Engagement in a Preventive Intervention for Preadolescent Children in Foster Care: Considerations for Intervention Design

Erin Hambrick; Sunkyung Lee; Lindsey Weiler; Jen O. Collins; Tara Rhodes; Heather Taussig

doi:10.1007/s10578-022-01341-8

Engagement in a Preventive Intervention for Preadolescent Children in Foster Care: Considerations for Intervention Design

Erin Hambrick, Sunkyung Lee, Lindsey Weiler, Jen O. Collins, Tara Rhodes, Heather Taussig

Family Social Science

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Engagement in mental health-focused preventive interventions is understudied. Demographic, child, and system-level predictors of engagement were explored in a study with children in foster care (N = 222, M_age = 10.3) who participated in a 30-week intervention. Attendance and engagement in mentor visits and skills groups were rated weekly. Only 4 of 21 predictors showed bivariate associations with attendance/engagement: child sex, IQ, behavior problems, and trauma symptoms. SEM models with these three variables and a measure of adverse childhood experience (ACEs), were used to develop a model of engagement. Males had poorer mentor visit and group engagement. Group attendance was positively associated with trauma symptoms and negatively associated with ACEs. Group engagement was associated with higher IQ and fewer behavior problems. A contextually-sensitive intervention can result in high engagement for a vulnerable and diverse population, yet a few child factors still impacted engagement, and when identified could be ameliorated. Trial Registration ClinicalTrials.gov, Identifiers: NCT00809315 & NCT00810056.

Original language	English (US)
Pages (from-to)	1373-1385
Number of pages	13
Journal	Child psychiatry and human development
Volume	54
Issue number	5
DOIs	https://doi.org/10.1007/s10578-022-01341-8
State	Published - Oct 2023

Bibliographical note

Funding Information:
This project was supported by grants from the National Institute of Mental Health (1 K01 MH01972, 1 R21 MH067618, and 1 R01 MH076919, H. Taussig, PI) and funding from the Kempe Foundation, Pioneer Fund, Daniels Fund, and Children’s Hospital Research Institute. Dr. Hambrick was supported by USPHS Grant T32 MH15442, ‘Development of Psychopathology, Psychobiology & Behavior’ (UCD Institutional Postdoctoral Research Training Program). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

Engagement
Foster-care
Preventive intervention
Trauma
Youth

PubMed: MeSH publication types

Clinical Trial
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10578-022-01341-8

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abstract = "Engagement in mental health-focused preventive interventions is understudied. Demographic, child, and system-level predictors of engagement were explored in a study with children in foster care (N = 222, Mage = 10.3) who participated in a 30-week intervention. Attendance and engagement in mentor visits and skills groups were rated weekly. Only 4 of 21 predictors showed bivariate associations with attendance/engagement: child sex, IQ, behavior problems, and trauma symptoms. SEM models with these three variables and a measure of adverse childhood experience (ACEs), were used to develop a model of engagement. Males had poorer mentor visit and group engagement. Group attendance was positively associated with trauma symptoms and negatively associated with ACEs. Group engagement was associated with higher IQ and fewer behavior problems. A contextually-sensitive intervention can result in high engagement for a vulnerable and diverse population, yet a few child factors still impacted engagement, and when identified could be ameliorated. Trial Registration ClinicalTrials.gov, Identifiers: NCT00809315 & NCT00810056.",

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Engagement in a Preventive Intervention for Preadolescent Children in Foster Care: Considerations for Intervention Design

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

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