Youth involvement in policy processes in public health, education, and social work-A scoping review.

Anne-Siri Fismen, Laurence Blanchard, Gerd Flodgren, Arnfinn Helleve, Harry Rutter, Knut-Inge Klepp, Annlaug Selstø

Journal: Obesity reviews : an official journal of the International Association for the Study of Obesity 2025;26(4):e13874

PMID: 39631777

Abstract

INTRODUCTION

Youth involvement in policy formulation may enhance its relevance, strengthen democratic practices, and contribute to youth development. This scoping review explored the nature, extent, and impact of adolescent involvement in policy processes aimed at improving adolescent health and well-being in the public health, education, and social work sectors.

METHODS

Studies of adolescent involvement in policy processes focusing on health, and well-being, including obesity prevention were eligible. We searched seven databases, reference lists of included studies, and contacted key organizations. Standard scoping review methods were applied. The results were synthesized narratively, using descriptive statistics and visuals.

RESULTS

We included 33 mostly qualitative studies, mainly from the public health sector in the USA and Europe, focusing on diet, physical activity, health & well-being, or sexual and reproductive health. Adolescents were consulted or collaborated with, mostly in identifying problems or policy solutions and less often in agenda-setting, decision-making, and evaluation. Various facilitators were used to improve participation (e.g. training, adult facilitators, monetary compensation). Data on adolescents' experiences of involvement and the impact on policies were limited.

CONCLUSION

Due to a paucity of impact studies, we could not determine whether adolescent involvement increased the relevance of policies or improved adolescent development. The extent to which adolescents were meaningfully involved, and had a material effect on decision-making, was largely unclear. Improved documentation, monitoring, and evaluation of youth involvement in policy using quantitative methods and standardized frameworks, can improve the evidence-based, involvement practices, and decrease inequities.

© 2024 The Author(s). Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.

Address: Division of Health Services, Norwegian Institute of Public Health, Oslo, Norway.; Centre for Evaluation of Public Health Measures, Norwegian Institute of Public Health, Oslo, Norway.; Department of Health and Caring sciences, Western Norway University of Applied Sciences, Bergen, Norway.; Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.; Department of Social and Policy Sciences, University of Bath, Bath, UK.; Centre for Evaluation of Public Health Measures, Norwegian Institute of Public Health, Oslo, Norway.; Department of Nutrition, University of Oslo, Oslo, Norway.
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