Youth sexual violence and abuse (SVA) are leading public health and human rights issues around the world. Prevention is key to reducing SVA rates and minimising resultant harms. Despite advocacy for more collaborative approaches, knowledge of how to effectively engage young people and key stakeholders in the design, implementation, and evaluation of SVA prevention programs is limited. This mixed-methods systematic review aimed to synthesise available evidence on participatory design (PD) application in primary and secondary SVA prevention targeting young people. A systematic search was executed across seven electronic databases. Eligible studies were peer-reviewed, published in English, reported primary or secondary SVA prevention, described application of PD or a related approach, and targeted young people aged 12–25 years. Quality was assessed using the Mixed Methods Appraisal Tool. Overall, 20 articles reporting 15 studies were included. Most (55%; n = 11) employed a qualitative design. Descriptions, methods, and scope of PD application varied across included studies. A lack of empirical evaluations prevented conclusions regarding the utility of PD application in terms of measured outcomes. The methodology, agent of change, training, and engagement (MATE) taxonomy was subsequently developed to describe and classify PD application. As illustrated in the MATE taxonomy, PD methods promoting agency, encouraging input, and facilitating empowerment are likely to facilitate more meaningful engagement of participants. Integration of participant and expert views, community consultation, and appropriate socio-cultural adaption appear to be critical determinants of program acceptability and feasibility. Empirical evaluations are needed to assess the relative utility of PD methods in line with SVA prevention objectives.

中文翻译：

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参与式设计在青少年性暴力和虐待预防中的应用：混合方法系统评价

青少年性暴力和性虐待 (SVA) 是全球领先的公共卫生和人权问题。预防是降低 SVA 率和减少由此产生的危害的关键。尽管提倡更多的协作方法，但关于如何有效地让年轻人和主要利益相关者参与 SVA 预防计划的设计、实施和评估的知识是有限的。这项混合方法系统评价旨在综合参与式设计 (PD) 在针对年轻人的初级和二级 SVA 预防中的应用的现有证据。对七个电子数据库进行了系统搜索。符合条件的研究经过同行评审，以英文发表，报告了一级或二级 SVA 预防，描述了 PD 或相关方法的应用，并针对 12-25 岁的年轻人。使用混合方法评估工具评估质量。总体而言，纳入了 20 篇报道 15 项研究的文章。大多数（55%；n= 11) 采用定性设计。PD 应用的描述、方法和范围因纳入研究而异。缺乏经验评估阻碍了关于 PD 应用在测量结果方面的效用的结论。随后开发了方法、变革、培训和参与 (MATE) 分类法来描述和分类 PD 应用程序。如 MATE 分类法所示，促进代理、鼓励投入和促进赋权的 PD 方法可能会促进参与者更有意义的参与。参与者和专家意见的整合、社区咨询和适当的社会文化适应似乎是项目可接受性和可行性的关键决定因素。