An Ecodevelopmental Framework for Engaging Diverse Youth in Foster Care and Their Families Into Technology-Based Family Intervention Research Trials
Open accessAbstract
Family-based interventions delivered via telehealth are a promising mode for overcoming barriers to behavioral health treatment among youth in foster care and their families. There is a dearth of research, however, regarding effectiveness of these interventions for youth in foster care, who commonly exhibit complex behavioral health treatment needs. Clinical research in this area directly relates to equity in service access and quality for these youth and families, with numerous barriers and enabling factors to consider in order to improve engagement in clinical trials and bolster the evidence base. We present a framework to better understand the multi-systemic factors impacting youth and family engagement in clinical research on family-based telehealth interventions, drawing on relevant theory, including the bioecological model and ecodevelopmental theory. We also draw on our experiences conducting technology-based clinical research through the Family Telehealth Project, an evaluation of a brief family-based affect management intervention designed specifically for youth in foster care and their families, as a case example. Recommendations for promoting engagement in clinical research on family-based telehealth interventions with diverse youth in foster care and their families are provided.
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In-person family-based interventions with caregivers of origin are typically not feasible for adolescent foster youth placed out of county.
“for whom in-person family-based interventions with caregivers of origin are typically not feasible [18].”
From Implementation Considerations for Family-Based Telehealth Interventions for Youth in Foster Care: Focus Group Study With Child Welfare System Professionals (2023) · cites this paper as [18]
The Introduction (page not provided) says geographical distance between foster youth and their families of origin can impede participation in family-based interventions. It does not specifically address out-of-county placements or say that in-person interventions are typically not feasible; the claim makes the barrier more categorical than the source does. (LLM, conf=0.86)
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- Authors
- Folk, J. B., Gill, H., Ordorica, C., Rodriguez, C. A., Holloway, E. D., Meza, J., & Tolou-Shams, M.
- Affiliations
- University of California, San Francisco (US)
- University of California, Los Angeles (US)
- Corresponding author
- Folk, Johanna B.
- Venue
- Frontiers in Digital Health
- Publisher
- Frontiers Media SA
- Published
- 2022-05-13
- Volume
- 4
- Pages
- 866139-866139
- ISSN
- 2673-253X (ISSN-L)
- PMC
- PMC9135973
- OpenAlex
- W4280542130
- Cited by
- 5
- References
- 32
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Digital Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Visa
- National Institute on Drug Abuse (K23DA050798, K24DA046569, T32DA007250)
- National Institute of Mental Health (T32MH018261)
- American Psychological Association
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Safety Research › Child Welfare and Adoption
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- foster youth, research engagement, clinical trial participation, bioecological model, behavioral health treatment
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