Identifying Barriers and Facilitators of Implementing a Sexual and Relationship Health Intervention within the Child Welfare System
A Mixed Methods Study
Bibliographic Data
| ID | 6457569 |
|---|---|
| Authors | Julia Brasileiro (0000-0001-6936-6965, Florida State University), Laura Widman (0000-0001-8117-5467, North Carolina State University), Kate E Norwalk (0000-0003-4100-3753, North Carolina State University), Sarah L Desmarai (0000-0003-4976-1276, Inc), W M Wechsberg (0000-0002-5146-6463, RTI International), Karina D Seebaluck (0009-0007-8003-8752, North Carolina State University), Vivian F Go (0000-0003-4828-6880, University of North Carolina at Chapel Hill) |
| Year | 2025 |
| Volume | 62 |
| Issue | 8 |
| Pages | 1635-1649 |
| Publication date | 2025-02-20 |
| Open Access | No |
| Type | ARTICLE |
| Venue | The Journal of Sex Research (JOURNAL) |
| Journal identifiers | ISSN: 0022-4499 • E-ISSN: 1559-8519 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/00224499.2025.2457445 |
| PMID | 39976371 |
| OpenAlex | W4407772585 |
| Language | EN |
| References cited | 61 |
Access to sexual health education is critical for the wellbeing of youth in out-of-home care. HEART (Health Education and Relationship Training) is an online, evidence-based sexual health program that may benefit this group of youth, but reaching youth in the child welfare system remains challenging. This study aimed to identify barriers and facilitators to implementing HEART within the child welfare system. We used a convergent parallel mixed methods design and applied the Consolidated Framework for Implementation Research (CFIR) to guide data collection and analysis. We collected 1) qualitative data through semi-structured interviews with foster caregivers and child welfare professionals (n = 14) in one state in the United States; and 2) data through an online survey among youth in care (n = 72) across several states. Participants identified barriers and facilitators at four CFIR domains. Barriers included the religious and conservative beliefs of foster families and staff; the sensitive nature of discussing sex among youth who have experienced trauma; youth pushback to authority; and a lack of structure for offering youth sexual health education. Results provide a foundation for developing implementation strategies to implement HEART within the child welfare system
Child health · Environmental health · Family medicine · Intervention (counseling · Political science · Reproductive health · Welfare · Adolescent Sexual and Reproductive Health · Food Security and Health in Diverse Populations · Homelessness and Social Issues · Medicine · Nursing · Psychology
Predicting and Changing Behavior
Puberty and adolescent sexuality
The updated Consolidated Framework for Implementation Research based on user feedback
A systematic review of the use of the Consolidated Framework for Implementation Research
Mixed Method Designs in Implementation Research
The State of Sex Education in the United States
Interrater agreement and interrater reliability
Three Decades of Research
Interventions Using New Digital Media to Improve Adolescent Sexual Health
Fostering implementation of health services research findings into practice
Achieving Integration in Mixed Methods Designs—Principles and Practices
Skilled Interpersonal Communication
Saturation in qualitative research
National trends and disparate access to formal and informal sex education among youth involved with the child welfare system in the USA
Trauma-informed sexuality education
Dual processes in decision making and developmental neuroscience
Sexual health behaviors and outcomes among current and former foster youth
Exploring Potential Implementation Barriers and Facilitators of the SMART Program
Predicting Preferences for Types of Sex Education in US Schools
Caregiver‐endorsed strategies to improving sexual health outcomes among foster youth
Are We There Yet? Data Saturation in Qualitative Research
A Quasi-Experimental Study on Training Child Welfare Workers on Youth Sexual Health
Stakeholder perceptions of barriers and facilitators to sexual health discussions between foster and kinship caregivers and youth in foster care
We are kind of their parents”
The risk of teenage pregnancy among transitioning foster youth
The invisibility of adolescent sexual development in foster care
What happens when we ask? A phenomenological focus group on HIV prevention and sexual health education among emancipated foster care youth
Development and two-phased pilot RCT of a foster/kinship caregiver intervention to improve sexual health communication with youth
Sexual Assertiveness Skills and Sexual Decision-Making in Adolescent Girls
Feasibility, Acceptability, and Preliminary Efficacy of a Brief Online Sexual Health Program for Adolescents
Using thematic analysis in psychology
Designing and Conducting Mixed Methods Research
Three Approaches to Qualitative Content Analysis
Aligning human rights and social norms for adolescent sexual and reproductive health and rights
| Highly cited | No |
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