Identifying Barriers and Facilitators of Implementing a Sexual and Relationship Health Intervention within the Child Welfare System: A Mixed Methods Study.
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| Title: | Identifying Barriers and Facilitators of Implementing a Sexual and Relationship Health Intervention within the Child Welfare System: A Mixed Methods Study. |
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| Authors: | Brasileiro, Julia, Widman, Laura, Norwalk, Kate E., Desmarais, Sarah L., Wechsberg, Wendee M., Seebaluck, Karina D., Go, Vivian F. |
| Source: | Journal of Sex Research. Oct2025, Vol. 62 Issue 8, p1635-1649. 15p. |
| Subjects: | Sexual health, Child welfare, Sex education, Foster home care, Emotional trauma |
| Abstract: | 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. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 188157481 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Identifying Barriers and Facilitators of Implementing a Sexual and Relationship Health Intervention within the Child Welfare System: A Mixed Methods Study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Brasileiro%2C+Julia%22">Brasileiro, Julia</searchLink><br /><searchLink fieldCode="AR" term="%22Widman%2C+Laura%22">Widman, Laura</searchLink><br /><searchLink fieldCode="AR" term="%22Norwalk%2C+Kate+E%2E%22">Norwalk, Kate E.</searchLink><br /><searchLink fieldCode="AR" term="%22Desmarais%2C+Sarah+L%2E%22">Desmarais, Sarah L.</searchLink><br /><searchLink fieldCode="AR" term="%22Wechsberg%2C+Wendee+M%2E%22">Wechsberg, Wendee M.</searchLink><br /><searchLink fieldCode="AR" term="%22Seebaluck%2C+Karina+D%2E%22">Seebaluck, Karina D.</searchLink><br /><searchLink fieldCode="AR" term="%22Go%2C+Vivian+F%2E%22">Go, Vivian F.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Sex+Research%22">Journal of Sex Research</searchLink>. Oct2025, Vol. 62 Issue 8, p1635-1649. 15p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Sexual+health%22">Sexual health</searchLink><br /><searchLink fieldCode="DE" term="%22Child+welfare%22">Child welfare</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+education%22">Sex education</searchLink><br /><searchLink fieldCode="DE" term="%22Foster+home+care%22">Foster home care</searchLink><br /><searchLink fieldCode="DE" term="%22Emotional+trauma%22">Emotional trauma</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: 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. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=188157481 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/00224499.2025.2457445 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 15 StartPage: 1635 Subjects: – SubjectFull: Sexual health Type: general – SubjectFull: Child welfare Type: general – SubjectFull: Sex education Type: general – SubjectFull: Foster home care Type: general – SubjectFull: Emotional trauma Type: general Titles: – TitleFull: Identifying Barriers and Facilitators of Implementing a Sexual and Relationship Health Intervention within the Child Welfare System: A Mixed Methods Study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Brasileiro, Julia – PersonEntity: Name: NameFull: Widman, Laura – PersonEntity: Name: NameFull: Norwalk, Kate E. – PersonEntity: Name: NameFull: Desmarais, Sarah L. – PersonEntity: Name: NameFull: Wechsberg, Wendee M. – PersonEntity: Name: NameFull: Seebaluck, Karina D. – PersonEntity: Name: NameFull: Go, Vivian F. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 00224499 Numbering: – Type: volume Value: 62 – Type: issue Value: 8 Titles: – TitleFull: Journal of Sex Research Type: main |
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