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Bonell C, Dickson K, Hinds K, et al. The effects of Positive Youth Development interventions on substance use, violence and inequalities: systematic review of theories of change, processes and outcomes. Southampton (UK): NIHR Journals Library; 2016 May. (Public Health Research, No. 4.5.)
The effects of Positive Youth Development interventions on substance use, violence and inequalities: systematic review of theories of change, processes and outcomes.
Show detailsCB: process synthesis coding template
- 1.
Staffing continuity/quality/communication key to model
- Lack of opportunities for intersite communication surmountable challenge
- Staff retention challenging
- – Limited hours a surmountable challenge
- – Limited retention could lead to more poorly trained staff
- – Retention could lead to failure of sustained relationships
- – Retention aided by high salaries
- Good leadership particularly key
- Some programs required 24-hour worker availability but challenging
- Difficulty having staff expertise across a range of areas
- – Lack of training in some areas a surmountable challenge
- – But not always surmountable
- 2.
Community integration critical for implementation.
- Importance of outreach to key community members and parents
- Ethnicity and language critical for implementation
- – Recruit community members as staff
- – But volunteer staff not always reliable
- Importance of community generating ideas
- Parents feeling threatened by programme was barrier to uptake
- Community needs
- – Need for childcare/support key determinant of uptake
- 3.
Collaboration with other community agencies
- Collaboration can include community funders
- Collaboration can include other providers or services
- Collaboration with schools critical
- – For recruitment: importance of single point of liaison with schools
- – For activities
- 4.
Young people empowered to determine activities
- Recipients reject some components
- Reject components focused on problems of potential
- Reject uninteresting components
- Some components actually alienating to some young people
- Some based on pragmatism rather than empowerment
- Young people’s choices could cause problems
- – But this moderated by site mix at outset
- – But financial incentives to ensure participation in key activities
- Young people choosing mentors may increase success
- Not all programmes enabled empowerment
- 5.
Community can become topic of action
- 6.
Recipient behaviour/relationships did not derail PYD
- [In well-run sites] Poor recipient behaviour did not distract staff from PYD model
- Group differences not barrier to collaboration (as long as well-run site)
- –Different young people required different styles
- 7.
Determinants of fidelity
- Fidelity compromised where sites merely relabelled existing services
- Fidelity strengthened by affinity with prior work
- 8.
Sustained relationships also compromised by yp mobility
- 9.
But staff in some sites worked hard to retain recipients
- 10.
Pattern of provision reflected yp needs
- 11.
Intensity requirement causing perverse effects.
KD: process synthesis coding template
- 12.
Community-based relationships to enhance implementation and young people’s engagement
- Cultural relevance and integration to support implementation
- Local community member to enhance implementation and young people’s engagement
- Utilising local resources
- Local collaborations
- Consultation with the community
- Crossing language barriers
- Parental co-operation
- 13.
Communication and co-located After School sites
- Informal meetings, communicate and share experience
- School liaison
- Communication of programme goals
- 14.
Staffing issues
- Difficulty hiring PT staff in after-school settings
- Lack of training and utilising staff skill set
- Hiring and staff turnover
- Training and staff turnover
- Salary and staff retention
- Staff stability
- Engaged and unengaged staff
- Management turnover and leadership issues
- 24/7 ‘on call’ burn-out
- 15.
Youth–Staff relationships
- Staff as role models
- Youth-centred approach
- Qualities and features ‘valued’ or ‘desired’ in the relationship
- Relationship compromised by youth geographical movement
- Building on staff interests to re-engage youth
- 16.
Peer-to-peer relationships
- Overcoming differences
- Bonding/friendships
- 17.
Funding
- Sufficient funding
- Grant
- Long-term state investment
- Stipend to increase engagement
- 18.
Case management
- Problem-focused
- 19.
Youth led components
- Activities
- Research topics reflecting personal social experience
- Choosing mentors
- 20.
Programme dose/intensity/implementation levels
- Student attendance and outcomes
- 21.
Fidelity
- Variation in fidelity depending on existing programmes
- 22.
Flexible services
- Based on individual needs
- Challenges/difficulties: ‘hours target’
- Based on age group
- Process studies: coding templates - The effects of Positive Youth Development in...Process studies: coding templates - The effects of Positive Youth Development interventions on substance use, violence and inequalities: systematic review of theories of change, processes and outcomes
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