Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis.

Social support is a well-recognised protective factor for children's mental health. Whilst many interventions exist that seek to mobilise social support to improve children's mental health, not much is known about how to best do this. We sought to generate knowledge about the ways in which...

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Autores principales:	Annette Bauer, Madeleine Stevens, Daniel Purtscheller, Martin Knapp, Peter Fonagy, Sara Evans-Lacko, Jean Paul
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2d413a65888b4a778631d472e37b77a0
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spelling	oai:doaj.org-article:2d413a65888b4a778631d472e37b77a02021-11-25T06:19:04ZMobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis.1932-620310.1371/journal.pone.0251750https://doaj.org/article/2d413a65888b4a778631d472e37b77a02021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251750https://doaj.org/toc/1932-6203Social support is a well-recognised protective factor for children's mental health. Whilst many interventions exist that seek to mobilise social support to improve children's mental health, not much is known about how to best do this. We sought to generate knowledge about the ways in which social support can be mobilised to improve children's mental health. We conducted a systematic review, which followed the principles of a realist synthesis. The following databases were searched: PubMed, CINAHL, Ovid MEDLINE, PsychINFO, EMBASE, Child and Adolescent Studies, EconLit and SocINDEX. Studies were included if the age of participants was between 0 and 18 years and they evaluated or described programme theories of interventions that sought to improve children's mental health by mobilising social support. Relevance and quality of studies were assessed, and data were extracted and analysed narratively. Thirty-three articles were included. Studies varied substantially with regard to the detail in which they described the processes of mobilising social support and expected mechanisms to improve children's mental health. Those that provided this detail showed the following: Intervention components included explaining the benefits of social support and relationships to families and modelling friendly relationships to improve social skills. Pathways to improved outcomes reflected bi-directional and dynamic relationships between social support and mental health, and complex and long-term processes of establishing relationship qualities such as trust and reciprocity. Parents' ability to mobilise social support for themselves and on behalf of children was assumed to impact on their children's mental health, and (future) ability to mobilise social support. Although interventions were considered affordable, some required substantial human and financial resources from existing systems. Mobilising social support for vulnerable children can be a complex process that requires careful planning, and theory-informed evaluations can have an important role in increasing knowledge about how to best address social support and loneliness in children.Annette BauerMadeleine StevensDaniel PurtschellerMartin KnappPeter FonagySara Evans-LackoJean PaulPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251750 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Annette Bauer Madeleine Stevens Daniel Purtscheller Martin Knapp Peter Fonagy Sara Evans-Lacko Jean Paul Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis.
description	Social support is a well-recognised protective factor for children's mental health. Whilst many interventions exist that seek to mobilise social support to improve children's mental health, not much is known about how to best do this. We sought to generate knowledge about the ways in which social support can be mobilised to improve children's mental health. We conducted a systematic review, which followed the principles of a realist synthesis. The following databases were searched: PubMed, CINAHL, Ovid MEDLINE, PsychINFO, EMBASE, Child and Adolescent Studies, EconLit and SocINDEX. Studies were included if the age of participants was between 0 and 18 years and they evaluated or described programme theories of interventions that sought to improve children's mental health by mobilising social support. Relevance and quality of studies were assessed, and data were extracted and analysed narratively. Thirty-three articles were included. Studies varied substantially with regard to the detail in which they described the processes of mobilising social support and expected mechanisms to improve children's mental health. Those that provided this detail showed the following: Intervention components included explaining the benefits of social support and relationships to families and modelling friendly relationships to improve social skills. Pathways to improved outcomes reflected bi-directional and dynamic relationships between social support and mental health, and complex and long-term processes of establishing relationship qualities such as trust and reciprocity. Parents' ability to mobilise social support for themselves and on behalf of children was assumed to impact on their children's mental health, and (future) ability to mobilise social support. Although interventions were considered affordable, some required substantial human and financial resources from existing systems. Mobilising social support for vulnerable children can be a complex process that requires careful planning, and theory-informed evaluations can have an important role in increasing knowledge about how to best address social support and loneliness in children.
format	article
author	Annette Bauer Madeleine Stevens Daniel Purtscheller Martin Knapp Peter Fonagy Sara Evans-Lacko Jean Paul
author_facet	Annette Bauer Madeleine Stevens Daniel Purtscheller Martin Knapp Peter Fonagy Sara Evans-Lacko Jean Paul
author_sort	Annette Bauer
title	Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis.
title_short	Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis.
title_full	Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis.
title_fullStr	Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis.
title_full_unstemmed	Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis.
title_sort	mobilising social support to improve mental health for children and adolescents: a systematic review using principles of realist synthesis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/2d413a65888b4a778631d472e37b77a0
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Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis.

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