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      A scoping review of interventions using occupation to improve mental health or mental wellbeing in adolescent populations

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          Abstract

          Introduction

          Occupation-based interventions could help to address a growing mental health crisis among young people and adolescents. To develop new interventions and avoid research waste, a review of the academic literature is needed that systematically identifies and describes interventions designed to improve the mental health and wellbeing of 11–25 year-olds.

          Aim

          The scoping review aims to systematically review the academic, literature to identify and describe key characteristics of intervention studies using occupation to improve adolescents’ and young people’s mental health and wellbeing, exploring the range of interventions, reviewing reporting quality and illuminating gaps for further research.

          Method

          An iteratively developed scoping review protocol informs a systematic database search and review of the literature. Core characteristics are extracted and described, using the TIDIER guidelines and the CASP assessment tool.

          Results

          Five occupational therapy-based interventions, and 69 other occupation-based studies representing a wide breadth of approaches, outcomes and settings were identified.

          Conclusions

          Robust development, testing and reporting of occupation-based and occupation-focused intervention studies to promote and support mental health and wellbeing in adolescents and young people are needed. Interventions should be co-designed, developmentally appropriate and scaffold development. However, better agreement is needed about core outcomes measurement in this area.

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          Most cited references90

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          Diagnostic and Statistical Manual of Mental Disorders

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            PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

            Scoping reviews, a type of knowledge synthesis, follow a systematic approach to map evidence on a topic and identify main concepts, theories, sources, and knowledge gaps. Although more scoping reviews are being done, their methodological and reporting quality need improvement. This document presents the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist and explanation. The checklist was developed by a 24-member expert panel and 2 research leads following published guidance from the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network. The final checklist contains 20 essential reporting items and 2 optional items. The authors provide a rationale and an example of good reporting for each item. The intent of the PRISMA-ScR is to help readers (including researchers, publishers, commissioners, policymakers, health care providers, guideline developers, and patients or consumers) develop a greater understanding of relevant terminology, core concepts, and key items to report for scoping reviews.
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              Scoping studies: towards a methodological framework

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                Author and article information

                Contributors
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                Journal
                British Journal of Occupational Therapy
                British Journal of Occupational Therapy
                SAGE Publications
                0308-0226
                1477-6006
                March 2023
                June 29 2022
                March 2023
                : 86
                : 3
                : 236-250
                Affiliations
                [1 ]Centre for Movement Occupation Rehabilitation Science, Oxford Brookes University, Oxford, UK
                [2 ]Division of Psychiatry, University College London, London, UK
                [3 ]Occupational Therapist, Oxford Health NHS Foundation Trust, Oxford, UK
                [4 ]College of Medicine and Health, University of Exeter, Exeter, UK
                [5 ]Department of Health Sciences, Lund University, Sweden
                Article
                10.1177/03080226221110391
                870005f6-432d-43c3-b4b3-f9ae3575c186
                © 2023

                https://creativecommons.org/licenses/by-nc/4.0/

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