
  • ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (acceptedVersion, cc-by-nc-nd)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
  • Arrow@dit (Dublin Institute of Technology) (submittedVersion)
  • ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (submittedVersion, cc-by-nc-nd)
  • Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion)
Funders
  • John D. and Catherine T. MacArthur Foundation
  • Wellcome Trust (100714, 091834)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords
mental health promotion, youth, school-based intervention, community-based intervention, low- and middle-income countries, children in armed conflict, resilience training, self-esteem, adolescents, multicomponent intervention, scaling up interventions
MeSH terms
Adolescent, Mental Disorders, Child, Child Welfare, Female, Health Promotion, Humans, Income, Male, Poverty, Psychological Tests, School Health Services, Severity of Illness Index, Socioeconomic Factors, Program Evaluation, Randomized Controlled Trials as Topic, Early Intervention, Educational, Risk Assessment

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