Perspect Nurs Sci.  2018 Oct;15(2):92-106. 10.16952/pns.2018.15.2.92.

A Systematic Review of Interventions with Low-Income School-Age Children and Adolescents

• Hwang JH
• Choi H
• Jeong HJ
• Kim C
• Woo Y

• KMID: 2424093
• DOI: http://doi.org/10.16952/pns.2018.15.2.92

Abstract

PURPOSE
The purpose of this study was to review health-related interventions in nursing studies for low-income school-age children and adolescents.
METHODS
Searches among CINAHL, MEDLINE, PubMed, EMBASE, DBpia, and RISS identified 27 intervention studies published from January 2000 to April 2018.
RESULTS
Twenty-seven intervention studies were identified: 12 included psychosocial adaptations and 15 included the healthy lifestyle promotion and disease prevention. The settings were mainly schools and community welfare centers. Many studies were based on social cognitive theory and interventions were provided in a group format. Depression, self-esteem, resilience, self-efficacy for vegetable and fruit consumption, physical activity, and health-related knowledge improved significantly after the health-related interventions. However, the findings were inconsistent with regard to anxiety, peer relationships, body mass index (BMI), blood pressure, cholesterol, and glucose.
CONCLUSION
There is potential for enhancing outcomes for psychosocial, physical health, and health-related knowledge among low-income school-age children and adolescents. Integrated interventions addressing the physical as well as psychological health of low-income children and adolescents should be conducted. It would be prudent to consider the ethnicity and family background of the child or adolescent. However, rigorous study designs and scientific validation are needed for further evidence.

Keyword

Poverty; Child; Adolescent; Health; Review

MeSH Terms

Adolescent*
Anxiety
Blood Pressure
Body Mass Index
Child*
Cholesterol
Depression
Fruit
Glucose
Humans
Life Style
Motor Activity
Nursing
Poverty
Vegetables
Cholesterol
Glucose

Figure

• 

  Figure 1 Flowchart of studies included from database search.

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