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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.)

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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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Appendix 10Process studies: coding templates

CB: process synthesis coding template

1.

Staffing continuity/quality/communication key to model

  1. Lack of opportunities for intersite communication surmountable challenge
  2. 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
  3. Good leadership particularly key
  4. Some programs required 24-hour worker availability but challenging
  5. 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.

  1. Importance of outreach to key community members and parents
  2. Ethnicity and language critical for implementation
    • – Recruit community members as staff
    • – But volunteer staff not always reliable
  3. Importance of community generating ideas
  4. Parents feeling threatened by programme was barrier to uptake
  5. Community needs
    • – Need for childcare/support key determinant of uptake
3.

Collaboration with other community agencies

  1. Collaboration can include community funders
  2. Collaboration can include other providers or services
  3. Collaboration with schools critical
    • – For recruitment: importance of single point of liaison with schools
    • – For activities
4.

Young people empowered to determine activities

  1. Recipients reject some components
  2. Reject components focused on problems of potential
  3. Reject uninteresting components
  4. Some components actually alienating to some young people
  5. Some based on pragmatism rather than empowerment
  6. Young people’s choices could cause problems
    • – But this moderated by site mix at outset
    • – But financial incentives to ensure participation in key activities
  7. Young people choosing mentors may increase success
  8. 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

  1. Fidelity compromised where sites merely relabelled existing services
  2. 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
    1. Parental co-operation
13.

Communication and co-located After School sites

  1. Informal meetings, communicate and share experience
  2. School liaison
  3. Communication of programme goals
14.

Staffing issues

  1. Difficulty hiring PT staff in after-school settings
  2. Lack of training and utilising staff skill set
  3. Hiring and staff turnover
  4. Training and staff turnover
  5. Salary and staff retention
  6. Staff stability
  7. Engaged and unengaged staff
  8. Management turnover and leadership issues
  9. 24/7 ‘on call’ burn-out
15.

Youth–Staff relationships

  1. Staff as role models
  2. Youth-centred approach
  3. Qualities and features ‘valued’ or ‘desired’ in the relationship
  4. Relationship compromised by youth geographical movement
  5. Building on staff interests to re-engage youth
16.

Peer-to-peer relationships

  1. Overcoming differences
  2. Bonding/friendships
17.

Funding

  1. Sufficient funding
  2. Grant
  3. Long-term state investment
  4. Stipend to increase engagement
18.

Case management

  1. Problem-focused
19.

Youth led components

  1. Activities
  2. Research topics reflecting personal social experience
  3. Choosing mentors
20.

Programme dose/intensity/implementation levels

  1. Student attendance and outcomes
21.

Fidelity

  1. Variation in fidelity depending on existing programmes
22.

Flexible services

  1. Based on individual needs
  2. Challenges/difficulties: ‘hours target’
  3. Based on age group
Copyright © Queen’s Printer and Controller of HMSO 2016. This work was produced by Bonell et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK362313

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