Folk Johanna B, Gill Heman, Ordorica Catalina, Rodriguez Christopher A, Holloway Evan D, Meza Jocelyn, Tolou-Shams Marina
Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States.
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, United States.
Front Digit Health. 2022 May 13;4:866139. doi: 10.3389/fdgth.2022.866139. eCollection 2022.
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.
通过远程医疗提供的基于家庭的干预措施，是克服寄养青年及其家庭行为健康治疗障碍的一种有前景的方式。然而，对于这些干预措施对寄养青年的有效性研究却很匮乏，这些青年通常表现出复杂的行为健康治疗需求。该领域的临床研究直接关系到这些青年和家庭在服务获取和质量方面的公平性，为了提高临床试验的参与度并加强证据基础，有许多障碍和促成因素需要考虑。我们提出一个框架，以更好地理解影响青年和家庭参与基于家庭的远程医疗干预临床研究的多系统因素，借鉴相关理论，包括生物生态模型和生态发展理论。我们还借鉴了通过家庭远程医疗项目开展基于技术的临床研究的经验，该项目是对一项专门为寄养青年及其家庭设计的简短的基于家庭的情感管理干预措施的评估，并以此作为案例。本文还提供了促进寄养青年及其家庭参与基于家庭的远程医疗干预临床研究的建议。
