Results of a Global Survey of Experts to Categorize the Suitability of Interventions for Inclusion in School Health Services

Plummer, Mary L.; Chan, Ace; Kohl, Kid; Taylor, Ashley B.; Baltag, Valentina; Saewyc, Elizabeth; Ross, David A.

doi:10.1016/j.jadohealth.2021.05.008

Cited by 5 publications

(5 citation statements)

References 15 publications

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“…Adolescence, defined as a period between ages 10 and 19, is a unique developmental stage of transition from childhood to adulthood and is a crucial time for laying the foundation of good health (World Health Organization, 2023). Adolescents account for one‐sixth of the global population and their health affects their health now, into adulthood and even to the next generation; in other words, the health of adolescents is an influential asset across all regions globally (Plummer et al, 2017). Of note, emotional distress plays an important role in harming the health of adolescents, while emotional distress commences and rises sharply during adolescence due to their rapid physical, emotional and psychosocial changes (Thapar et al, 2022; World Health Organization, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…adolescents is an influential asset across all regions globally (Plummer et al, 2017). Of note, emotional distress plays an important role in harming the health of adolescents, while emotional distress commences and rises sharply during adolescence due to their rapid physical, emotional and psychosocial changes (Thapar et al, 2022;World Health Organization, 2021).…”

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confidence: 99%

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Cross‐cultural translation and validation of the Chinese version Distress Tolerance Scale for adolescents with chronic physical disease

Lee,

Wu,

Lin

et al. 2024

Child

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IntroductionChronic physical disease (CPD) makes life filled with many negative events in adolescents, but not all adolescents experiencing negative life events proceed to develop emotional distress, only those with low emotional distress tolerance (EDT). A valid and reliable scale to measure EDT in CPD adolescents is important for caring for their emotional distress. Therefore, the purpose of this study is to translate the 15‐item English version Distress Tolerance Scale (DTS) into a Chinese version and then validate the scale for measuring EDT of adolescents with CPD.MethodsThe 15‐item English version DTS was translated into a Chinese version using the translation guidelines for cross‐cultural research. Two cohorts of adolescents with CPD were recruited from four hospitals in southern Taiwan, with the first cohort including 124 adolescents with CPD employed to conduct exploratory factor analysis, corrected item‐total correlation and reliability testing, while the second cohort, consisting of 238 adolescents with CPD, was utilized to examine confirmatory factor analysis and concurrent validity.ResultsThe two‐factor nine‐item Chinese version DTS for Adolescents with CPD (C‐DTS‐A) was developed. Lower scores of the C‐DTS‐A were significantly associated with higher diabetes distress, poorer self‐management, and worse glycaemic control; their correlation coefficients sequentially were −.40, .17 and −.23. Cronbach's α and the test–retest reliability of the two‐factor C‐DTS‐A ranged from .81 to .87 and from .79 to .89, respectively.ConclusionThe two‐factor nine‐item C‐DTS‐A with good cross‐cultural translation quality was a reliable and valid scale to assess EDT for adolescents with CPD.

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

Cross‐cultural translation and validation of the Chinese version Distress Tolerance Scale for adolescents with chronic physical disease

Lee,

Wu,

Lin

et al. 2024

Child

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“…This age of transition, characterized by rapid physical and psychological development, witnesses the transformation from a dependent child to a self-sufficient adult [ 2 ]. According to recent statistics, approximately 1.2 billion adolescents worldwide constitute about 20% of the global population [ 3 ]. Among them, approximately five million adolescents reside in developing nations, and within India, adolescents represent around 16% of the overall population [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

The Assessment of Nutritional Status of Adolescents Aged 15-18 Years Using BMI Cutoffs and BMI Z Scores: A Secondary Analysis of National Family Health Survey-5 (2019-21) Data

Jaleel,

Chilumula,

Chukkala Satya

et al. 2024

Cureus

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Background: Appropriate assessment of nutritional status of adolescents as a population group is an important area of focus, considering the age of culminating growth, the size of the age group, the changing nutrition patterns, and as a window of opportunity for corrections before adulthood sets in. Nutritional status is now recognized to be a prime indicator of the health of individuals. The World Health Organization (WHO) emphasizes the importance of employing age-and sex-specific reference values (body mass indexfor-age Z scores {BAZ} scores) for nutritional assessment in this age group. However, the National Family Health Survey (NFHS), the major source of data in India for the policymakers, reports the nutritional status of adolescents based on adult body mass index (BMI) cutoffs, which might not be as appropriate as compared to body mass index-for-age Z scores (BAZ) scores. Misclassification of nutrition status has impacts on public health policies, intervention programs, and long-term health outcomes for adolescents.Methods: This secondary analysis of NFHS-5 data was performed with the objective of estimating the degree of agreement between BMI and BAZ cutoffs in classifying the nutritional status among Indian adolescents. The NFHS-5 data were collected from over 636,000 households across the country. Height and weight were measured for adolescents using standardized instruments. BMI and BAZ scores were derived to assess nutritional status. World Health Organization's classifications were used to categorize nutritional status based on BMI and BAZ scores. The final analysis included data from 109,340 adolescents (13,040 males and 96,300 females) after excluding subjects having BAZ outliers and those whose age was 179 months or less.Results: Substantial discrepancies emerged between the two methods. BMI classifications underestimated nutritional status in almost 30% of adolescents compared to BAZ. Over one-third of normal-weight individuals by BAZ are classified as thin by BMI. Conversely, nearly 78% of obese adolescents by BMI are classified as overweight by BAZ. The agreements between the classifications improved with age and were better among males.Conclusion: This analysis highlights the limitations of BMI for assessing adolescent nutritional status and suggests that BAZ offers a more accurate and age-appropriate alternative.

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“…[ 2 ] Risky behaviors and self-harm are high among adolescents. [ 3 4 ] Psycho-social stressors compounded by a lack of coping skills and resilience are present as antecedents in almost all suicide attempts among adolescents. [ 5 ] Because most adolescents spend their formative years in school; therefore, teachers should adequately train them to handle life crises.…”

Section: Introductionmentioning

confidence: 99%

Effect of life skills education on socio-emotional functioning of adolescents in urban Puducherry, India: A mixed-methods study

Sarkar¹,

Surendran²,

Kothiyal³

et al. 2023

Journal of Education and Health Promotion

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BACKGROUND: We wanted to assess the effect of life skills education (LSE) and regular curriculum on the self-esteem, self-efficacy, adjustment, and psychosocial functioning of students from co-educational government schools, compared to those receiving only the regular curriculum. The secondary objectives were to study the feasibility of such sessions and identify the factors affecting the effectiveness of the sessions. MATERIALS AND METHODS: We conducted a mixed-methods study in government schools of urban Puducherry, India in 2018–2019. The quantitative component was a cluster-randomized trial with activity-based learning methods delivered over 10 sessions in the intervention arm (IA). Differences in outcome variables (self-esteem, self-efficacy, adjustment, psychosocial behavior) between baseline and after intervention in each of the groups were calculated, and the difference-in-differences (DID) technique was applied to account for any natural change in scores over time. Qualitative data were collected through focused group discussions (FGDs) among students and teachers. Analysis was founded on a positivist paradigm with inducto-deductive methodology. RESULTS: The mean (SD) age of 258 participants was 13 (1) years in both arms. The mean (SD) difference between baseline and end-line for IA and control arm (CA) was 0.3 (4.4) and − 0.1 (4.0), for self-esteem ( P = 0.38), 0.03 (6.0) and − 1.1 (6.1) for self-efficacy ( P = 0.12), and − 0.04 (3.5) and − 0.05 (4.3) for adjustment ( P = 0.73), respectively. Similarly, the median (interquartile range [IQR]) difference in the conduct problems scale of the Strengths and Difficulties Questionnaire was − 1 (−2, 1) and 0 (−1, 1) ( P < 0.01). Five FGDs revealed multiple positive effects on anger management, conduct, self-awareness, and responsible behavior. All 10 teachers viewed life skills education (LSE) positively. CONCLUSIONS: LSE positively affects adolescents’ socio-emotional functioning, but more extended periods of exposure are needed to demonstrate discernible change. The feasibility of implementation depends on the syllabus and based on health policies.

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Results of a Global Survey of Experts to Categorize the Suitability of Interventions for Inclusion in School Health Services

Cited by 5 publications

References 15 publications

Cross‐cultural translation and validation of the Chinese version Distress Tolerance Scale for adolescents with chronic physical disease

Cross‐cultural translation and validation of the Chinese version Distress Tolerance Scale for adolescents with chronic physical disease

The Assessment of Nutritional Status of Adolescents Aged 15-18 Years Using BMI Cutoffs and BMI Z Scores: A Secondary Analysis of National Family Health Survey-5 (2019-21) Data

Effect of life skills education on socio-emotional functioning of adolescents in urban Puducherry, India: A mixed-methods study

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