Resilience Programs for Children and Adolescents: A Systematic Review and Meta-Analysis

Resilience may be defined as the ability to recover and adapt to adverse situations. Given that resilience involves cognitive and behavioral aspects, it could be promoted based on strategies that favor them, especially during childhood and adolescence. As a result, several resilience-focused program...

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Autores principales:	Tatiana Matheus Pinto, Paulo Guirro Laurence, Cristiane Rufino Macedo, Elizeu Coutinho Macedo
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	resilience program children adolescents systematic review Psychology BF1-990
Acceso en línea:	https://doaj.org/article/e9454fe60e3540578e94c642ea24e218
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spelling	oai:doaj.org-article:e9454fe60e3540578e94c642ea24e2182021-11-22T05:23:21ZResilience Programs for Children and Adolescents: A Systematic Review and Meta-Analysis1664-107810.3389/fpsyg.2021.754115https://doaj.org/article/e9454fe60e3540578e94c642ea24e2182021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyg.2021.754115/fullhttps://doaj.org/toc/1664-1078Resilience may be defined as the ability to recover and adapt to adverse situations. Given that resilience involves cognitive and behavioral aspects, it could be promoted based on strategies that favor them, especially during childhood and adolescence. As a result, several resilience-focused programs have been developed and studied. This systematic review of Randomized Controlled Trials (RCTs) aimed to assess resilience-focused programs for children (<12 years old) and adolescents (12–22 years old) compared to active (treatment as usual, other program modalities, and educational curriculum at school) or inactive (waiting list, no treatment) control groups. We performed a systematic review of meta-analyses of RCTs. The following databases were searched: Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, and PsycINFO. Two authors independently selected the studies, extracted the data, and assessed the studies’ risk of bias. Meta-analyses of random effects were conducted to calculate the standard mean differences (SMD) and 95% confidence interval (CI) of program effectiveness. Of the 17 RCTs that met the inclusion criteria, 13 provided sufficient data to assess the effectiveness of the programs after their implementation. Meta-analyses indicated overall effectiveness of the programs in promoting resilience (SMD = 0.48, 95% CI [0.15, 0.81], p = 0.0077). The subgroup analysis indicated effectiveness only among adolescents’ resilience (SMD = 0.48, 95% CI [0.08, 0.88], p = 0.02). The follow-up analysis also indicated evidence of continuation of results within a period of up to 6 months up (SMD = 0.12, 95% CI [−0.44, 0.69], p = 0.02). These results indicated the effectiveness of promoting resilience, especially in adolescents, and its continuation in follow-up analyses. These findings are promising in the field of resilience programs; however, further studies are necessary to analyze the different possible characteristics of programs and their results.Clinical Trial Registration: [https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020179874], [CRD42020179874].Tatiana Matheus PintoPaulo Guirro LaurenceCristiane Rufino MacedoElizeu Coutinho MacedoFrontiers Media S.A.articleresilienceprogramchildrenadolescentssystematic reviewPsychologyBF1-990ENFrontiers in Psychology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	resilience program children adolescents systematic review Psychology BF1-990
spellingShingle	resilience program children adolescents systematic review Psychology BF1-990 Tatiana Matheus Pinto Paulo Guirro Laurence Cristiane Rufino Macedo Elizeu Coutinho Macedo Resilience Programs for Children and Adolescents: A Systematic Review and Meta-Analysis
description	Resilience may be defined as the ability to recover and adapt to adverse situations. Given that resilience involves cognitive and behavioral aspects, it could be promoted based on strategies that favor them, especially during childhood and adolescence. As a result, several resilience-focused programs have been developed and studied. This systematic review of Randomized Controlled Trials (RCTs) aimed to assess resilience-focused programs for children (<12 years old) and adolescents (12–22 years old) compared to active (treatment as usual, other program modalities, and educational curriculum at school) or inactive (waiting list, no treatment) control groups. We performed a systematic review of meta-analyses of RCTs. The following databases were searched: Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, and PsycINFO. Two authors independently selected the studies, extracted the data, and assessed the studies’ risk of bias. Meta-analyses of random effects were conducted to calculate the standard mean differences (SMD) and 95% confidence interval (CI) of program effectiveness. Of the 17 RCTs that met the inclusion criteria, 13 provided sufficient data to assess the effectiveness of the programs after their implementation. Meta-analyses indicated overall effectiveness of the programs in promoting resilience (SMD = 0.48, 95% CI [0.15, 0.81], p = 0.0077). The subgroup analysis indicated effectiveness only among adolescents’ resilience (SMD = 0.48, 95% CI [0.08, 0.88], p = 0.02). The follow-up analysis also indicated evidence of continuation of results within a period of up to 6 months up (SMD = 0.12, 95% CI [−0.44, 0.69], p = 0.02). These results indicated the effectiveness of promoting resilience, especially in adolescents, and its continuation in follow-up analyses. These findings are promising in the field of resilience programs; however, further studies are necessary to analyze the different possible characteristics of programs and their results.Clinical Trial Registration: [https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020179874], [CRD42020179874].
format	article
author	Tatiana Matheus Pinto Paulo Guirro Laurence Cristiane Rufino Macedo Elizeu Coutinho Macedo
author_facet	Tatiana Matheus Pinto Paulo Guirro Laurence Cristiane Rufino Macedo Elizeu Coutinho Macedo
author_sort	Tatiana Matheus Pinto
title	Resilience Programs for Children and Adolescents: A Systematic Review and Meta-Analysis
title_short	Resilience Programs for Children and Adolescents: A Systematic Review and Meta-Analysis
title_full	Resilience Programs for Children and Adolescents: A Systematic Review and Meta-Analysis
title_fullStr	Resilience Programs for Children and Adolescents: A Systematic Review and Meta-Analysis
title_full_unstemmed	Resilience Programs for Children and Adolescents: A Systematic Review and Meta-Analysis
title_sort	resilience programs for children and adolescents: a systematic review and meta-analysis
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/e9454fe60e3540578e94c642ea24e218
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Resilience Programs for Children and Adolescents: A Systematic Review and Meta-Analysis

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