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"Ashdown-Franks, Garcia"
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A mixed methods systematic review on the effects of arts interventions for children and young people at‐risk of offending, or who have offended on behavioural, psychosocial, cognitive and offending outcomes: A systematic review
2024
Background Young people who enter the justice system experience complex health and social needs, and offending behaviour is increasingly recognised as a public health problem. Arts interventions can be used with the aim of preventing or reducing offending or reoffending. Objectives 1. To evaluate evidence on the effectiveness and impact of arts interventions on keeping children and young people safe from involvement in violence and crime. 2. To explore factors impacting the implementation of arts interventions, and barriers and facilitators to participation and achievement of intended outcomes. 3. To develop a logic model of the processes by which arts interventions might work in preventing offending behaviours. Search Methods We searched AMED, Academic Search Complete; APA PsycInfo; CINAHL Plus; ERIC; SocIndex; SportDiscus, Medline, CENTRAL, Web of Science, Scopus, PTSDPubs and Performing Arts Periodicals Database, Sage, the US National Criminal Justice Reference Service, the Global Policing and British Library EThOS databases, and the National Police Library from inception to January 2023 without language restrictions. Selection Criteria We included randomised and non‐randomised controlled trials and quasi‐experimental study designs. We included qualitative studies conducted alongside intervention trials investigating experiences and perceptions of participants, and offering insight into the barriers and facilitators to delivering and receiving arts interventions. We included qualitative and mixed methods studies focused on delivery of arts interventions. We included studies from any global setting. We included studies with CYP (8–25 years) who were identified as at‐risk of offending behaviour (secondary populations) or already in the criminal justice system (tertiary populations). We included studies of interventions involving arts participation as an intervention on its own or alongside other interventions. Primary outcomes were: (i) offending behaviour and (ii) anti‐pro‐social behaviours. Secondary outcomes were: participation/attendance at arts interventions, educational attainment, school attendance and engagement and exclusions, workplace engagement, wellbeing, costs and associated economic outcomes and adverse events. Data Collection and Analysis We included 43 studies (3 quantitative, 38 qualitative and 2 mixed methods). We used standard methodological procedures expected by The Campbell Collaboration. We used GRADE and GRADE CERQual to assess the certainty of and confidence in the evidence for quantitative and qualitative data respectively. Main Results We found insufficient evidence from quantitative studies to support or refute the effectiveness of arts interventions for CYP at‐risk of or who have offended for any outcome. Qualitative evidence suggested that arts interventions may lead to positive emotions, the development of a sense of self, successful engagement in creative practices, and development of positive personal relationships. Arts interventions may need accessible and flexible delivery and are likely to be engaging if they have support from staff, family and community members, are delivered by professional artists, involve culturally relevant activity, a youth focus, regularity and a sustainable strategy. We found limited evidence that a lack of advocacy, low funding, insufficient wider support from key personnel in adjacent services could act as barriers to success. Methodological limitations resulted in a judgement of very low confidence in these findings. Authors' Conclusions We found insufficient evidence from quantitative studies to support or refute the effectiveness of arts interventions for CYP at‐risk of offending or who have offended for any outcome. We report very low confidence about the evidence for understanding the processes influencing the successful design and delivery of arts interventions in this population of CYP and their impact on behavioural, psychosocial, cognitive and offending outcomes.
Journal Article
Association of leisure-time sedentary behavior with fast food and carbonated soft drink consumption among 133,555 adolescents aged 12–15 years in 44 low- and middle-income countries
2019
Background
Rates of sedentary behavior (SB), fast food and carbonated soft drink consumption are increasing worldwide, with steeper increases being observed in low- and middle-income countries (LMICs) in recent years. Given that these behaviors have been linked to adverse health outcomes among adolescents, this presents a new but rapidly growing challenge to human health in these under-resourced nations. However, very little is known about the associations between SB and fast food or soft drink consumption among adolescents in LMICs.
Methods
Thus, data from the Global school-based Student Health Survey (GSHS) were cross-sectionally analyzed in 133,555 adolescents aged 12–15 years from 44 LMICs [mean (SD) age 13.8 (1.0) years; 49% females]. The data were collected in the form of self-report questionnaires. Associations were assessed with multivariable logistic regression analysis and meta-analysis.
Results
The overall prevalence of fast food consumption (at least once in previous 7 days) and carbonated soft drink consumption (at least once per day during past 30 days) were 49.3 and 43.8%, respectively. The overall pooled estimates based on a meta-analysis with random effects for the association of ≥3 h/day of SB with fast food consumption and soft drink consumption using country-wise estimates were OR = 1.35 (95% CI = 1.27–1.43, I
2
= 62.1%).) and OR = 1.26 (95% CI = 1.19–1.34; I
2
= 54.3%), respectively. Spending > 8 h/day of SB compared to < 1 h/day in females was associated with significantly higher odds for fast food (OR = 1.61, 95% CI = 1.38–1.88) and soft drink consumption (OR = 1.91, 95% CI = 1.60–2.28).
Conclusions
Future interventions to address unhealthy behaviors in adolescents should take into account the interrelated nature of SB and unhealthy dietary habits, and seek to further understand the mechanisms linking these behaviors in the LMIC context.
Journal Article
‘Mind Your Business and Leave My Rolls Alone’: A Case Study of Fat Black Women Runners’ Decolonial Resistance
2021
The Black female body has been vilified, surveilled, and viewed as ‘obese’ and irresponsible for centuries in Western societies. For just as long, some Black women have resisted their mischaracterizations. Instead they have embraced a ‘fat’ identity. But little research has demonstrated how Black fat women participate in sport. The purpose of this study is to show how Black fat women who run use social media to unapologetically celebrate Blackness and fatness. This research uses a case-study approach to illuminate a broader phenomenon of decolonial resistance through running. In addition to analysis of websites, blogs, and news articles devoted to Black women’s running, we discuss the (social) media content of two specific runners: Mirna Valerio and Latoya Shauntay Snell. We performed a critical discourse analysis on 14 media offerings from the two runners, including websites, Twitter pages, and blogs collected over a five-month period from September 2020–January 2021. The analysis examined how they represent themselves and their communities and how they comment on issues of anti-fat bias, neoliberal capitalism, ableist sexism, and white supremacy, some of the pillars of colonialism. Whereas running is often positioned as a weight-loss-focused and white-dominated colonial project, through their very presence and use of strategic communication to amplify their experiences and build community, these runners show how being a Black fat female athlete is an act of decolonial resistance. This study offers a unique sporting example of how fat women challenge obesity discourses and cultural invisibility and how Black athletes communicate anti-racist, decolonial principles.
Journal Article
Exercise as Medicine for Mental and Substance Use Disorders: A Meta-review of the Benefits for Neuropsychiatric and Cognitive Outcomes
2020
Background
Exercise may improve neuropsychiatric and cognitive symptoms in people with mental disorders, but the totality of the evidence is unclear. We conducted a meta-review of exercise in (1) serious mental illness (schizophrenia spectrum, bipolar disorder and major depression (MDD)); (2) anxiety and stress disorders; (3) alcohol and substance use disorders; (4) eating disorders (anorexia nervosa bulimia nervosa, binge eating disorders, and (5) other mental disorders (including ADHD, pre/post-natal depression).
Methods
Systematic searches of major databases from inception until 1/10/2018 were undertaken to identify meta-analyses of randomised controlled trials (RCTs) of exercise in people with clinically diagnosed mental disorders. In the absence of available meta-analyses for a mental disorder, we identified systematic reviews of exercise interventions in people with elevated mental health symptoms that included non-RCTs. Meta-analysis quality was assessed with the AMSTAR/+.
Results
Overall, we identified 27 systematic reviews (including 16 meta-analyses representing 152 RCTs). Among those with MDD, we found consistent evidence (meta-analyses = 8) that exercise reduced depression in children, adults and older adults. Evidence also indicates that exercise was more effective than control conditions in reducing anxiety symptoms (meta-analyses = 3), and as an adjunctive treatment for reducing positive and negative symptoms of schizophrenia (meta-analyses = 2). Regarding neurocognitive effects, exercise improved global cognition in schizophrenia (meta-analyses = 1), children with ADHD (meta-analyses = 1), but not in MDD (meta-analyses = 1). Among those with elevated symptoms, positive mental health benefits were observed for exercise in people with pre/post-natal depression, anorexia nervosa/bulimia nervosa, binge eating disorder, post-traumatic stress disorder and alcohol use disorders/substance use disorders. Adverse events were sparsely reported.
Conclusion
Our panoramic meta-overview suggests that exercise can be an effective adjunctive treatment for improving symptoms across a broad range of mental disorders.
Journal Article
An umbrella review of a decade of meta-analyses examining the correlates of multidimensional perfectionism
by
Hill, Andrew P.
,
Ashdown-Franks, Garcia
,
Kim, Hyunsik
in
Human
,
Perfectionism
,
Personality Traits
2025
The last decade has seen the proliferation of meta-analyses dedicated to perfectionism. Due to the volume of meta-analyses available, some stocktaking is now needed to catalogue existing meta-analytical research, assess the qualities of the work, and direct future research. To fulfil these aims, we conducted the first umbrella review of research examining the correlates of perfectionism. Following a preregistered protocol, a systematic search provided 43 meta-analyses (79 criterion variables, 379 effects, k = 3,992, N = 694,422). The meta-analyses examined a range of criterion variables covering, primarily, mental health and well-being but also included motivation and performance both across and within cross-specific domains (e.g., education, workplace, and sport). Perfectionistic concerns were consistently related to mental ill-health and ill-being. Perfectionistic strivings displayed a similar pattern of relationships but were smaller in size. As a result, overall, perfectionism was also related to mental ill-health and ill-being. The typical risk of bias evident in the meta-analyses was assessed as high with consistent areas of weakness relating to the absence of unpublished research and lack of assessment of methodological quality of primary studies. Some degree of confidence in the findings of the affected research is diminished in these regards. In addition to addressing these issues in future work, to strengthen current evidence, researchers are encouraged to address more complex questions by applying meta-analytic techniques more routinely to the prediction of change over time, incremental predictive ability, and tests of explanatory models. (PsycInfo Database Record (c) 2025 APA, all rights reserved) (Source: journal abstract)
Journal Article
Emplaced, Relational and Therapeutic? An Exploration of Parkrun’s Role in Mental Health Recovery
2022
Community-based physical activity (PA) is beneficial for individuals with mental health conditions. In an explicit link between parkrun and mental health, the Bethlem Royal Hospital in South London was established in May 2019 as the first-ever site of a parkrun on the grounds of a National Health Service (NHS) trust. With the increasing use of PA as a multimodal treatment of mental illness, parkrun participation may have clinical implications. However, engagement in parkrun by individuals with mental illness is unknown. Therefore, the current program of research sought to understand the parkrun experiences of those experiencing mental health conditions. Study 1 explored discussions of parkrun in electronic mental health records. The findings were organized into 4 themes: i) More than Just a Run; ii) Clinicians as Gatekeepers; iii) The Role of parkrun in Recovery; iv) When parkrun Isn’t Always for Everyone. Study 2 examined the health, social and wellbeing impacts of parkrun engagement among runners and volunteers living with mental health conditions. It was found that those who run and volunteer, compared to those who only run, interact with significantly more individuals at parkrun, and feel more connected to their communities. Further, the benefits of parkrun participation are greater for those who run and volunteer, compared to those who only run. Using ethnographic methods, Study 3 aimed to capture the experiences of those involved in the Bethlem parkrun. The findings illustrated the emplaced and relational experiences of parkrun engagement. Given the context of the global pandemic, the Bethlem parkrun allowed for experiences of collective healing for many, while others were excluded or unable to engage in these practices. Collectively, this work may provide further understanding of the individual and collective experiences of parkrun. Such understandings may ultimately be of interest to both the parkrun organization and the Bethlem Royal Hospital. Furthermore, the findings regarding stigmatizing and discriminatory experiences may provide evidence for parkrun to explore ways that they may better welcome and accommodate individuals experiencing various mental health conditions and recoveries. These findings can be used to make parkrun a more welcoming and inclusive place for those experiencing mental illness.
Dissertation
MANSFIELD et al
2024
BackgroundYoung people who enter the justice system experience complex health and social needs, and offending behaviour is increasingly recognised as a public health problem. Arts interventions can be used with the aim of preventing or reducing offending or reoffending.Objectives1. To evaluate evidence on the effectiveness and impact of arts interventions on keeping children and young people safe from involvement in violence and crime. 2. To explore factors impacting the implementation of arts interventions, and barriers and facilitators to participation and achievement of intended outcomes. 3. To develop a logic model of the processes by which arts interventions might work in preventing offending behaviours.Search MethodsWe searched AMED, Academic Search Complete; APA PsycInfo; CINAHL Plus; ERIC; SocIndex; SportDiscus, Medline, CENTRAL, Web of Science, Scopus, PTSDPubs and Performing Arts Periodicals Database, Sage, the US National Criminal Justice Reference Service, the Global Policing and British Library EThOS databases, and the National Police Library from inception to January 2023 without language restrictions.Selection CriteriaWe included randomised and non-randomised controlled trials and quasi-experimental study designs. We included qualitative studies conducted alongside intervention trials investigating experiences and perceptions of participants, and offering insight into the barriers and facilitators to delivering and receiving arts interventions. We included qualitative and mixed methods studies focused on delivery of arts interventions. We included studies from any global setting. We included studies with CYP (8–25 years) who were identified as at-risk of offending behaviour (secondary populations) or already in the criminal justice system (tertiary populations). We included studies of interventions involving arts participation as an intervention on its own or alongside other interventions. Primary outcomes were: (i) offending behaviour and (ii) anti-pro-social behaviours. Secondary outcomes were: participation/attendance at arts interventions, educational attainment, school attendance and engagement and exclusions, workplace engagement, wellbeing, costs and associated economic outcomes and adverse events.Data Collection and AnalysisWe included 43 studies (3 quantitative, 38 qualitative and 2 mixed methods). We used standard methodological procedures expected by The Campbell Collaboration. We used GRADE and GRADE CERQual to assess the certainty of and confidence in the evidence for quantitative and qualitative data respectively.Main ResultsWe found insufficient evidence from quantitative studies to support or refute the effectiveness of arts interventions for CYP at-risk of or who have offended for any outcome. Qualitative evidence suggested that arts interventions may lead to positive emotions, the development of a sense of self, successful engagement in creative practices, and development of positive personal relationships. Arts interventions may need accessible and flexible delivery and are likely to be engaging if they have support from staff, family and community members, are delivered by professional artists, involve culturally relevant activity, a youth focus, regularity and a sustainable strategy. We found limited evidence that a lack of advocacy, low funding, insufficient wider support from key personnel in adjacent services could act as barriers to success. Methodological limitations resulted in a judgement of very low confidence in these findings.Authors' ConclusionsWe found insufficient evidence from quantitative studies to support or refute the effectiveness of arts interventions for CYP at-risk of offending or who have offended for any outcome. We report very low confidence about the evidence for understanding the processes influencing the successful design and delivery of arts interventions in this population of CYP and their impact on behavioural, psychosocial, cognitive and offending outcomes.
Journal Article
From Intervention to Evaluation: Assessing the Effectiveness, Acceptability and Feasibility of a Physical Activity Intervention for Individuals with Serious Mental Illness
2018
Individuals with serious mental illness experience physical health comorbidities and report a lower quality of life. Physical activity may be one way to target both the mental and physical health of this population. This study examined the feasibility and acceptability of a PA intervention with a local mental health housing organization. Program effectiveness was measured through changes in mental health, quality of life, and physical activity from pre- to post intervention. Repeated Measures Analysis of Variance and effect sizes were used to compare changes between intervention (N=5) and control (N=5) groups, while deductive thematic analysis was used to analyze interview responses. There were no significant group effects on the outcomes; there was a significant effect of time on total mental health scores, as well as anxiety and depression subscales. Participants, trainers and a key organizational stakeholder viewed the program as acceptable and feasible, and provided suggestions to improve future programs.
Dissertation