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| Name | Class |
|---|---|
| Visa Foundation | UNKNOWN |
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The purpose of this research is to adapt and evaluate the efficacy of an existing family based intervention to be delivered via telehealth to child welfare-involved (CWI) youth and their caregiver of origin.
The goal of this study is to adapt and evaluate the efficacy of an existing empirically supported, family-based affect management intervention to be delivered via telehealth. There are two versions of this intervention: 1) a dyadic version to be delivered to CWI youth and their caregiver of origin, and 2) a caregiver-only version to be delivered to any caregiver (including kinship caregivers) of a CWI youth. The study involves iteratively adapting the intervention with feedback from youth and caregiver participants and stakeholder partners, as well as evaluating the feasibility, acceptability, and preliminary effectiveness of the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Family-based Telehealth Treatment | Experimental | A family-based telehealth intervention. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Family-based Telehealth Intervention | Behavioral | The Family Telehealth intervention focuses on improving parent-child relationships and communication. For the dyadic version, the intervention involves eleven hours of intervention material; it includes motivational interviews, individual and joint sessions co-led by two separate clinicians. The sessions will be delivered on a weekly basis. For the caregiver-only version, the intervention involves six hours of intervention material; it includes a motivational interview and individual sessions led by a single clinician. The sessions will be delivered on a weekly basis. |
| Measure | Description | Time Frame |
|---|---|---|
| Difficulties in Emotion Regulation Scale | To measure caregiver and youth affect management skills. Scores range from 36 to 180, with higher scores indicating greater problems with emotion regulation. | Immediately after the intervention. |
| Difficulties in Emotion Regulation Scale | To measure caregiver and youth affect management skills. Scores range from 36 to 180, with higher scores indicating greater problems with emotion regulation. | Three months post-intervention. |
| Parent-adolescent General Communication Scale (PPAC) | To measure caregiver-youth communication. The PPAC measures both positive and negative communication. Scores for positive communication ranging from 7 to 35, with higher scores indicating more positive communication. Scores for negative communication range from 13 to 65, with higher scores indicating more negative communication. | Immediately after the intervention. |
| Parent-adolescent General Communication Scale | To measure caregiver-youth communication. The PPAC measures both positive and negative communication. Scores for positive communication ranging from 7 to 35, with higher scores indicating more positive communication. Scores for negative communication range from 13 to 65, with higher scores indicating more negative communication. | Three months post-intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Telehealth Satisfaction Questionnaire | To measure attitudes about the delivery of the intervention via telehealth. | Immediately after the intervention. |
| Family telehealth feedback form | To measure attitudes about the content and delivery of the intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Family Assessment Device | To measure general family functioning, affective responsiveness, and affective involvement. Scores range from 1 to 4 for each of the scales, with higher scores reflecting unhealthy family functioning. | Immediately after the intervention |
| Family Assessment Device |
Inclusion Criteria:
Eligible youth:
Eligible caregivers for dyadic version:
Eligible caregivers for caregiver-only version:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marina Tolou-Shams, PhD | University of California, San Francisco | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UCSF Zuckerberg San Francisco General Hospital | San Francisco | California | 94131 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39405104 | Derived | Folk JB, Valencia-Ayala C, Holloway ED, Anvar S, Czopp A, Tolou-Shams M. Feasibility and Acceptability of a Family-Based Telehealth Intervention for Families Impacted by the Child Welfare System: Formative Mixed Methods Evaluation. JMIR Form Res. 2024 Oct 15;8:e57939. doi: 10.2196/57939. |
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| ID | Term |
|---|---|
| D003142 | Communication |
| D000080103 | Emotional Regulation |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D000068356 | Self-Control |
| D012919 | Social Behavior |
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This study is designed to iteratively adapt a family-based intervention with feedback from youth and caregiver participants and stakeholder partners, as well as to evaluate the feasibility, acceptability, and preliminary effectiveness of the intervention.
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| Two weeks post-baseline. |
| Family telehealth feedback form | To measure attitudes about the content and delivery of the intervention. | Three weeks post-baseline. |
| Family telehealth feedback form | To measure attitudes about the content and delivery of the intervention. | Four weeks post-baseline. |
| Family telehealth feedback form | To measure attitudes about the content and delivery of the intervention. | Five weeks post-baseline. |
| Family telehealth feedback form | To measure attitudes about the content and delivery of the intervention. | Nine weeks post-baseline. |
To measure general family functioning, affective responsiveness, and affective involvement. Scores range from 1 to 4 for each of the scales, with higher scores reflecting unhealthy family functioning. |
| Three months post-intervention. |
| Stress Index for Parents of Adolescents | To measure caregiver-youth relationship quality and caregiver parenting stress. The items are scored on a 5-point rating scale, with raw scores then categorized as within normal limits, borderline, clinically significant, or clinically severe. | Immediately after the intervention. |
| Stress Index for Parents of Adolescents | To measure caregiver-youth relationship quality and caregiver parenting stress. The items are scored on a 5-point rating scale, with raw scores then categorized as within normal limits, borderline, clinically significant, or clinically severe. | Three months post-intervention. |
| Pediatric Symptom Checklist | To measure youth psychiatric symptoms. Scores range from 0 to 70, with scores of 30 or higher indicating psychological impairment. | Immediately after the intervention. |
| Pediatric Symptom Checklist | To measure youth psychiatric symptoms. Scores range from 0 to 70, with scores of 30 or higher indicating psychological impairment. | Three months post-intervention. |
| Homelessness Asset and Risk Screening Tool | To measure risk for homelessness and residential stability. | Immediately after the intervention. |
| Homelessness Asset and Risk Screening Tool | To measure risk for homelessness and residential stability. | Three months post-intervention. |
| Adolescent Risk Behavior Assessment | To measure youth substance use and youth sexual risk behavior. | Immediately after the intervention. |
| Adolescent Risk Behavior Assessment | To measure youth substance use and youth sexual risk behavior. | Three months post-intervention. |
| National Stressful Events Survey PTSD Short Scale | To assess the severity of posttraumatic stress disorder in youth. The item are scored on a 5-point rating scale (from 0 to 4). Scores range from 0 to 28, with higher scores indicating greater severity of acute stress disorder. | Immediately after the intervention. |
| National Stressful Events Survey PTSD Short Scale | To assess the severity of posttraumatic stress disorder in youth. The item are scored on a 5-point rating scale (from 0 to 4). Scores range from 0 to 28, with higher scores indicating greater severity of acute stress disorder. | Three months post-intervention. |
| Texas Christian University Drug Screen 5 - Opioid Supplement | To measure youth substance use. | Immediately after the intervention. |
| Texas Christian University Drug Screen 5 - Opioid Supplement | To measure youth substance use. | Three months post-intervention. |
| Asian American Family Conflict Scale | To assess caregiver perceptions of intergenerational acculturation conflict. The items are scored on a 5-point rating scale. Scores range from 10 to 50, with higher scores indicating greater family conflict. | Immediately after the intervention. |
| Asian American Family Conflict Scale | To assess caregiver perceptions of intergenerational acculturation conflict. The items are scored on a 5-point rating scale. Scores range from 10 to 50, with higher scores indicating greater family conflict. | Three months post-intervention. |
| DSM-5 Cross Cutting Symptom Inventory | To assess caregiver mental health domains that are important across psychiatric diagnoses. The items are scored on a 5-point rating scale (from 0 to 4). The score on each item within a domain should be reviewed. A rating of mild (i.e., 2) or greater on any item within a domain (except for substance use, suicidal ideation, and psychosis) and a rating of slight (i.e., 1) or greater on any item within a substance use, suicidal ideation, or psychosis domain may serve as a guide for additional inquiry and follow up to determine if a more detailed assessment for that domain is necessary. | Immediately after the intervention. |
| DSM-5 Cross Cutting Symptom Inventory | To assess caregiver mental health domains that are important across psychiatric diagnoses. The items are scored on a 5-point rating scale (from 0 to 4). The score on each item within a domain should be reviewed. A rating of mild (i.e., 2) or greater on any item within a domain (except for substance use, suicidal ideation, and psychosis) and a rating of slight (i.e., 1) or greater on any item within a substance use, suicidal ideation, or psychosis domain may serve as a guide for additional inquiry and follow up to determine if a more detailed assessment for that domain is necessary. | Three months post-intervention. |