Anne?Marie Bagnall|Jane South|Claire Hulme|James Woodall|Karen Vinall?Collier|Gary Raine|Karina Kinsella|Rachael Dixey|Linda M. Harris|Nat Wright
A systematic review of the effectiveness and cost-effectiveness of peer education and peer support in prisons
Leeds Beckett University|Leeds Beckett University|University of Leeds|Leeds Beckett University|University of Leeds|Leeds Beckett University|Leeds Beckett University|Leeds Beckett University|Spectrum Community Health CIC|Leeds Community Healthcare NHS Trust
prisoners experience significantly worse health general population review examines effectiveness costeffectiveness peer interventions prison settings mixed methods systematic review effectiveness costeffectiveness studies including qualitative quantitative synthesis conducted addition grey literature identified searches websites nineteen electronic databases searched 1985 2012 study selection criteria population prisoners resident adult prisons children resident young offender institutions yois intervention peerbased interventions comparators review questions 3 4 compared peer professionally led approaches outcomes prisoner health determinants health organisationalprocess outcomes views prison populations study designs quantitative qualitative mixed method evaluations fiftyseven studies included effectiveness review one study costeffectiveness review poor methodological quality evidence suggested peer education interventions effective reducing risky behaviours peer support services acceptable within prison environment positive effect recipients practically emotionally consistent evidence many predominantly qualitative studies suggested peer deliverer associated positive effects little evidence costeffectiveness peerbased interventions consistent evidence large number studies peer worker associated positive health peer support services also acceptable source help within prison environment positive effect recipients research costeffectiveness sparse prospero ref crd42012002349