Are school-based violence prevention interventions inclusive and effective for children with disabilities? A systematic review of global evidenceResearch in context

Summary: Background: Children with disabilities are twice as likely to experience violence compared to peers without disabilities. While evaluations of school-based interventions targeting the prevention of violence against children in schools are growing in number, it is unclear whether these inte...

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Main Authors: Emily Eldred, Karen Devries, Anja Zinke-Allmang, Rizwana Mallick, Waliyah Mughis, Lena Morgon Banks, Amiya Bhatia
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:EClinicalMedicine
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Online Access:http://www.sciencedirect.com/science/article/pii/S2589537024006394
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author Emily Eldred
Karen Devries
Anja Zinke-Allmang
Rizwana Mallick
Waliyah Mughis
Lena Morgon Banks
Amiya Bhatia
author_facet Emily Eldred
Karen Devries
Anja Zinke-Allmang
Rizwana Mallick
Waliyah Mughis
Lena Morgon Banks
Amiya Bhatia
author_sort Emily Eldred
collection DOAJ
description Summary: Background: Children with disabilities are twice as likely to experience violence compared to peers without disabilities. While evaluations of school-based interventions targeting the prevention of violence against children in schools are growing in number, it is unclear whether these interventions are inclusive of, or effective for, children with disabilities. Methods: We searched six databases (Medline, Cochrane Library, Embase, Global Health, PsycINFO, Web of Science) and utilised professional networks to identify systematic reviews which included randomised controlled trials (RCTs) of school-based violence prevention interventions up to May 2024. Once we identified our final sample of systematic reviews (n = 29) we hand searched the included papers within these reviews and included all RCTs of school-based violence prevention interventions. We applied criteria to assess disability inclusion and conducted a narrative synthesis of study characteristics, adaptations to intervention and/or data collection design, and effect estimates. We assessed risk of bias using the Cochrane Risk of Bias tool. This review was registered on PROSPERO (CRD42023463384). Findings: We identified 160 articles of school-based violence prevention interventions. Of these, 13 articles reporting on 10 trials (8.13%) explicitly mentioned disability: 3/10 trials reported on the magnitude of intervention effects among children with disabilities; 4/10 trials mentioned adaptations to research or intervention design to include children with disabilities; 6/10 trials mentioned disability as part of the sample characteristics but did not report further sub-group analysis. 3 trials were effective in reducing violence in schools for children with disabilities, with risk of bias ranging from ‘low’ (n = 1) to ‘some concerns’ (n = 2). Interpretation: Despite growing evidence on how to prevent school violence, there is limited research on the effect of such interventions for children with disabilities. There is a need for future evaluations to stratify effects by disability, conduct disability-inclusive research, and tailor interventions for children with disabilities. Funding: This research was partially funded by the Foreign, Commonwealth and Development Office under the PENDA project (PO8073).
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spelling doaj-art-b527a5b004ea4d789191f86c37955f252025-01-19T06:26:31ZengElsevierEClinicalMedicine2589-53702025-02-0180103060Are school-based violence prevention interventions inclusive and effective for children with disabilities? A systematic review of global evidenceResearch in contextEmily Eldred0Karen Devries1Anja Zinke-Allmang2Rizwana Mallick3Waliyah Mughis4Lena Morgon Banks5Amiya Bhatia6Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK; Corresponding author. Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UKDepartment of Social Policy and Intervention, University of Oxford, Oxford, UKChildren's Institute University of Cape Town, Cape Town, South AfricaDepartment of Community Health Sciences and the Brain & Mind Institute, Aga Khan University, Karachi, PakistanFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UKDepartment of Social Policy and Intervention, University of Oxford, Oxford, UKSummary: Background: Children with disabilities are twice as likely to experience violence compared to peers without disabilities. While evaluations of school-based interventions targeting the prevention of violence against children in schools are growing in number, it is unclear whether these interventions are inclusive of, or effective for, children with disabilities. Methods: We searched six databases (Medline, Cochrane Library, Embase, Global Health, PsycINFO, Web of Science) and utilised professional networks to identify systematic reviews which included randomised controlled trials (RCTs) of school-based violence prevention interventions up to May 2024. Once we identified our final sample of systematic reviews (n = 29) we hand searched the included papers within these reviews and included all RCTs of school-based violence prevention interventions. We applied criteria to assess disability inclusion and conducted a narrative synthesis of study characteristics, adaptations to intervention and/or data collection design, and effect estimates. We assessed risk of bias using the Cochrane Risk of Bias tool. This review was registered on PROSPERO (CRD42023463384). Findings: We identified 160 articles of school-based violence prevention interventions. Of these, 13 articles reporting on 10 trials (8.13%) explicitly mentioned disability: 3/10 trials reported on the magnitude of intervention effects among children with disabilities; 4/10 trials mentioned adaptations to research or intervention design to include children with disabilities; 6/10 trials mentioned disability as part of the sample characteristics but did not report further sub-group analysis. 3 trials were effective in reducing violence in schools for children with disabilities, with risk of bias ranging from ‘low’ (n = 1) to ‘some concerns’ (n = 2). Interpretation: Despite growing evidence on how to prevent school violence, there is limited research on the effect of such interventions for children with disabilities. There is a need for future evaluations to stratify effects by disability, conduct disability-inclusive research, and tailor interventions for children with disabilities. Funding: This research was partially funded by the Foreign, Commonwealth and Development Office under the PENDA project (PO8073).http://www.sciencedirect.com/science/article/pii/S2589537024006394DisabilityViolence against childrenRandomised controlled trialsSchool-based interventions
spellingShingle Emily Eldred
Karen Devries
Anja Zinke-Allmang
Rizwana Mallick
Waliyah Mughis
Lena Morgon Banks
Amiya Bhatia
Are school-based violence prevention interventions inclusive and effective for children with disabilities? A systematic review of global evidenceResearch in context
EClinicalMedicine
Disability
Violence against children
Randomised controlled trials
School-based interventions
title Are school-based violence prevention interventions inclusive and effective for children with disabilities? A systematic review of global evidenceResearch in context
title_full Are school-based violence prevention interventions inclusive and effective for children with disabilities? A systematic review of global evidenceResearch in context
title_fullStr Are school-based violence prevention interventions inclusive and effective for children with disabilities? A systematic review of global evidenceResearch in context
title_full_unstemmed Are school-based violence prevention interventions inclusive and effective for children with disabilities? A systematic review of global evidenceResearch in context
title_short Are school-based violence prevention interventions inclusive and effective for children with disabilities? A systematic review of global evidenceResearch in context
title_sort are school based violence prevention interventions inclusive and effective for children with disabilities a systematic review of global evidenceresearch in context
topic Disability
Violence against children
Randomised controlled trials
School-based interventions
url http://www.sciencedirect.com/science/article/pii/S2589537024006394
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