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Investigating the effectiveness of school health services delivered by a health provider: A systematic review of systematic reviews

Schools are the only institution regularly reaching the majority of school-age children and adolescents across the globe. Although at least 102 countries have school health services, there is no rigorous, evidence-based guidance on which school health services are effective and should be implemented...

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Detalles Bibliográficos
Autores principales: Levinson, Julia, Kohl, Kid, Baltag, Valentina, Ross, David Anthony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6561551/
https://www.ncbi.nlm.nih.gov/pubmed/31188826
http://dx.doi.org/10.1371/journal.pone.0212603
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author Levinson, Julia
Kohl, Kid
Baltag, Valentina
Ross, David Anthony
author_facet Levinson, Julia
Kohl, Kid
Baltag, Valentina
Ross, David Anthony
author_sort Levinson, Julia
collection PubMed
description Schools are the only institution regularly reaching the majority of school-age children and adolescents across the globe. Although at least 102 countries have school health services, there is no rigorous, evidence-based guidance on which school health services are effective and should be implemented in schools. To investigate the effectiveness of school health services for improving the health of school-age children and adolescents, a systematic review of systematic reviews (overview) was conducted. Five databases were searched through June 2018. Systematic reviews of intervention studies that evaluated school-based or school-linked health services delivered by a health provider were included. Review quality was assessed using a modified Ballard and Montgomery four-item checklist. 1654 references were screened and 20 systematic reviews containing 270 primary studies were assessed narratively. Interventions with evidence for effectiveness addressed autism, depression, anxiety, obesity, dental caries, visual acuity, asthma, and sleep. No review evaluated the effectiveness of a multi-component school health services intervention addressing multiple health areas. From the limited amount of information available in existing systematic reviews, the strongest evidence supports implementation of anxiety prevention programs, indicated asthma education, and vision screening with provision of free spectacles. Additional systematic reviews are needed that analyze the effectiveness of comprehensive school health services, and specific services for under-researched health areas relevant for this population.
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spelling pubmed-65615512019-06-20 Investigating the effectiveness of school health services delivered by a health provider: A systematic review of systematic reviews Levinson, Julia Kohl, Kid Baltag, Valentina Ross, David Anthony PLoS One Research Article Schools are the only institution regularly reaching the majority of school-age children and adolescents across the globe. Although at least 102 countries have school health services, there is no rigorous, evidence-based guidance on which school health services are effective and should be implemented in schools. To investigate the effectiveness of school health services for improving the health of school-age children and adolescents, a systematic review of systematic reviews (overview) was conducted. Five databases were searched through June 2018. Systematic reviews of intervention studies that evaluated school-based or school-linked health services delivered by a health provider were included. Review quality was assessed using a modified Ballard and Montgomery four-item checklist. 1654 references were screened and 20 systematic reviews containing 270 primary studies were assessed narratively. Interventions with evidence for effectiveness addressed autism, depression, anxiety, obesity, dental caries, visual acuity, asthma, and sleep. No review evaluated the effectiveness of a multi-component school health services intervention addressing multiple health areas. From the limited amount of information available in existing systematic reviews, the strongest evidence supports implementation of anxiety prevention programs, indicated asthma education, and vision screening with provision of free spectacles. Additional systematic reviews are needed that analyze the effectiveness of comprehensive school health services, and specific services for under-researched health areas relevant for this population. Public Library of Science 2019-06-12 /pmc/articles/PMC6561551/ /pubmed/31188826 http://dx.doi.org/10.1371/journal.pone.0212603 Text en © 2019 Levinson et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Levinson, Julia
Kohl, Kid
Baltag, Valentina
Ross, David Anthony
Investigating the effectiveness of school health services delivered by a health provider: A systematic review of systematic reviews
title Investigating the effectiveness of school health services delivered by a health provider: A systematic review of systematic reviews
title_full Investigating the effectiveness of school health services delivered by a health provider: A systematic review of systematic reviews
title_fullStr Investigating the effectiveness of school health services delivered by a health provider: A systematic review of systematic reviews
title_full_unstemmed Investigating the effectiveness of school health services delivered by a health provider: A systematic review of systematic reviews
title_short Investigating the effectiveness of school health services delivered by a health provider: A systematic review of systematic reviews
title_sort investigating the effectiveness of school health services delivered by a health provider: a systematic review of systematic reviews
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6561551/
https://www.ncbi.nlm.nih.gov/pubmed/31188826
http://dx.doi.org/10.1371/journal.pone.0212603
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