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A systematic review of non-clinician trauma-based interventions for school-age youth

FLORENCE AVERY, Tash Kennedy Kennedy Orcid Logo, Michaela James Orcid Logo, Hope Jones, Rebekah Amos, Mark Bellis, Karen Hughes, Sinead Brophy Orcid Logo

PLOS ONE, Volume: 19, Issue: 9, Start page: e0293248

Swansea University Authors: FLORENCE AVERY, Tash Kennedy Kennedy Orcid Logo, Michaela James Orcid Logo, Hope Jones, Sinead Brophy Orcid Logo

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DOI (Published version): 10.1371/journal.pone.0293248

Abstract

Exposure to adverse childhood experiences (ACEs) is recognised globally as a risk factor for health problems in later life. Awareness of ACEs and associated trauma is increasing within schools and educational settings, as well as the demand for supportive services to address needs. However, there is...

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ISSN: 1932-6203
Published: Public Library of Science (PLoS) 2024
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spelling v2 67473 2024-08-28 A systematic review of non-clinician trauma-based interventions for school-age youth cb6b4ffabde69199918e881ea68a874a FLORENCE AVERY FLORENCE AVERY true false 3f6f07de33204db4c0ab665fb4b36367 0000-0002-1500-7112 Tash Kennedy Kennedy Tash Kennedy Kennedy true false 9a717d184fb8f768e462d95b91e63e23 0000-0001-7047-0049 Michaela James Michaela James true false 3fbf9b2f03a3a8f507dd35e9068bd485 Hope Jones Hope Jones true false 84f5661b35a729f55047f9e793d8798b 0000-0001-7417-2858 Sinead Brophy Sinead Brophy true false 2024-08-28 Exposure to adverse childhood experiences (ACEs) is recognised globally as a risk factor for health problems in later life. Awareness of ACEs and associated trauma is increasing within schools and educational settings, as well as the demand for supportive services to address needs. However, there is a lack of clear evidence for effective interventions which can be delivered by non-clinicians (e.g., the school staff themselves). Thus, we undertook a systematic review to answer the question: What evidence exists for the efficacy of non-clinician delivered trauma-based interventions for improving mental health in school-age youth (4–18 years) who have experienced ACEs? The protocol for the review is registered in the PROSPERO International Prospective Register of Systematic Reviews (ID: CRD42023417286). We conducted a search across five electronic databases for studies published between January 2013 and April 2023 that reported on interventions suitable for non-clinician delivery, were published in English in the last 10 years, and involved participants aged 4–18 years (school-age) that had exposure to ACEs. Of the 4097 studies identified through the search, 326 were retrieved for full text screening, and 25 were included in the final review. Data were extracted from included articles for analysis and selected studies were quality assessed using validated assessment tools. Data were analysed through narrative synthesis. There was considerable heterogeneity in study design, outcome measures, and the interventions being studied. Interventions included CBT, mindfulness and art-based programs. A key finding was that there is a lack of high-quality research evidence to inform non-clinician delivered trauma-informed interventions. Many included studies were weak quality due to convenience sampling of participants and potential bias. Cognitive Behavioural Therapy (CBT)-based approaches are tentatively suggested as a suitable target for future rigorous evaluations of interventions addressing ACE-related trauma recovery and mental health improvement in school-age youth. Journal Article PLOS ONE 19 9 e0293248 Public Library of Science (PLoS) 1932-6203 6 9 2024 2024-09-06 10.1371/journal.pone.0293248 COLLEGE NANME COLLEGE CODE Swansea University SU Library paid the OA fee (TA Institutional Deal) This research was supported by the National Centre for Population Health and Wellbeing Research. Funding was provided by Public Health Wales and the Economic and Social Research Council (ESRC) through their support of a PhD studentship. 2024-09-19T15:11:29.5784494 2024-08-28T10:12:06.6625773 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science FLORENCE AVERY 1 Tash Kennedy Kennedy 0000-0002-1500-7112 2 Michaela James 0000-0001-7047-0049 3 Hope Jones 4 Rebekah Amos 5 Mark Bellis 6 Karen Hughes 7 Sinead Brophy 0000-0001-7417-2858 8 67473__31393__8a750e318f484a3c99dd8b3f13a9571e.pdf 67473.VoR.pdf 2024-09-19T15:09:09.9911716 Output 928713 application/pdf Version of Record true © 2024 Avery et al. This is an open access article distributed under the terms of the Creative Commons Attribution License. true eng http://creativecommons.org/licenses/by/4.0/
title A systematic review of non-clinician trauma-based interventions for school-age youth
spellingShingle A systematic review of non-clinician trauma-based interventions for school-age youth
FLORENCE AVERY
Tash Kennedy Kennedy
Michaela James
Hope Jones
Sinead Brophy
title_short A systematic review of non-clinician trauma-based interventions for school-age youth
title_full A systematic review of non-clinician trauma-based interventions for school-age youth
title_fullStr A systematic review of non-clinician trauma-based interventions for school-age youth
title_full_unstemmed A systematic review of non-clinician trauma-based interventions for school-age youth
title_sort A systematic review of non-clinician trauma-based interventions for school-age youth
author_id_str_mv cb6b4ffabde69199918e881ea68a874a
3f6f07de33204db4c0ab665fb4b36367
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84f5661b35a729f55047f9e793d8798b
author_id_fullname_str_mv cb6b4ffabde69199918e881ea68a874a_***_FLORENCE AVERY
3f6f07de33204db4c0ab665fb4b36367_***_Tash Kennedy Kennedy
9a717d184fb8f768e462d95b91e63e23_***_Michaela James
3fbf9b2f03a3a8f507dd35e9068bd485_***_Hope Jones
84f5661b35a729f55047f9e793d8798b_***_Sinead Brophy
author FLORENCE AVERY
Tash Kennedy Kennedy
Michaela James
Hope Jones
Sinead Brophy
author2 FLORENCE AVERY
Tash Kennedy Kennedy
Michaela James
Hope Jones
Rebekah Amos
Mark Bellis
Karen Hughes
Sinead Brophy
format Journal article
container_title PLOS ONE
container_volume 19
container_issue 9
container_start_page e0293248
publishDate 2024
institution Swansea University
issn 1932-6203
doi_str_mv 10.1371/journal.pone.0293248
publisher Public Library of Science (PLoS)
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
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description Exposure to adverse childhood experiences (ACEs) is recognised globally as a risk factor for health problems in later life. Awareness of ACEs and associated trauma is increasing within schools and educational settings, as well as the demand for supportive services to address needs. However, there is a lack of clear evidence for effective interventions which can be delivered by non-clinicians (e.g., the school staff themselves). Thus, we undertook a systematic review to answer the question: What evidence exists for the efficacy of non-clinician delivered trauma-based interventions for improving mental health in school-age youth (4–18 years) who have experienced ACEs? The protocol for the review is registered in the PROSPERO International Prospective Register of Systematic Reviews (ID: CRD42023417286). We conducted a search across five electronic databases for studies published between January 2013 and April 2023 that reported on interventions suitable for non-clinician delivery, were published in English in the last 10 years, and involved participants aged 4–18 years (school-age) that had exposure to ACEs. Of the 4097 studies identified through the search, 326 were retrieved for full text screening, and 25 were included in the final review. Data were extracted from included articles for analysis and selected studies were quality assessed using validated assessment tools. Data were analysed through narrative synthesis. There was considerable heterogeneity in study design, outcome measures, and the interventions being studied. Interventions included CBT, mindfulness and art-based programs. A key finding was that there is a lack of high-quality research evidence to inform non-clinician delivered trauma-informed interventions. Many included studies were weak quality due to convenience sampling of participants and potential bias. Cognitive Behavioural Therapy (CBT)-based approaches are tentatively suggested as a suitable target for future rigorous evaluations of interventions addressing ACE-related trauma recovery and mental health improvement in school-age youth.
published_date 2024-09-06T15:11:28Z
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