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"Meta-analysis"

Review Articles

Healthy lifestyle interventions for childhood and adolescent cancer survivors: a systematic review and meta-analysis
Kyung-Ah Kang, Suk Jung Han, Jiyoung Chun, Hyun-Yong Kim, Yerin Oh, Heejin Yoon
Child Health Nurs Res 2023;29(2):111-127.   Published online April 30, 2023
DOI: https://doi.org/10.4094/chnr.2023.29.2.111
Purpose
This study investigated the effects of healthy lifestyle interventions (HLSIs) on health-related quality of life (HR-QoL) in childhood and adolescent cancer survivors (CACS).
Methods
Major databases were searched for English-language original articles published between January 1, 2000 and May 2, 2021. Randomized controlled trials (RCTs) and non-RCTs were included. Quality was assessed using the revised Cochrane risk-of-bias tool, and a meta-analysis was conducted using RevMan 5.3 software.
Results
Nineteen studies were included. Significant effects on HR-QoL were found for interventions using a multi-modal approach (exercise and education) (d=-0.46; 95% confidence interval [CI]=-0.84 to -0.07, p=.02), lasting not less than 6 months (d=-0.72; 95% CI=-1.15 to -0.29, p=.0010), and using a group approach (d=-0.46; 95% CI=-0.85 to -0.06, p=.02). Self-efficacy showed significant effects when HLSIs provided health education only (d=-0.55; 95% CI=-0.92 to -0.18; p=.003), lasted for less than 6 months (d=-0.40; 95% CI=-0.69 to -0.11, p=.006), and were conducted individually (d=-0.55; 95% CI=-0.92 to -0.18, p=.003). The physical outcomes (physical activity, fatigue, exercise capacity-VO2, exercise capacity-upper body, body mass index) revealed no statistical significance.
Conclusion
Areas of HLSIs for CACS requiring further study were identified, and needs and directions of research for holistic health management were suggested.

Citations

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  • Team Survivors: Preliminary Analysis of an Innovative Intervention to Promote Physical Activity in Survivors of Childhood Cancer and Hematopoietic Stem Cell Transplant
    Meghan K. Flannery, Jocelyn Morin, Katrina O’Malley, Debra Schmidt, Jennifer A. Hoag
    Children.2025; 12(4): 399.     CrossRef
  • Effectiveness of a healthy lifestyle program based on a mobile serious game for childhood cancer survivors: A quasi-randomized trial
    Kyung-ah Kang, Han-ho Kim, Shin-jeong Kim, In-hye Song, Min-jin Lee, Su-yong Lee, Sae-rom Han, Ki-hyuk Lee, So-won Kim, Hye-rin Nam, Mi-na Park, Hye-min Lee, Hee-jin Yoon
    Journal of Pediatric Nursing.2024; 77: 35.     CrossRef
  • Barriers, facilitators, and other factors associated with health behaviors in childhood, adolescent, and young adult cancer survivors: A systematic review
    Ismay A. E. de Beijer, Eline Bouwman, Renée L. Mulder, Philippa Steensma, Morven C. Brown, Vera Araújo‐Soares, Magdalena Balcerek, Edit Bardi, Jeanette Falck Winther, Line Elmerdahl Frederiksen, Marloes van Gorp, Sara Oberti, Rebecca J. van Kalsbeek, Toma
    Cancer Medicine.2024;[Epub]     CrossRef
  • 4,884 View
  • 155 Download
  • 3 Crossref
Purpose
This systematic review aimed to investigate the effectiveness of home visiting programs targeting parents who have maltreated their children on the prevention of child maltreatment recurrence.
Methods
Major databases were searched (Ovid-Medline, PubMed, Cochrane Library, CINAHL, and RISS). The frequency of maltreatment was measured for the meta-analysis, which was conducted using Review Manager 5.2 software. The effect size was measured using odds ratios (ORs).
Results
Six studies were included in the analysis, none of which were conducted in South Korea. The meta-analysis demonstrated that the risk of child maltreatment recurrence significantly decreased after a home visiting program was implemented (OR=0.45, 95% confidence interval [CI]=0.29-0.68). Nurses were the most common intervention providers.
Conclusion
Home visiting programs should be provided for families in which maltreatment has already occurred to prevent the recurrence of maltreatment and foster a home environment in which children can live safely. Since the rate of child maltreatment in Korea is increasing, further research is needed to develop and implement home visiting programs in which nurses play a major role in preventing the recurrence of child maltreatment.

Citations

Citations to this article as recorded by  
  • Child Maltreatment
    Rebecca Frances Young, Mini Tandon
    Child and Adolescent Psychiatric Clinics of North .2025; 34(2): 311.     CrossRef
  • Addressing social determinants of health in individuals with mental disorders in clinical practice: review and recommendations
    Dilip V. Jeste, Jeffery Smith, Roberto Lewis-Fernández, Elyn R. Saks, Peter J. Na, Robert H. Pietrzak, McKenzie Quinn, Ronald C. Kessler
    Translational Psychiatry.2025;[Epub]     CrossRef
  • Frameworks, models and theories for prevention of child maltreatment: protocol for a scoping review from a population health perspective
    Lena Rasch, Adrienne Alayli, Christian Ballmeyer, Juan Victor Ariel Franco, Freia De Bock
    BMJ Open.2025; 15(5): e098429.     CrossRef
  • The effectiveness of interventions to prevent and reduce child maltreatment in high-income countries: An umbrella review
    Joel Gautschi, David Lätsch
    Child Abuse & Neglect.2024; 153: 106845.     CrossRef
  • Cost effectiveness of interventions to prevent the occurrence and the associated economic impacts of child maltreatment: A systematic review
    Dai Quy Le, Long Khanh-Dao Le, Phuong Hong Le, Marie Bee Hui Yap, Cathrine Mihalopoulos
    Child Abuse & Neglect.2024; : 106863.     CrossRef
  • Hoping and Caregiving in Adversity: Ithemba Hope for Parents Study
    Kendra Thomas, Kristin Valentino, Lidia Matabaro
    International Journal of Applied Positive Psycholo.2024; 9(3): 1635.     CrossRef
  • Comparison of Weighting Methods to Understand Improved Outcomes Attributable to Public Health Nursing Interventions
    Jared D. Huling, Robin R. Austin, Sheng-Chieh Lu, Michelle A. Mathiason, Anna M. Pirsch, Karen A. Monsen
    Nursing Research.2024; 73(5): 390.     CrossRef
  • A Qualitative Approach to Understanding Provider Behaviors that Promote Enrollment, Engagement, and Retention in Home Visiting Services
    Lana O. Beasley, Helen Milojevich, Stormie Fuller, David Bard
    Journal of Child and Family Studies.2024; 33(10): 3119.     CrossRef
  • The US overdose crisis: the next administration needs to move beyond criminalisation to a comprehensive public health approach
    Magdalena Cerdá, Noa Krawczyk
    BMJ.2024; : q2418.     CrossRef
  • The role of sleep disturbances in associations between early life adversity and subsequent brain and language development during childhood
    Hatty Lara, Melissa Nevarez-Brewster, Cori Manning, Matthew J. Reid, Stephanie H. Parade, Gina M. Mason, Darlynn M. Rojo-Wissar
    Frontiers in Sleep.2024;[Epub]     CrossRef
  • Unpacking Parenting Intervention Content for Child Maltreatment: A Systematic Review Examining Core Components
    Fatima Younas, Leslie Morrison Gutman
    Trauma, Violence, & Abuse.2024;[Epub]     CrossRef
  • The Future of the United States Overdose Crisis: Challenges and Opportunities
    MAGDALENA CERDÁ, NOA KRAWCZYK, KATHERINE KEYES
    The Milbank Quarterly.2023; 101(S1): 478.     CrossRef
  • Tailored Nurse Support Program Promoting Positive Parenting and Family Preservation
    Samantha M. Brown, Luke McConnell, Alicia Zelaya, Mary Doran, Vicki Swarr
    Nursing Research.2023; 72(4): E164.     CrossRef
  • PROTOCOL: Effectiveness of home‐based interventions to prevent child neglect: A systematic review
    Yanfei Li, Rui Li, Meixuan Li, Zhitong Bing, Xiuxia Li, Kehu Yang
    Campbell Systematic Reviews.2023;[Epub]     CrossRef
  • An Evaluation of the Knowledge Level of Nurses and Midwives Working in Family Health Centers about Child Abuse and Neglect
    Hacer KABAKOĞLU, Hatice TAMBAĞ
    Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimler.2022; 4(3): 233.     CrossRef
  • 6,357 View
  • 189 Download
  • 15 Crossref
Effects of parenting education programs for refugee and migrant parents: a systematic review and meta-analysis
In-Sook Lee, Eunjung Kim
Child Health Nurs Res 2022;28(1):23-40.   Published online January 28, 2022
DOI: https://doi.org/10.4094/chnr.2022.28.1.23
Purpose
This systematic review and meta-analysis investigated the effects of parenting education programs (PEPs) for refugee and migrant parents.
Methods
A systematic review was conducted according to PRISMA guidelines. Relevant studies published from 2000 to 2020 were identified through a systematic search of six electronic databases (PubMed, Embase, Cochrane Library, CINAHL, RISS, KMBASE). A meta-analysis of the studies was then undertaken.
Results
Of the 14,996 published works identified, 23 studies satisfied the inclusion criteria, and 19 studies were analyzed to estimate the effect sizes (standardized mean differences) of the PEPs using random-effect models. PEPs were effective for parenting efficacy (effect size [ES]=1.40; 95% confidence interval [CI]: 1.14-1.66), positive parenting behaviors (ES=0.51; 95% CI: 0.30-0.73), parent-child relationships (ES=0.38; 95% CI: 0.22-0.53), and parenting stress (ES=0.64; 95% CI: 0.50-0.79). There were statistically significant differences in the effect sizes of PEPs that included mothers only (ES=0.93), included children under 7 years of age(ES=0.91), did not include child participation (0.77), continued for 19 or more sessions (ES=0.80), and were analyzed in quasi-experimental studies (ES=0.86). The overall effect of publication bias was robust.
Conclusion
PEPs were found to be effective at improving parenting efficacy, positive parenting behaviors, parent-child relationships, and parenting stress.

Citations

Citations to this article as recorded by  
  • Pilot Evaluation of the Families Make the Difference Parenting Program With Arab Families Residing in Berlin, Germany
    Sascha Hein, Isabell Schuster, Israa Alassi, Aumnia Mohamad
    European Journal of Psychology and Educational Res.2025; 8(1): 35.     CrossRef
  • Parents’ and Children’s Emotional Well-Being and Language Beliefs in Heritage Bilingual Families
    Paola Bonifacci, Claudia Borghetti, Martina Cangelosi
    European Journal of Investigation in Health, Psych.2024; 14(9): 2509.     CrossRef
  • Using normalisation process theory to identify factors facilitating the scaling up of parenting programs for immigrant parents
    Fatumo Osman, Ulla-Karin Schön, Raziye Salari
    Frontiers in Psychology.2024;[Epub]     CrossRef
  • 5,668 View
  • 169 Download
  • 3 Crossref
Meta-analysis of the effects of smoking prevention programs for young adolescents
Rhayun Song, Moonkyoung Park
Child Health Nurs Res 2021;27(2):95-110.   Published online April 30, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.2.95
Purpose
This meta-analysis aimed to analyze the effects of smoking prevention programs for young adolescents at early smoking stages to identify the appropriate characteristics of prevention programs for this population.
Methods
Searches of health-related databases and Google Scholar were conducted, and 23 randomized studies were included in the analysis. The main outcome variable was smoking behavior. The analysis was conducted using Comprehensive Meta-Analysis software (version 3.0).
Results
Smoking prevention programs significantly reduced smoking behaviors (OR=0.85, 95% CI=0.77~0.93). School-based programs (OR=0.79, 95% CI=0.75~0.83), programs by trained teachers or educators (OR=0.77, 95% CI=0.71~0.83), high-intensity programs (OR=0.82, 95% CI=0.75~0.91), and programs in an in-school setting (OR=0.82, 95% CI=0.74~0.90) had the most significant effect on reducing smoking behavior.
Conclusion
For young adolescents, smoking prevention programs are most effective when they are school-based or highintensity programs, and when conducted by teachers or educators with proper training. Further studies are required since there was insufficient research to explore the effect of web-based programs or family-centered programs on adolescent smokers.

Citations

Citations to this article as recorded by  
  • A cluster randomized trial comparing photoaging app and school based educational intervention for tobacco use prevention in adolescents
    Tamadhir Al-Mahrouqi, Fida Al-Ghailani, Maryam Al-Maqbali, Maather Al Saidi, Gowda Parameshwara Prashanth
    Scientific Reports.2025;[Epub]     CrossRef
  • Latent Structure of Past 12-Month Tobacco Use in Wave 6 of the Population Assessment of Tobacco and Health: Examining for Differential Substructure by Generational Status
    James S. Clifford, Ronaldo T. Williams, Caitlyn Hall, Fernanda Moya Quezada, Courtney T. Blondino
    Substance Use & Misuse.2025; 60(8): 1173.     CrossRef
  • Tobacco smoking, second‐hand smoking exposure in relation to psychotic‐like experiences in adolescents
    Dongfang Wang, Zijuan Ma, Yunge Fan, Huilin Chen, Meng Sun, Fang Fan
    Early Intervention in Psychiatry.2024; 18(2): 102.     CrossRef
  • Adolescent’s explicit and implicit cigarette cognitions predict experimentation with both cigarettes and e-cigarettes
    Christopher Cappelli, James Russell Pike, Bin Xie, Alyssa Jenna Michaels, Alan W. Stacy
    The American Journal of Drug and Alcohol Abuse.2024; 50(3): 401.     CrossRef
  • Tobacco cessation, anti-tobacco education, and smoke-free schools: Findings from the Global Youth Tobacco Survey
    Willie Rajvong, Yelena Tarasenko, Angela Ciobanu
    Tobacco Prevention & Cessation.2024; 10(November): 1.     CrossRef
  • Determinants of ever smoking and active smoking among school-aged children in Jeddah
    Ahlam Mazi
    Journal of Taibah University Medical Sciences.2023; 18(5): 1124.     CrossRef
  • A Study on the Factors Influencing Smoking in Multicultural Youths in Korea
    Jin-Hee Park, Mi-Jin Kim, Hee-Joo Lee
    Healthcare.2023; 11(10): 1437.     CrossRef
  • Comparisons between young adult waterpipe smokers and nonsmokers’ reactions to pictorial health warning labels in Lebanon: a randomized crossover experimental study
    R Jebai, T Asfar, R Nakkash, S Chehab, M Schmidt, W Wu, Z Bursac, W Maziak
    Health Education Research.2023; 38(6): 537.     CrossRef
  • Prevention of tobacco use in an adolescent population through a multi-personal intervention model
    Francisco Carrión-Valero, Joan Antoni Ribera-Osca, Jose M Martin-Moreno, Alejandro Martin-Gorgojo
    Tobacco Prevention & Cessation.2023; 9(December): 1.     CrossRef
  • 6,709 View
  • 292 Download
  • 9 Crossref
Original Articles
Effects of Home-Based Intervention Program to Prevent Child Abuse for Parents: A Meta Analysis
Hyun-Jung Park, Hyun Kyoung Kim
Child Health Nurs Res 2017;23(4):479-493.   Published online October 31, 2017
DOI: https://doi.org/10.4094/chnr.2017.23.4.479
Purpose
This study was done to conduct a meta-analysis of articles describing randomized controlled trials which showed substantiated effects for home-based child abuse prevention programs for all parents.
Methods
The articles regarding child abuse prevention programs for parents were investigated using the systematic review method. A literature search was conducted in PubMed, CINAHL, PsycINFO, Cochrane central library, Eric, and RISS on material published. Article searches and quality appraisal through RoB (Risk of Bias) yielded 14 records.
Results
The total random effect size was 0.344 (Parents outcome, 0.333; Child outcome, 0.310; Environment, 0.275). The home based intervention for parents was effective for prevention of potential child abuse.
Conclusion
This study supports the effectiveness of health care professional directing child abuse prevention programs for all parents whose children are in the early years of life including during the period of pregnancy.

Citations

Citations to this article as recorded by  
  • The effects of child abuse prevention education on parents’ response to positive emotion, parenting stress, and child abuse potential: A randomized controlled pretest posttest design
    Mi Hyun Kim, Bu Kyung Park
    The Journal of Korean Academic Society of Nursing .2024; 30(1): 19.     CrossRef
  • A Meta-Analysis of the Effects of Childhood Maltreatment on Elderly Depression
    Yang Wang, Xiaoxuan Chen, Ke Zhou, Huiping Zhang
    Trauma, Violence, & Abuse.2023; 24(3): 1593.     CrossRef
  • Preventing the onset of depressive disorders in low-and middle-income countries: An overview
    Pim Cuijpers
    Cambridge Prisms: Global Mental Health.2023;[Epub]     CrossRef
  • A Systematic Review and Meta-analysis of Intervention Programs for Child Abuse Victims in Korea: Focused on Depression, Anxiety, Self-esteem, Problem Behavior, and Sociability
    Mi-Kyung Sim, Sinhyang Kim
    Journal of Korean Academy of psychiatric and Menta.2022; 31(1): 58.     CrossRef
  • Preventing the onset of mental disorders: An emerging field
    Pim Cuijpers, Annemieke van Straten
    Clinical Psychology Review.2021; 90: 102097.     CrossRef
  • Annual Research Review: Umbrella synthesis of meta‐analyses on child maltreatment antecedents and interventions: differential susceptibility perspective on risk and resilience
    Marinus H. van IJzendoorn, Marian J. Bakermans‐Kranenburg, Barry Coughlan, Sophie Reijman
    Journal of Child Psychology and Psychiatry.2020; 61(3): 272.     CrossRef
  • 10,092 View
  • 354 Download
  • 6 Crossref
Meta-analysis of the Effects of Obesity Management Program for Children.
Kyung Suk Sung, Young Mi Yoon, Eun Joo Kim
Child Health Nurs Res 2013;19(4):262-269.
DOI: https://doi.org/10.4094/CHNR.2013.19.4.262
PURPOSE
The aims of this study is to analysis the effects of obesity management programs for children and to measure the differences in the effects by type and dependent variables in order to analyze the structures of the programs.
METHODS
Sixty-one peer-reviewed journals including child obesity and intervention studies published between 2000 and 2010 were included for meta-analysis. Effect size and statistics of homogeneity were by STAT 10.0.
RESULTS
A total of 61 studies were used in the analysis, and the effect size of the independent studies was determined to be -0.23 (95% CI, -0.32 ~ -0.15). Serum Leptin and Insulin were the big effect size among the studies that used dependent variables. The theses used in the research did not display publishing bias.
CONCLUSION
Obesity management programs that have been confirmed to be effective need to be developed into regional protocols. A continuous control of obese children and research for effective intervention program are in need.

Citations

Citations to this article as recorded by  
  • Health behaviors and mental health among adolescents: A comparison based on BMI using the 2021 Korea Youth Risk Behavior Survey
    Hye-Ryeon Park, Na-Geong Kim
    Belitung Nursing Journal.2023; 9(6): 571.     CrossRef
  • Effectiveness of obesity interventions among South Korean children and adolescents and importance of the type of intervention component: a meta-analysis
    Siyoung Choe, Jaesin Sa, Jean-Philippe Chaput, Deokjin Kim
    Clinical and Experimental Pediatrics.2022; 65(2): 98.     CrossRef
  • Effects of Program to Promote Obesity Prevention Behaviors on Pre-Schoolers: Focused on Kindergartener in Korea
    Inju Hwang, Kyung-Sook Bang
    Journal of Korean Academy of Nursing.2021; 51(2): 188.     CrossRef
  • Effectiveness of a combined obesity prevention program in South Korea for children from low-income families that included primary caregiver participation
    Namhee Park, Mihae Im
    Child Health Nursing Research.2021; 27(3): 211.     CrossRef
  • An Integrative Literature Review of Interventions for School-aged Overweight and Obese Children
    Juhyun Jo, Sang-Youn Jang, Dajeong Kum, Jihee Lim, Jeongeun Kim
    Perspectives in Nursing Science.2019; 16(2): 75.     CrossRef
  • Delphi Survey for Designing a Intervention Research Study on Childhood Obesity Prevention
    Min Jeong Kim, Eunju Sung, Eun Young Choi, Young-Su Ju, Eal-Whan Park, Yoo-Seock Cheong, Sunmi Yoo, Kyung Hee Park, Hyung Jin Choi, Seolhye Kim
    Korean Journal of Family Medicine.2017; 38(5): 284.     CrossRef
  • Effects of an Abdominal Obesity Management Program on Physiological Bio-markers of Middle-aged Women in Korea: A Meta-analysis
    KyengJin Kim, HaeSook Hong, WanJu Park, SangJin Ko, YeonKyung Na
    The Korean Journal of Obesity.2016; 25(3): 138.     CrossRef
  • Evidence of Interventions for Preventing Obesity of Children and Adolescents Using Existing Systematic Reviews and Meta-Analyses
    Seolhye Kim, Eunju Sung, Sunmi Yoo
    Korean Journal of Health Promotion.2016; 16(4): 231.     CrossRef
  • Professional Identity of Elementary School Health Teachers: A Grounded Theory Approach.
    Jin Ok Kwon, Jina Oh, Eun Ha Kim, Dae Dong Hahn
    Child Health Nursing Research.2015; 21(1): 64.     CrossRef
  • Review of Meta-analysis Research on Exercise in South Korea
    Youngshin Song, Moonhee Gang, Sun-Ae Kim, In-Soo Shin
    Journal of Korean Academy of Nursing.2014; 44(5): 459.     CrossRef
  • 6,884 View
  • 94 Download
  • 10 Crossref
Meta-analysis on the Effects of Sensory Stimulation of Preterm Infants.
Eun Joo Kim
Korean J Child Health Nurs 2003;9(2):131-139.
PURPOSE
This study was meta-analysis study that it was to analyze the effect of sensory stimulation on preterm infants.
METHOD
The sample of this study is 18 researches of selected by criteria. The conclusion of study was that sensory stimulation of preterm infants is effective.RESULT: Most large effect size was Katz(1991)'s study(d=1.96), small effect size was Caine(1991), s(d=0.37). Especially multimodal sensory stimulation(d=1.2) was more effective than unimodal sensory stimulation(0.53). Also behavioral variable of preterm infans was most sensitivity indicator.
CONCLUSION
According to the result, the study on sensory stimulation should be research according to the gestational age and birth weight of preterm infants. In addition, the feasible sensory intervention should be develop.
  • 2,047 View
  • 21 Download
A Meta-Analysis of the Effects of the Supportive Nurisng Intervention.
Young Joo Park, Ka Sil Oh, Sun Ok Lee, Kyung Ok Oh, Jung Ah Kim, Hee Soon Kim, Sang Soon Choi, Sook Ja Lee, Sung Eun Lee, Choo Ja Chung
Korean J Child Health Nurs 2001;7(2):225-235.
This meta-analysis was conducted to evaluate the effects of the supportive nursing intervention and analyze its components in 14 studies carried out from Jan. 1980 to Jun. 1997. The supportive nursing intervention studies divided into three types according to the components of conceptual definitons.; (1)supportive nursing behavior, (2)social support, and (3)combination of social support and supportive nursing behavior. The various terms referred to the supportive nursing intervention didn't have the clear differentiating conceptual and operational definitions and the logical relationship among them. The effects of supportive nursing intervention were measured by the 23 dependent variables using self-report and the 5 dependent variables using physiological indices. The dependent variables were measured more than two were role behavior compliance, anxiety, depression, health belief, knowledge about the disease, helplessness and stressful behavior response. The average effects of the supportive nursing intervention ranged from 0.218 to 2.745 for the d index. The three variables of them, which were anxiety, depression and stressful behavior response, were homogeneous statistically by homogeniety test. Results of the meta- analysis indicated that the supportive nursing intervention had moderate to large effects on anxiety(d=0.41), depression (d=0.66) and stressful behavior response (d=0.86).
  • 1,965 View
  • 14 Download
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