Child Maltreatment

虐待儿童
  • 文章类型: Journal Article
    背景:最近国际专业芭蕾舞学校关于儿童虐待(CM)的媒体报道数量超过了少数关于CM在舞蹈中的研究。总的来说,对舞蹈的研究主要集中在心理虐待上。在整个专业芭蕾舞学校背景下,对学生体验的研究也很少,通常包括舞蹈,学术,社会生活,和医疗保健经验,对一些学生来说,从小就住在住宅或寄宿家庭。
    目的:探索前专业芭蕾舞学校的学生如何在整个学校的舞蹈训练中表征和理解CM的经历,学者,社会生活,生活(例如,在居住中,寄宿家庭),和医疗保健。
    方法:参与者是15名前专业芭蕾舞学校的学生(12名女性,三名男子),年龄在六个国家/地区,年龄在18-27岁之间。
    方法:使用反身主题分析对来自在线半结构化访谈和问卷调查的数据进行分析。
    结果:在更广泛的背景下对参与者的经验进行了解释。主题包括:1)工作室内外的心理虐待;2)忽视和贬值:优先考虑芭蕾舞的成本;3)身体虐待:过时但仍被合理化为工具;4)在模糊的私人和公共场所进行性虐待。
    结论:参与者使用CM词汇来描述自己和同龄人的经历,并强调CM不应该被标准化。关于经历的理智表明,需要更多的芭蕾舞学校社区对CM的多种潜在危害形式的认识,以及更多的研究,干预,在芭蕾舞学校宣传CM。
    BACKGROUND: The number of recent media reports of child maltreatment (CM) at international professional ballet schools surpasses the few studies on CM in dance. In general, studies on dance largely focus on psychological maltreatment. There is also little research on student experiences across the entire professional ballet school context, which typically include dance, academic, social life, and healthcare experiences, and for some students, living in residence or a homestay from a young age.
    OBJECTIVE: To explore how former professional ballet school students characterize and make sense of experiences of CM across the entire school context in dance training, academics, social life, living (e.g., in residence, homestay), and healthcare.
    METHODS: Participants were 15 former professional ballet school students (12 women, three men) aged 18-27 years old across six countries.
    METHODS: Data from online semi-structured interviews and questionnaires were analyzed using reflexive thematic analysis.
    RESULTS: Experiences were interpreted in the wider context of participants\' former ballet schools. Themes included: 1) psychological maltreatment in and beyond the studio; 2) neglect and devaluation: costs of over-prioritizing ballet; 3) physicalabuse: outdated but still rationalized as instrumental; and 4) sexual abuse in blurred private and public spaces.
    CONCLUSIONS: Participants used CM vocabulary to describe their own and peers\' experiences and emphasized that CM should not be normalized. Sense making about experiences suggested a need for more ballet school community awareness about the multiple potential forms of harm of CM, as well as more research, intervention, and advocacy about CM at ballet schools.
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  • 文章类型: Journal Article
    目的:儿童虐待(CM)是整个生命周期的主要危险因素。虽然在过去的几十年里,对CM及其后果的研究有了强劲的增长,研究主要集中在CM事件类型的患病率上。由于迄今为止缺乏关于CM时间和慢性的有效患病率,我们旨在通过描述发病年龄来评估有经验的CM的时间,持续时间,以及基于人群的样本中每个CM亚型在每个年龄的患病率。
    方法:横截面,代表性样本中的观察性研究。
    方法:使用不同的采样步骤,包括随机路由程序,16岁以上德国人口的概率样本,包括2514人(50.6%女性,平均年龄:50.08岁)。参与者在面对面采访中被问及社会人口统计信息,使用ICAST-R问卷评估CM。
    结果:最早的平均发病年龄为忽略年龄,男孩为8.07(±3.07)岁,女孩为7.90(±2.96)岁,而性虐待的平均发病年龄在青春期,男孩为13.65(±3.86)岁,女孩为13.91(±3.17)岁。性虐待的CM总体持续时间最低,男孩为2.12(±2.01)年,女孩为2.35(±1.73)年。情感虐待的持续时间最长,男孩为4.00(±3.54)年,女孩为4.21(±3.77)年。
    结论:我们的新结果为预防工作提供了重要的流行病学信息。
    OBJECTIVE: Child maltreatment (CM) is a major risk factor across the lifespan. While research on CM and its consequences has risen strongly during the last decades, research is mainly focused on the prevalence of types of CM incidents. As valid prevalence rates on timing and chronicity of CM are lacking to date, we aimed to assess the timing of experienced CM by describing the age of onset, duration, and prevalence at each year of age for each CM subtype in a population-based sample.
    METHODS: Cross-sectional, observational study in a representative sample.
    METHODS: Using different sampling steps including a random route procedure, a probability sample of the German population above the age of 16, encompassing 2514 persons (50.6% female, mean age: 50.08 years) was generated. Participants were asked about sociodemographic information in a face-to-face interview, CM was assessed using the ICAST-R questionnaire.
    RESULTS: The earliest mean age of onset was seen in neglect with 8.07 (±3.07) years for boys and 7.90 (±2.96) years for girls, while the mean age of onset for sexual abuse was in adolescence with 13.65 (±3.86) years for boys and 13.91(±3.17) years for girls. The overall duration of CM was lowest for sexual abuse with 2.12 (±2.01) years for boys and 2.35 (±1.73) years for girls, the highest duration was seen for emotional abuse with 4.00 (±3.54) years for boys and 4.21 (±3.77) years for girls.
    CONCLUSIONS: Our novel results provide important epidemiological information for prevention efforts.
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  • 文章类型: Journal Article
    关于亲密伴侣暴力(IPV)与吸烟之间关系的现有研究主要涉及低风险,以社区妇女为重点的物理IVP研究。因此,严重IPV女性受害者与吸烟相关的风险尚未得到充分探讨.这项研究检查了暴露于不同形式的儿童虐待之间的关联,接触身体,心理,和性IPV,以及目前在警方报告的严重IPV的高风险女性受害者样本中吸烟引起的心理困扰症状。参加者包括在葡萄牙家庭暴力庇护所和儿童保护服务机构招募的162名警察报告的严重IPV受害者。参与者提供了关于儿童身体虐待的自我报告,心理,和性暴力),物理,心理,和性IPV,心理困扰症状(焦虑,抑郁,躯体,和创伤后应激障碍症状),每天的香烟消费。结果显示,每日香烟消费和接触IPV之间存在显著关联,童年时的身体虐待,心理IPV,以及经历警方报告的严重IPV的女性的焦虑症状。童年虐待可能会增加情绪失调的脆弱性,促进成瘾行为以调节痛苦。吸烟可能是一种不健康的调节策略,可以减少与长期暴露于心理IPV有关的痛苦。未来对面临严重IPV的女性进行有效的健康促进干预措施可能针对情绪调节,并采用以创伤为重点的方法。
    Existing research on the relationship between intimate partner violence (IPV) and cigarette smoking primarily involves low-risk, physical IVP-focused studies on community women. As a result, the risks associated with cigarette smoking in women victims of severe IPV have not been fully explored. This study examined the association between exposure to different forms of childhood maltreatment, exposure to physical, psychological, and sexual IPV, and current psychological distress symptoms with cigarette smoking in a high-risk sample of women victims of police-reported severe IPV. Participants included 162 women victims of police-reported severe IPV recruited in shelters for domestic violence and Child Protective Services in Portugal. Participants provided self-reports on childhood maltreatment physical, psychological, and sexual violence), physical, psychological, and sexual IPV, psychological distress symptoms (anxiety, depressive, somatic, and posttraumatic stress disorder symptoms), and daily cigarette consumption. Results revealed significant associations between daily cigarette consumption and exposure to IPV, physical abuse during childhood, psychological IPV, and anxiety symptoms in women experiencing police-reported severe IPV. Childhood maltreatment may increase vulnerability for emotion dysregulation, promoting addictive behaviors to regulate distress. Smoking can be an unhealthy regulating strategy to reduce the distress related to chronic exposure to psychological IPV. Future effective health promotion interventions in women facing severe forms of IPV may target emotional regulation and incorporate a trauma-focused approach.
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  • 文章类型: Journal Article
    回忆和情感训练(RET)干预旨在并改善虐待母亲的阐述和回忆(关于过去的情感事件的对话)的敏感性,以及儿童的情感知识。然而,在以前的RET研究中,母亲精心和敏感的回忆的改善并不能解释儿童情感知识的改善。因此,我们评估了RET是否与回忆期间产妇自主性支持改善相关,以及RET后自主性支持改善与儿童情绪知识增强相关.
    该样本包括248名母亲(165名虐待者和83名非虐待者)及其3至6岁的儿童,这些儿童参与了RET的随机对照试验。在基线,我们评估了母婴接受语言,二元回忆,和儿童的情感知识。然后,虐待母亲被随机分配接受RET或参与主动控制条件,包括病例管理和书面育儿材料.未虐待的母亲没有接受干预,而是作为另一个对照组参加。然后,家庭完成了为期八周的随访评估。
    虐待母亲在回忆过程中表现出的基线自主性支持明显少于未虐待母亲(部分eta平方=.028)。与假设相反,RET并未显着改善自治支持。然而,基线自主支持与基线(r=.20)和随访(r=.18)儿童情绪知识显著正相关。
    回忆过程中的自主性支持可能在情感知识的发展中发挥作用。讨论了发展理论和临床实践的含义。
    UNASSIGNED: The Reminiscing and Emotion Training (RET) intervention targets and improves maltreating mothers\' elaboration and sensitivity in reminiscing (conversations about past emotional events), as well as children\'s emotion knowledge. However, in previous studies of RET, improvements in mothers\' elaborative and sensitive reminiscing did not explain improvements in children\'s emotion knowledge. Thus, we evaluated whether RET is associated with improved maternal autonomy support during reminiscing and whether improved autonomy support is associated with enhanced child emotion knowledge after RET.
    UNASSIGNED: The sample included 248 mothers (165 maltreating and 83 nonmaltreating) and their 3- to 6-year-old children involved in a randomized controlled trial of RET. At baseline, we assessed maternal and child receptive language, dyadic reminiscing, and children\'s emotion knowledge. Then, maltreating mothers were randomized either to receive RET or participate in an active control condition including case management and written parenting materials. Nonmaltreating mothers did not receive intervention and participated as an additional control group. Families then completed an eight-week follow-up assessment.
    UNASSIGNED: Maltreating mothers displayed significantly less baseline autonomy support during reminiscing than nonmaltreating mothers (partial eta squared = .028). Contrary to hypotheses, RET did not significantly improve autonomy support. However, baseline autonomy support was significantly and positively correlated with children\'s emotion knowledge at baseline (r = .20) and follow-up (r = .18).
    UNASSIGNED: Autonomy support during reminiscing may play a role in the development of emotion knowledge. Implications for developmental theory and clinical practice are discussed.
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  • 文章类型: Journal Article
    目的:参与寄养儿童的自杀率明显较高。年龄超过寄养系统的过渡时期青年(TAY)的风险特别高。
    方法:分析来自加利福尼亚青年过渡到成年研究的数据(n=727),本文探讨了TAY从事自杀行为的描述性特征,目的是更好地识别,理解,支持那些有风险的人。我们报告了四个采访波(年龄17,19,21,23)的自杀意念和自杀企图率,并根据社会人口统计学特征检查率的差异,过去的虐待,和行为健康障碍。
    结果:在17岁时,42%的加州青年过渡到成年研究参与者曾想过自杀,24%曾尝试过自杀。跨越年龄,性少数群体青年的自杀意念和行为发生率明显高于异性恋同龄人。我们还发现(1)虐待经历(在寄养之前和期间)的年轻人;(2)重度抑郁症,焦虑障碍或创伤后应激障碍;和(3)酒精/药物滥用障碍在某些年龄比没有这些特征/诊断的同龄人更有可能参与自杀行为。患有精神疾病和物质使用障碍的年轻人始终处于高风险。
    结论:对于儿童福利服务提供者来说,在TAY中常规筛查自杀行为是很重要的。面临风险的青年可能会受益于更一致的评估,精神卫生保健,有针对性的心理健康干预。未来的研究需要阐明某些社会人口统计学联系的机制,经验,TAY的行为健康特征与自杀行为有关。
    OBJECTIVE: Suicide rates are markedly high among children with foster care involvement. Transition-age youth (TAY) who age-out of the foster care system are at particularly high risk.
    METHODS: Analyzing data from the California Youth Transitions to Adulthood Study (n=727), this paper explores the descriptive characteristics of TAY who engage in suicidal behavior with the goals of better identifying, understanding, and supporting those at risk. We report rates of suicidal ideation and suicide attempt at four interview waves (ages 17, 19, 21, 23) and examine differences in rates by sociodemographic characteristics, past maltreatment, and behavioral health disorders.
    RESULTS: At age 17, 42% of California Youth Transitions to Adulthood Study participants had thought of committing suicide and 24% had attempted suicide. Across ages, sexual minority youth reported significantly higher rates of suicidal ideation and behavior than their heterosexual peers. We also found that youth with (1) maltreatment experiences (both before and during foster care); (2) major depressive disorder, anxiety disorder or post-traumatic stress disorder; and (3) alcohol/substance abuse disorders were significantly more likely than their peers without these characteristics/diagnoses to engage in suicidal behavior at certain ages. Youth with comorbid psychiatric and substance use disorders were consistently at elevated risk.
    CONCLUSIONS: Routine screening for suicidal behavior among TAY is important for child welfare service providers to consider. Youth at risk may benefit from more consistent assessment, mental health care, and targeted mental health intervention. Future research is needed to shed light on mechanisms linking certain sociodemographic, experiential, and behavioral health characteristics with suicidal behavior in TAY.
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  • 文章类型: Journal Article
    自2010年代智能手机和社交媒体兴起以来,在线格局发生了变化,并改变了儿童使用技术的方式。在线儿童性剥削(OCSE)以及对计算机中介通信(CMC)的依赖。这项范围审查提供了对患病率的最新检查,危险因素,结果,以及自2010年以来OCSE的披露。使用三个数据库对2010年1月至2023年1月之间发表的研究进行了系统搜索。结果表明,令人震惊的患病率,以及全球范围内与OCSE相关的各种风险因素和后果。许多年轻的受害者努力认识到OCSE是一种严重的虐待形式。强调了为年轻用户监控不断变化的互联网环境的必要性。
    The online landscape has shifted since the rise of smartphones and social media in the 2010s and altered the way children use technologies. Along with a reliance on computer-mediated communication (CMC) is the concern of online child sexual exploitation (OCSE). This scoping review provided an updated examination of the prevalence, risk factors, outcomes, and disclosures of OCSE since 2010. Systematic searches were conducted using three databases for studies published between January 2010 and January 2023. Results indicated an alarming prevalence of, and a wide range of risk factors and consequences associated with OCSE worldwide. Many young victims struggled to recognize OCSE as a serious form of abuse. The need to monitor the ever-changing Internet landscape for young users is highlighted.
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  • 文章类型: Journal Article
    边缘性人格障碍(BPD)是一种复杂的心理健康状况,其特征是情绪不稳定,关系,自我形象,和行为。患有BPD的人经常在激烈的情绪中挣扎,冲动,保持稳定的关系。催产素,被称为“爱激素”或“结合激素”,“在社会纽带中起着至关重要的作用,信任,同理心,情绪调节及其失调可能导致BPD困难。本系统综述旨在分析现有文献,检查复杂的相互作用,并鼓励未来的研究和治疗策略。
    对PubMed文献的系统搜索,Embase和Psychinfo,没有任何语言或时间限制,直到2024年3月,将同义词库和与“边缘性人格障碍”和“催产素”相关的免费搜索索引术语组合在一起,产生310个结果(77个在PubMed,Embase中的166和Psychinfo中的67)。分析了94篇全文,共纳入70篇文献进行定性分析。
    催产素可能会影响依恋风格,父母的行为,和应激反应,特别是有童年创伤史的人。催产素之间的相互作用,遗传学,早期生活经历,和环境因素有助于BPD的复杂性。催产素受体基因的遗传变异可能会影响社交和情感能力,并有助于精神病理学的发展。此外,早期不良经历,比如童年的虐待,可以改变催产素的功能,影响社会认知和情绪调节。然而,催产素在BPD治疗中的作用仍不确定,一些研究表明,避免社会威胁等特定症状的潜在益处,而其他人则表明对非语言行为和心理化的不利影响。
    了解催产素在BPD中的作用可以为潜在的治疗干预措施提供见解。虽然基于催产素的治疗可能有望解决特定症状,需要进一步的研究。
    UNASSIGNED: Borderline personality disorder (BPD) is a complex mental health condition marked by instability in mood, relationships, self-image, and behavior. Individuals with BPD often struggle with intense emotions, impulsivity, and maintaining stable relationships. Oxytocin, known as the \"love hormone\" or \"bonding hormone,\" plays a crucial role in social bonding, trust, empathy, and emotional regulation and its dysregulation may contribute to BPD difficulties. This systematic review aims to analyze existing literature, examining the intricate interplay and encouraging future research and treatment strategies.
    UNASSIGNED: A systematic search of Literature in PubMed, Embase and Psychinfo, without any language or time restriction, was performed until March 2024 combining thesaurus and free-search indexing terms related to \"borderline personality disorder\" and \"oxytocin\", producing 310 results (77 in PubMed, 166 in Embase and 67 in Psychinfo). Ninety-four full texts were analyzed, and 70 articles were included in qualitative analysis.
    UNASSIGNED: Oxytocin may influence attachment styles, parental behaviors, and stress responses, particularly in individuals with a history of childhood trauma. The interaction between oxytocin, genetics, early life experiences, and environmental factors contributes to the complexity of BPD. Genetic variations in the oxytocin receptor gene may influence social and emotional abilities and contribute to the development of psychopathology. Additionally, early adverse experiences, such as childhood maltreatment, can alter oxytocin functioning, impacting social cognition and emotional regulation.However, oxytocin\'s role in BPD treatment remains uncertain, with some studies suggesting potential benefits for specific symptoms like social threat avoidance, while others indicate adverse effects on nonverbal behavior and mentalizing.
    UNASSIGNED: Understanding oxytocin\'s role in BPD offers insights into potential therapeutic interventions. While oxytocin-based treatments may hold promise for addressing specific symptoms, further research is needed.
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  • 文章类型: Journal Article
    研究比较了生命历程模型(LCM;积累,最近,和敏感期)儿童虐待和一般精神病理学,1354名青少年出生-16岁的国家纵向数据集(657名男孩,53.2%黑色,59.7%<4万美元的护理人员收入)。以前的研究支持积累和近因模型,尽管结果测量的时间段较短或较少。我们通过对虐待和忽视指控对一般精神病理学因素(失调概况)的影响进行建模来扩展这项工作。使用LCM构建横截面结构方程模型,并在4-16岁的两年时间内进行测试,并使用AkaikeInformationCriterion权重进行比较。新近度变量通常解释了精神病理学中最大比例的方差。值得注意的是,更接近结果测量时间的虐待效果最强,这表明最近的虐待可能对一般精神病理学有更强的影响。这些结果支持虐待对精神病理学结果的近期影响,尽管注意到与积累模式有实质性重叠。
    The study compared life course models (LCM; accumulation, recency, and sensitive period) of child maltreatment and general psychopathology in a large, national longitudinal data set of 1354 youth ages birth-16 years (657 boys, 53.2% Black, 59.7% <$40K caregiver income). Previous research has supported the accumulation and recency models, albeit with shorter or fewer time periods of outcome measurement. We extend this work by modeling the impact of combined abuse and neglect allegations on a general psychopathology factor (dysregulation profile). Cross-sectional structural equation models were constructed using LCMs and tested across two-year periods from 4-16 years old and compared using Akaike Information Criterion weights. The recency variable generally explained the greatest proportion of variance in psychopathology. Notably, maltreatment more proximal to the time of outcome measurement had the strongest effect, suggesting that more recent maltreatment may have stronger effects on general psychopathology. These results lend support to a recency effect of maltreatment on psychopathology outcomes, although substantive overlaps with the accumulation model are noted.
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  • 文章类型: Journal Article
    背景:研究表明,虐待儿童会对青少年的同伴关系产生负面影响。这不是很好理解,然而,虐待的类型及其时间(何时发生)如何影响同伴关系质量的维度(即,陪伴,冲突,满意,和亲密关系)和性别之间的差异。这项研究考察了儿童虐待的类型和时间对同伴关系质量的影响,同时也探讨了性别差异的作用。
    方法:这项研究涉及851名青少年(56.1%的女孩,56.2%黑色,和26.8%的低收入)来自虐待和忽视儿童的纵向研究(LONGSCAN)。我们使用儿童保护服务的信息来了解虐待儿童的类型和时间,以及同伴关系质量的自我报告。进行了广义估计方程(GEEs)。
    结果:青春期的性虐待和忽视与较低的满意度和较低的陪伴水平有关,分别。童年中期的身体虐待与较低的亲密程度有关。我们还发现了性别与类型和虐待时间之间的相互作用。和女孩相比,如果男孩在青春期遭受性虐待,则表现出较低的陪伴和满意度。
    结论:这些研究结果表明,有必要针对学龄儿童和青少年开展预防虐待的工作,以及对有虐待史的高危男孩的性别敏感干预措施。
    BACKGROUND: Research demonstrates that child maltreatment can negatively impact adolescent peer relationships. It is not well understood, however, how the type of maltreatment and its timing (when it occurs) affects the dimensions of peer relationship quality (i.e., companionship, conflict, satisfaction, and intimacy) and differences between genders. This study examines the effects of type and timing of child maltreatment on peer relationship quality, while also exploring the role of gender differences.
    METHODS: This study involved 851 adolescents (56.1% girls, 56.2% Black, and 26.8% low-income) drawn from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). We used Child Protective Services\' information for the type and timing of child maltreatment, along with self-reports of peer relationship quality. Generalized Estimating Equations (GEEs) were conducted.
    RESULTS: Sexual abuse and neglect during adolescence were associated with less satisfaction and lower levels of companionship, respectively. Physical abuse during middle childhood was associated with lower levels of intimacy. We also found interactions between gender and type and timing of maltreatment. Compared to girls, boys exhibited lower levels of companionship and satisfaction if they experienced sexual abuse during adolescence.
    CONCLUSIONS: These findings suggest a need for maltreatment-prevention efforts targeting school-aged children and adolescents, as well as gender-sensitive interventions for high-risk boys with a history of maltreatment.
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  • 文章类型: Journal Article
    证据表明,育儿干预措施是减少照料者对儿童虐待的有效方法。最近的COVID-19大流行改变了全球育儿干预措施的提供,许多干预措施适应危机期间继续提供服务。这项全球系统评价研究了在COVID-19大流行期间,针对儿童虐待及其风险和保护因素的育儿干预措施是如何适应的。我们搜索了2020年至2022年发表的研究,并确定了31项符合条件的研究。关于基本原理的数据,process,可行性,可接受性,根据《循证干预措施适应和修改报告框架》,对适应的影响进行了叙述综合。结果表明,大多数适应都是积极主动的,集中在分娩方法上,主要是数字化。虽然普遍观察到可行性和可接受性,适应计划的影响尚无定论。报告不足,特别是关于理由,保真度,促进者能力建设,利益相关者的参与,和决策过程,已注意到。审查建议加强规划,文档,并使用既定准则报告计划改编,以及过程和影响评估。
    Evidence shows that parenting interventions are an effective method of reducing caregiver-perpetrated child maltreatment. The recent COVID-19 pandemic has changed the provision of parenting interventions worldwide, with many interventions adapting to continue providing services during the crisis. This global systematic review examined how parenting interventions targeting child maltreatment and its risk and protective factors were adapted during the COVID-19 pandemic. We searched for studies published between 2020 and 2022 and identified 31 eligible studies. The data on the rationale, process, feasibility, acceptability, and impacts of adaptations were narratively synthesized in accordance with the Framework for Reporting Adaptations and Modifications to Evidence-Based Interventions. Results showed that most adaptations were proactive and focused on delivery methods, predominantly digitalization. While feasibility and acceptability were generally observed, the impacts of adapted programs were inconclusive. Inadequate reporting, especially regarding rationale, fidelity, facilitator capacity building, stakeholder involvement, and decision-making processes, was noted. The review recommends enhanced planning, documentation, and reporting of program adaptations using established guidelines, as well as process and impact evaluations.
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