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A pilot randomized controlled trial of a technology-based substance use intervention for youth exiting foster care

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  • Braciszewski, Jordan M.
  • Tzilos Wernette, Golfo K.
  • Moore, Roland S.
  • Bock, Beth C.
  • Stout, Robert L.
  • Chamberlain, Patricia

Abstract

Youth exiting foster care represent a unique, at-risk population in that they receive supportive health services while under the umbrella of the foster care system, but access to care can drop precipitously upon release from foster custody. Traditional means of substance use treatment may not meet the needs of this vulnerable population. Mobile interventions, however, have demonstrated high acceptability and efficacy across a range of mental and physical health issues. The specific advantages to mobile interventions dovetail well with the barriers faced by youth exiting foster care. This study describes the feasibility, acceptability, and initial efficacy of iHeLP, a computer- and mobile phone-based intervention based in Motivational Interviewing for reducing substance use among youth exiting foster care (n = 33). Participants were randomly assigned to either iHeLP or a contact control, each of which lasted six months. Feasibility was evaluated through eligibility and enrollment rates at baseline, and retention and intervention reach rates 3, 6, 9, and 12 months later. Acceptability was measured through a 5-item satisfaction measure and exit interviews. The two groups were then compared on a monthly measure of substance use. Study enrollment, retention, response rate, engagement, and satisfaction were all very good. Participants receiving iHeLP reported higher percent days abstinent than the control group, with effect sizes ranging from 0.32 to 0.62. Technology-based interventions such as iHeLP may be attractive to this population and support efforts towards reductions in substance use.

Suggested Citation

  • Braciszewski, Jordan M. & Tzilos Wernette, Golfo K. & Moore, Roland S. & Bock, Beth C. & Stout, Robert L. & Chamberlain, Patricia, 2018. "A pilot randomized controlled trial of a technology-based substance use intervention for youth exiting foster care," Children and Youth Services Review, Elsevier, vol. 94(C), pages 466-476.
    • Handle: RePEc:eee:cysrev:v:94:y:2018:i:c:p:466-476
    DOI: 10.1016/j.childyouth.2018.08.011
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    References listed on IDEAS

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    1. Braciszewski, Jordan M. & Stout, Robert L., 2012. "Substance use among current and former foster youth: A systematic review," Children and Youth Services Review, Elsevier, vol. 34(12), pages 2337-2344.
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    6. Brian Suffoletto & Jeffrey Kristan & Tammy Chung & Kwonho Jeong & Anthony Fabio & Peter Monti & Duncan B Clark, 2015. "An Interactive Text Message Intervention to Reduce Binge Drinking in Young Adults: A Randomized Controlled Trial with 9-Month Outcomes," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-12, November.
    7. Fowler, P.J. & Toro, P.A. & Miles, B.W., 2009. "Pathways to and from homelessness and associated psychosocial outcomes among adolescents leaving the foster care system," American Journal of Public Health, American Public Health Association, vol. 99(8), pages 1453-1458.
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    1. Braciszewski, Jordan M. & Vose-O'Neal, Adam & Gamarel, Kristi E. & Colby, Suzanne M., 2019. "Combustible cigarette smoking and alternative tobacco use in a sample of youth transitioning from foster care," Children and Youth Services Review, Elsevier, vol. 96(C), pages 231-236.
    2. Power, Luke & Hardy, Mark, 2024. "Predictors of care leavers’ health outcomes: A scoping review," Children and Youth Services Review, Elsevier, vol. 157(C).

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