A Peer-to-Peer Live-Streaming Intervention for Children During COVID-19 Homeschooling to Promote Physical Activity and Reduce Anxiety and Eye Strain: Cluster Randomized Controlled Trial

Zheng, Yingfeng; Wang, Wei; Zhong, Yuxin; Wu, Fengchun; Zhu, Zhuoting; Tham, Yih‐Chung; Lamoureux, Ecosse L.; Xiao, Liang; Zhu, Erta; Liu, Haoning; Jin, Ling; Liang, Linyi; Luo, Lixia; He, Miao; Morgan, Ian G.; Congdon, Nathan; Liu, Yizhi

doi:10.2196/24316

Cited by 52 publications

(95 citation statements)

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“…No further eligible RCTs were identified from other sources (reference checks of relevant reviews). Twenty-two papers met the eligibility criteria and reported information for quality appraisal and data extraction [ 35 – 56 ]. Fig.…”

Section: Resultsmentioning

confidence: 99%

“…• The intervention was associated with significant improvements including depressive symptoms: GAD-7 from post-treatment to the 1-month follow-up (ß = 1.78; Z = 8.06; p < 0.001). Zheng, 2021 (Cluster RCT) [ 56 ] China; Schools (Grade 7) in the Duanzhou district of Zhaoqing City, Guangdong Province, Southern China. Children.…”

Section: Resultsmentioning

confidence: 99%

“…One study was published in 2006 [ 46 ]. Studies were conducted in several different countries: Belgium ( n = 1) [ 53 ], Canada ( n = 1) [ 45 ], China ( n = 6) [ 40 – 44 , 56 ], Hong Kong ( n = 1) [ 46 ], Iran ( n = 3) [ 39 , 48 , 51 ], Italy ( n = 3) [ 36 , 49 , 50 ], Oman ( n = 1) [ 35 ], Serbia ( n = 1) [ 54 ], Spain ( n = 1) [ 38 ], Sweden ( n = 1) [ 55 ], and Turkey ( n = 2) [ 37 , 47 ]. One study [ 52 ] involved participants from seven different countries (Australia, Canada, France, Mexico, Spain, UK and USA).…”

Section: Resultsmentioning

confidence: 99%

“…One study [ 52 ] involved participants from seven different countries (Australia, Canada, France, Mexico, Spain, UK and USA). Nine of these studies’ countries were high-income countries (HICs) [ 35 , 36 , 38 , 45 , 46 , 49 , 50 , 53 , 55 ] and 12 were upper-middle-income countries (UMICs) [ 37 , 39 – 44 , 47 , 48 , 51 , 54 , 56 ]. One study was conducted in countries from both HIC and UMIC [ 52 ].…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies involved participants from general populations exposed to COVID-19 [ 35 , 36 , 45 , 51 , 54 – 56 ]. Two of these seven studies involved schoolchildren [ 45 , 56 ] and one involved college students [ 51 ].…”

Section: Resultsmentioning

confidence: 99%

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The effectiveness of psychological support interventions for those exposed to mass infectious disease outbreaks: a systematic review

et al. 2021

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Background Mass outbreaks such as pandemics are associated with mental health problems requiring effective psychological interventions. Although several forms of psychological interventions may be advocated or used, some may lack strong evidence of efficacy and some may not have been evaluated in mass infectious disease outbreaks. This paper reports a systematic review of published studies (PROSPERO CRD:42020182094. Registered: 24.04.2020) examining the types and effectiveness of psychological support interventions for the general population and healthcare workers exposed to mass infectious disease outbreaks. Methods A systematic review was conducted. Randomised Controlled Trials (RCT) were identified through searches of electronic databases: Medline (Ovid), Embase (Ovid), PsycINFO (EBSCO) and the Cochrane Library Database from inception to 06.05.2021 using an agreed search strategy. Studies were included if they assessed the effectiveness of interventions providing psychological support to the general population and / or healthcare workers exposed to mass infectious disease outbreaks. Studies were excluded if they focused on man-made or natural disasters or if they included armed forces, police, fire-fighters or coastguards. Results Twenty-two RCTs were included after screening. Various psychological interventions have been used: therapist-guided therapy (n = 1); online counselling (n = 1); ‘Emotional Freedom Techniques’ (n = 1); mobile phone apps (n = 2); brief crisis intervention (n = 1); psychological-behavioural intervention (n = 1); Cognitive Behavioural Therapy (n = 3); progressive muscle relaxation (n = 2); emotional-based directed drawing (n = 1); psycho-educational debriefing (n = 1); guided imagery (n = 1); Eye Movement Desensitization and Reprocessing (EMDR) (n = 1); expressive writing (n = 2); tailored intervention for patients with a chronic medical conditions (n = 1); community health workers (n = 1); self-guided psychological intervention (n = 1), and a digital behaviour change intervention (n = 1). Meta-analyses showed that psychological interventions had a statistically significant benefit in managing depression (Standardised Mean Difference [SMD]: -0.40; 95% Confidence Interval [CI]: − 0.76 to − 0.03), and anxiety (SMD: -0.72; 95% CI: − 1.03 to − 0.40). The effect on stress was equivocal (SMD: 0.16; 95% CI: − 0.19 to 0.51). The heterogeneity of studies, studies’ high risk of bias, and the lack of available evidence means uncertainty remains. Conclusions Further RCTs and intervention studies involving representative study populations are needed to inform the development of targeted and tailored psychological interventions for those exposed to mass infectious disease outbreaks.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The effectiveness of psychological support interventions for those exposed to mass infectious disease outbreaks: a systematic review

et al. 2021

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Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

Purgato,

Prina,

Ceccarelli

et al. 2023

Cochrane Database of Systematic Reviews

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Background There is a significant research gap in the field of universal, selective, and indicated prevention interventions for mental health promotion and the prevention of mental disorders. Barriers to closing the research gap include scarcity of skilled human resources, large inequities in resource distribution and utilization, and stigma. Objectives To assess the effectiveness of delivery by primary workers of interventions for the promotion of mental health and universal prevention, and for the selective and indicated prevention of mental disorders or symptoms of mental illness in low‐ and middle‐income countries (LMICs). To examine the impact of intervention delivery by primary workers on resource use and costs. Search methods We searched CENTRAL, MEDLINE, Embase, CINAHL, Global Index Medicus, PsycInfo, WHO ICTRP, and ClinicalTrials.gov from inception to 29 November 2021. Selection criteria Randomized controlled trials (RCTs) of primary‐level and/or community health worker interventions for promoting mental health and/or preventing mental disorders versus any control conditions in adults and children in LMICs. Data collection and analysis Standardized mean differences (SMD) or mean differences (MD) were used for continuous outcomes, and risk ratios (RR) for dichotomous data, using a random‐effects model. We analyzed data at 0 to 1, 1 to 6, and 7 to 24 months post‐intervention. For SMDs, 0.20 to 0.49 represented small, 0.50 to 0.79 moderate, and ≥ 0.80 large clinical effects. We evaluated the risk of bias (RoB) using Cochrane RoB2. Main results Description of studies We identified 113 studies with 32,992 participants (97 RCTs, 19,570 participants in meta‐analyses) for inclusion. Nineteen RCTs were conducted in low‐income countries, 27 in low‐middle‐income countries, 2 in middle‐income countries, 58 in upper‐middle‐income countries and 7 in mixed settings. Eighty‐three RCTs included adults and 30 RCTs included children. Cadres of primary‐level workers employed primary care health workers (38 studies), community workers (71 studies), both (2 studies), and not reported (2 studies). Interventions were universal prevention/promotion in 22 studies, selective in 36, and indicated prevention in 55 RCTs. Risk of bias The most common concerns over risk of bias were performance bias, attrition bias, and reporting bias. Intervention effects 'Probably', 'may', or 'uncertain' indicates 'moderate‐', 'low‐', or 'very low‐'certainty evidence. *Certainty of the evidence (using GRADE) was assessed at 0 to 1 month post‐intervention as specified in the review protocol. In the abstract, we did not report results for outcomes for which evidence was missing or very uncertain. Adults Promotion/universal prevention, compared...

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Child and adolescent mental health and psychosocial support interventions: An evidence and gap map of low‐ and middle‐income countries

Yu,

Perera,

Sharma

et al. 2023

Campbell Systematic Reviews

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BackgroundMental disorders affect about one in seven children and adolescents worldwide. Investment in effective child and adolescent mental health prevention, promotion and care is essential. To date, however, the evidence from this field is yet to be comprehensively collected and mapped.ObjectivesThe objective of this evidence and gap map (EGM) is to provide an overview of the existing evidence on the effectiveness of interventions aimed at promoting mental health and reducing or preventing mental health conditions among children and adolescents in lower‐middle‐income countries (LMICs).Search MethodsWe searched for studies from a wide range of bibliographic databases, libraries and websites. All searches were conducted in December 2021 and covered the period between 2010 and 2021.Selection CriteriaWe included evidence on the effectiveness of any Mental Health and Psychosocial Support (MHPSS) interventions targeting children and adolescents from 0 to 19 years of age in LMICs. The map includes systematic reviews and effectiveness studies in the form of randomised control trials and quasi‐experimental studies, and mixed‐methods studies with a focus on intervention effectiveness.Data Collection and AnalysisA total of 63,947 records were identified after the search. A total of 19,578 records were removed using machine learning. A total of 7545 records were screened independently and simultaneously by four reviewers based on title and abstract and 2721 full texts were assessed for eligibility. The EGM includes 697 studies and reviews that covered 78 LMICs.Main ResultsSchool‐based interventions make up 61% of intervention research on child and adolescent mental health and psychosocial support. Most interventions (59%) focusing on treating mental health conditions rather than preventing them or promoting mental health. Depression (40%, N = 282) was the most frequently researched outcome sub‐domain analysed by studies and reviews, followed by anxiety disorders (32%, N = 225), well‐being (21%, N = 143), and post‐traumatic stress disorder (18%, N = 125). Most included studies and reviews investigated the effectiveness of mental health and psychosocial support interventions in early (75%, N = 525) and late adolescence (64%, N = 448).ConclusionsThe body of evidence in this area is complex and it is expanding progressively. However, research on child and adolescent MHPSS interventions is more reactive than proactive, with most evidence focusing on addressing mental health conditions that have already arisen rather than preventing them or promoting mental health. Future research should investigate the effectiveness of digital mental health interventions for children and adolescents as well as interventions to address the mental health and psychosocial needs of children in humanitarian settings. Research on early childhood MHPSS interventions is urgently needed. MHPSS research for children and adolescents lacks diversity. Research is also needed to address geographical inequalities at the regional and national level. Important questions also remain on the quality of the available research—is child and adolescent MHPSS intervention research locally relevant, reliable, well‐designed and conducted, accessible and innovative? Planning research collaborations with decision‐makers and involving experts by experience in research is essential.

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A Peer-to-Peer Live-Streaming Intervention for Children During COVID-19 Homeschooling to Promote Physical Activity and Reduce Anxiety and Eye Strain: Cluster Randomized Controlled Trial

Cited by 52 publications

References 34 publications

The effectiveness of psychological support interventions for those exposed to mass infectious disease outbreaks: a systematic review

The effectiveness of psychological support interventions for those exposed to mass infectious disease outbreaks: a systematic review

Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

Child and adolescent mental health and psychosocial support interventions: An evidence and gap map of low‐ and middle‐income countries

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