Effectiveness of interventions for brazilian children and adolescents in social vulnerability: A systematic review
DOI:
https://doi.org/10.33448/rsd-v14i11.50036Keywords:
Social vulnerability, Intervention, Child development.Abstract
Objective: To evaluate the effectiveness of interventions aimed at Brazilian children and adolescents in situations of social vulnerability on outcomes of child development. Methods: A systematic review conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and a protocol registered with the International Prospective Register of Systematic Reviews - PROSPERO (No. CRD42023442457), conducted between 2022 and 2023, across databases including Medline, PubMed, Scielo, Embase, Cochrane, Scopus, CINAHL, Web of Science, PEDro, and Lilacs. The Cochrane scale was used to assess risk of bias, and the quality of evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation. Results: Ten studies were included, encompassing 7,134 children and adolescents in situations of social vulnerability. While not all studies showed significant changes, all identified some positive change in favor of the intervention. Outcomes such as mortality, infections, and diarrhea had the best results, with these indicators showing sensitivity to change with basic interventions like vaccination and surveillance. A lack of scientific production regarding programs and actions for the study population was also noted. Conclusion: It is essential to expand scientific research on programs and actions targeting this population to develop more comprehensive and effective strategies that address the persistent challenges in these communities.
References
Alves, J. G., Galé, C. R., Souza, E., & Batty, G. D. (2008). Efeito do exercício físico sobre peso corporal em crianças com excesso de peso: ensaio clínico comunitário randomizado em uma favela no Brasil [Effect of physical exercise on bodyweight in overweight children: a randomized controlled trial in a Brazilian slum]. Cadernos de Saúde Pública, 24(Suppl 2), S353–S359. https://doi.org/10.1590/s0102-311x2008001400020
Bandeira, A. D. S., Silva, K. S., Bastos, J. L. D., Silva, D. A. S., Lopes, A. D. S., & Barbosa Filho, V. C. (2020). Psychosocial mediators of screen time reduction after an intervention for students from schools in vulnerable areas: A cluster-randomized controlled trial. Journal of Science and Medicine in Sport, 23(3), 264–269. https://doi.org/10.1016/j.jsams.2019.09.004
Barbosa Filho, V. C., Bandeira, A. D. S., Minatto, G., Linard, J. G., Silva, J. A. D., Costa, R. M. D., Manta, S. W., Sá, S. A. M., Matias, T. S., & Silva, K. S. D. (2019). Effect of a multicomponent intervention on lifestyle factors among Brazilian adolescents from low Human Development Index areas: A cluster-randomized controlled trial. International Journal of Environmental Research and Public Health, 16(2), 267. https://doi.org/10.3390/ijerph16020267
Birchwood, M. (2000). Early intervention and sustaining the management of vulnerability. Australian & New Zealand Journal of Psychiatry, 34(1_suppl), A181–A184. https://doi.org/10.1046/j.1440-1614.2000.0820a-3.x
Brito, A. M., Souto, D. O., Silva, L. C., Leite, H. R., & Morais, R. L. S. (2024). Social vulnerability among Brazilian children in early childhood: A scoping review. Journal of Pediatrics (Rio J). Advance online publication. https://doi.org/10.1016/j.jped.2024.06.012
da Silva, A. G., Souza, J. B., Gomes, C. S., da Silva, T. P. R., Gomide Nogueira de Sá, A. C. M., & Malta, D. C. (2024). Multiple behavioral risk factors for non-communicable diseases among the adolescent population in Brazil: The analysis derived from the Brazilian national survey of school health 2019. BMC Pediatrics, 24(1), 122. https://doi.org/10.1186/s12887-024-04601-9
de Castro, L. R., & Kosminsky, E. V. (2010). Childhood and its regimes of visibility in Brazil: An analysis of the contribution of the social sciences. Current Sociology, 58(2), 206–231. https://doi.org/10.1177/0011392109354255
Dos Santos, P. C., Salmon, J., Arundell, L., Lopes, M. V. V., & Silva, K. S. (2021). Effectiveness and moderators of a multicomponent school-based intervention on screen time devices: The Movimente cluster-randomized controlled trial. BMC Public Health, 21(1), 1852. https://doi.org/10.1186/s12889-021-11899-5
Estatuto da Criança e do Adolescente, Lei nº 8.069, de 13 de julho de 1990 (Brasil).
Fonseca, J., Vieira, M., & Madeira, H. (2013). Evaluation of web security mechanisms using vulnerability and attack injection. IEEE Transactions on Dependable and Secure Computing, 11(5), 440–453. https://doi.org/10.1109/TDSC.2013.35
FUNDAÇÃO ABRINQ. (2023). Cenário da infância e adolescência no Brasil. Fundação Abrinq. https://www.fadc.org.br
Gonçalves, T. R., Duku, E., & Janus, M. (2019). Developmental health in the context of an early childhood program in Brazil: The “Primeira Infância Melhor” experience. Cadernos de Saúde Pública, 35(3), e00224317. https://doi.org/10.1590/0102-311X00224317
Higgins, J. P. T., Altman, D. G., & Sterne, J. A. C. (2011). Chapter 8: Assessing risk of bias in included studies. In J. P. Higgins & S. Green (Eds.), Cochrane Handbook for Systematic Reviews of Interventions (Version 5.1.0, updated March 2011). The Cochrane Collaboration.
Hughes, M. M., Wang, A., Grossman, M. K., Pun, E., Whiteman, A., Deng, L., Hallisey, E., Sharpe, J. D., Ussery, E. N., Stokley, S., Musial, T., Weller, D. L., Murthy, B. P., Reynolds, L., Gibbs-Scharf, L., Harris, L., Ritchey, M. D., & Toblin, R. L. (2021). County-level COVID-19 vaccination coverage and social vulnerability—United States, December 14, 2020–March 1, 2021. MMWR Morbidity and Mortality Weekly Report, 70(12), 431–436. https://doi.org/10.15585/mmwr.mm7012e1
Jin, C. (2024). Brain functions and neurophysiological activities. In Erxin Scales: Child Developmental Scale of China (p. 9).
Lima, A. A., Soares, A. M., Lima, N. L., Mota, R. M., Maciel, B. L., Kvalsund, M. P., Barrett, L. J., Fitzgerald, R. P., Blaner, W. S., & Guerrant, R. L. (2010). Effects of vitamin A supplementation on intestinal barrier function, growth, total parasitic, and specific Giardia spp. infections in Brazilian children: A prospective randomized, double-blind, placebo-controlled trial. Journal of Pediatric Gastroenterology and Nutrition, 50(3), 309–315. https://doi.org/10.1097/MPG.0b013e3181a96489
Mah, J. C., Penwarden, J. L., Pott, H., Theou, O., & Andrew, M. K. (2023). Social vulnerability indices: A scoping review. BMC Public Health, 23(1), 1253. https://doi.org/10.1186/s12889-023-16097-6
Marini, B. P. R., Lourenço, M. C., & Barba, P. C. D. S. D. (2017). Systematic literature review on models and practices of early childhood intervention in Brazil. Revista Paulista de Pediatria, 35, 456–463. https://doi.org/10.1590/1984-0462/;2017;35;4;00002
McGorry, P. D., Mei, C., Hartmann, J., Yung, A. R., & Nelson, B. (2021). Intervention strategies for ultra-high risk for psychosis: Progress in delaying the onset and reducing the impact of first-episode psychosis. Schizophrenia Research, 228, 344–356. https://doi.org/10.1016/j.schres.2020.11.002
Nahas, M. V., Barros, M. V. G. D., & Assis, M. A. A. D. (2014). O projeto “Saúde na Boa” na promoção de um estilo de vida saudável em escolares do ensino médio. Revista Brasileira de Cineantropometria & Desempenho Humano, 16, i–iii.
Painter, M. A., Shah, S. H., Damestoit, G. C., Khalid, F., Prudencio, W., Chisty, M. A., ... & Wilhelmi, O. (2024). A systematic scoping review of the Social Vulnerability Index as applied to natural hazards. Natural Hazards, 120(8), 7265–7356. https://doi.org/10.1007/s11069-024-06620-3
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. UAB/NTE/UFSM.
Prado, N. M. B. L., Aquino, R., Hartz, Z. M. A., Santos, H. L. P. C. D., & Medina, M. G. (2022). Revisitando definições e naturezas da intersetorialidade: Um ensaio teórico [Revisiting definitions and natures of intersectoriality: A theoretical essay]. Ciência & Saúde Coletiva, 27(2), 593–602. https://doi.org/10.1590/1413-81232022272.47042020
Rauber, F., Hoffman, D. J., & Vitolo, M. R. (2014). Diet quality from pre-school to school age in Brazilian children: A 4-year follow-up in a randomized control study. British Journal of Nutrition, 111(3), 499–505. https://doi.org/10.1017/S0007114513002857
Ribeiro, A. C., Ianzer, F. R. M., Siqueira, F. D., Neves, E. T., Souza, N. S. D., Barreto, C. N., ... & Bugs, C. V. M. (2023). Vulnerability in adolescents’ daily life during the COVID-19 pandemic. Revista da Escola de Enfermagem da USP, 57, e20230100. https://doi.org/10.1590/1980-220X-REEUSP-2023-0100
Santos, I. S., Munhoz, T. N., Barcelos, R. S., Blumenberg, C., Bortolotto, C. C., Matijasevich, A., Salum, C., Santos Júnior, H. G. D., Marques, L., Correia, L., Souza, M. R., Lira, P. I. C., Pereira, V., & Victora, C. G. (2022). Evaluation of the Happy Child Program: A randomized study in 30 Brazilian municipalities. Ciência & Saúde Coletiva, 27(12), 4341–4363. https://doi.org/10.1590/1413-812320222712.13472022
Shao, S. C., Kuo, L. T., Huang, Y. T., Lai, P. C., & Chi, C. C. (2023). Using Grading of Recommendations Assessment, Development, and Evaluation (GRADE) to rate the certainty of evidence of study outcomes from systematic reviews: A quick tutorial. Dermatologica Sinica, 41(1), 3–7. https://doi.org/10.4103/ds.ds_25_22
Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of business research, 104, 333-339.
Souza, L. B. D., Aragão, F. B. A., Cunha, J. H. D. S., & Fiorati, R. C. (2021). Intersectoral actions in decreasing social inequities faced by children and adolescents. Revista Latino-Americana de Enfermagem, 29, e3427. https://doi.org/10.1590/1518-8345.4351.3427
Takeiti, B. A., Gonçalves, M. V., Oliveira, S. P. A. S. D., & Elisiario, T. D. S. (2020). O estado da arte sobre as juventudes, as vulnerabilidades e as violências: O que as pesquisas informam? Saúde e Sociedade, 29(3), e181118. https://doi.org/10.1590/S0104-12902020181118
Teles, E., Moscovici, L., Monteiro, R. A., Alves, D., Laprega, M. R., & Bellissimo-Rodrigues, F. (2015). The effectiveness of a rotavirus vaccine in preventing hospitalizations and deaths presumably due to acute infectious diarrhea in Brazilian children: A quasi-experimental study. Revista da Sociedade Brasileira de Medicina Tropical, 48(2), 129–135. https://doi.org/10.1590/0037-8682-0311-2014
Tomazoni, F., Vettore, M. V., Baker, S. R., & Ardenghi, T. M. (2019). Can a school-based intervention improve the oral health-related quality of life of Brazilian children? JDR Clinical & Translational Research, 4(3), 229–238. https://doi.org/10.1177/2380084418816984
UNICEF. (2020, July 9). É preciso fortalecer o ECA e priorizar os investimentos na infância e na adolescência, em meio à pandemia. https://www.unicef.org/brazil
UNICEF. (2023). As múltiplas dimensões da pobreza na infância e adolescência no Brasil. https://www.unicef.org/brazil
Vicente, J. B., Pegorin, T. C., Santos, A. L. D. O., & Veríssimo, M. D. L. Ó. R. (2023). Interventions for child development based on the Touchpoints Model: Scoping review. Revista Latino-Americana de Enfermagem, 31, e4034. https://doi.org/10.1590/1518-8345.6322.4034
Wiedemann, R., & Ingold, K. (2022). Solving cross-sectoral policy problems: Adding a cross-sectoral dimension to assess policy performance. Journal of Environmental Policy & Planning, 24(5), 526–539. https://doi.org/10.1080/1523908X.2022.2053037.
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