SynthesisBMC public health2022
What is the impact of structural and cultural factors and interventions within educational settings on promoting positive mental health and preventing poor mental health: a systematic review.
Synthesis in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Public health policies and interventions to address health inequities in high-income countries: an umbrella review.BMC public health · 2026Pooled it
- Systematic Review: Neurodevelopmental Benefits of Active/Passive School Exposure to Green and/or Blue Spaces in Children and Adolescents.International journal of environmental research and public health · 2023Pooled it
- What is the impact of structural and cultural factors and interventions within educational settings on promoting positive mental health and preventing poor mental health: a systematic review.BMC public health · 2022Pooled it
- A Health Promoting School Intervention in 10th Grade ("My Life - I Decide"): Protocol for a Pragmatic Controlled Trial.JMIR research protocols · 2026Trial
- From Programmes to Planning: How Schools Define and Prioritise Mental Health Problem Prevention.Journal of prevention (2022) · 2026Article
- Cultural foundations of university student well-being: a grounded theory study of a multidimensional framework in Indonesia.BMC psychology · 2026Article
- Exploring self-referral as a low-burden, universally administered strategy to connect adolescents to mental health supports following anonymous school-based screening.School psychology (Washington, D.C.) · 2026Article
- Symptoms of School Burnout in Comprehensive School and Mental Health Problems in Late Adolescence.Scandinavian journal of psychology · 2026Article
- Annual Research Review: Improving school climate to improve child and adolescent mental health and reduce inequalities.Journal of child psychology and psychiatry, and allied disciplines · 2026Review
- Physical activity, exercise, and mental health of healthy adolescents: A review of the last 5 years.Sports medicine and health science · 2025Review
- Strategies to Safeguard Mental Health Among Medical and Allied Health Trainees: A Narrative Review.Advances in medical education and practice · 2025Review
- Barriers and facilitators to implementation of a community wellbeing service for black, Asian and minoritised young people.NIHR open research · 2025Article
- The Influence of Educational Determinants on Children's Health: A Scoping Review of Reviews.Public health reviews · 2024Article
- Article
- Risk and protective factors for self-harm and suicide in children and adolescents: a systematic review and meta-analysis protocol.BMJ open · 2022Article
- The Effect of Learning Burnout on Sleep Quality in Primary School Students: The Mediating Role of Mental Health.Healthcare (Basel, Switzerland) · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 6 institutions in 1 country.
Funding
Abstract
Mental health (MH) difficulties are on the increase among children and young people (CYP). Evidence has shown that educational settings contain both risk and protective factors for MH. This review investigated which structural and cultural factors and interventions within educational settings promote positive MH and prevent poor MH in 4-18 year olds. Searches were conducted in PsychINFO, Embase, ERIC, ASSIA and British Education Index, and reference lists from key studies and relevant systematic reviews were hand-searched. Intervention, cohort, and qualitative studies were included. Of the 62 included papers, 36 examined cultural factors (30 social/relational and six value-related) while 12 studies examined structural factors (eight organisational and four physical) and 14 studies examined multiple factors. There was strong evidence for the impact of positive classroom management techniques, access to physical activity, and peer mentoring on student MH. Studies examining the impact of positive school culture, teacher training in MH and parent involvement in school MH activities also found predominantly positive results for student MH, albeit the evidence was of lower quality or from a low number of studies. Few studies explicitly examined the impact of interventions on MH inequalities; those that did indicated limited if any reduction to inequalities. A very small number of studies suggested that interventions targeting those at risk of poor MH due to socioeconomic factors could successfully improve wellbeing and reduce depression, anxiety and behavioural problems. Studies exploring the effect of management and leadership strategies within schools, policies, and aspects of the physical environment other than green space were scarce or absent in the literature. This review highlights the need to consider the ways in which educational settings are organised, the culture that is created and the physical space in order to improve the MH of CYP.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.